Supreme Court of Florida

____________

No. SC15-339

____________

IN RE: AMENDMENTS TO THE SUPREME COURT APPROVED 

FAMILY LAW FORMS.

[April 23, 2015]

PER CURIAM.

Pursuant to the procedures approved by this Court in Amendments to the 

Florida Family Law Rules of Procedure & Family Law Forms, 810 So. 2d 1, 14 

(Fla. 2000), this Court has internally reviewed the Florida Supreme Court 

Approved Family Law Forms and has determined that amendments to form 

12.980(n), Petition for an Injunction for Protection Against Dating Violence, are 

needed. Input on this issue was received from the Advisory Workgroup on the 

Florida Supreme Court Approved Family Law Forms, which provided valuable 

assistance. We have jurisdiction. See art. V, § 2(a), Fla. Const.

Section 784.046(2)(b), Florida Statutes (2014) provides that a person who is 

either “the victim of dating violence and has reasonable cause to believe he or she 
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is in imminent danger of becoming the victim of another act of dating violence” or

“has reasonable cause to believe he or she is in imminent danger of becoming the 

victim of an act of dating violence,” has standing to file a petition for an injunction 

for protection against dating violence. § 784.046(2)(b), Fla. Stat. (2014). Both the 

instructions to the form and the content of the form are amended to more clearly 

reflect this standard. Additionally, section 784.046(2)(b) provides that a parent or 

legal guardian has standing to petition for an injunction for protection against 

dating violence on behalf of a minor living at home. If the person against whom 

the injunction is sought is also a parent or legal guardian, the petitioning parent or 

legal guardian must have been “an eyewitness to, or have direct physical evidence 

or affidavits from eyewitnesses of, the specific facts and circumstances that form 

the basis upon which relief is sought.” § 784.046(4)(a)1., Fla. Stat. (2014). If the 

person against whom the injunction is sought is not a parent, stepparent, or legal 

guardian of the minor, the petitioner must “[h]ave a reasonable cause to believe 

that the minor child is a victim of . . . dating violence to form the basis upon which 

relief is sought.” § 784.046(4)(a)2., Fla. Stat. (2014). The instructions and the 

wording of the form are amended to better explain these requirements.1 

 

1. Other minor and editorial amendments are also made to the form.
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The amended form is adopted as set forth in the appendix to this opinion, 

fully engrossed, effective for immediate use. The form may also be accessed and 

downloaded from the Florida State Court’s website at 

http://www.flcourts.org/resources-and-services/court-improvement/problemsolving-courts/family-courts/family-law-forms.stml. By adoption of the amended 

form, we express no opinion as to its correctness or applicability. We also direct 

that the amended form be published for comment. Interested persons shall have 

sixty days from the date of this opinion to file comments with the Court.2

It is so ordered. 

 

2. All comments must be filed with the Court on or before June 22, 2015, as 

well as a separate request for oral argument if the person filing the comment 

wishes to participate in oral argument, which may be scheduled in this case. If 

filed by an attorney in good standing with The Florida Bar, the comment must be 

electronically filed via the Portal in accordance with In re: Electronic Filing in the 

Supreme Court of Florida via the Florida Courts E-Filing Portal, Fla. Admin. Order 

No. AOSC13-7 (Feb 18, 2013). If filed by a non-lawyer or a lawyer not licensed 

to practice in Florida, the comment must be electronically filed via e-mail in 

accordance with In re Mandatory Submission of Electronic Copies of Documents, 

Fla. Admin. Order No. AOSC04-84 (Sept. 13, 2004). Electronically filed 

documents must be submitted in Microsoft Word 97 or higher. Any person unable 

to submit a comment electronically must mail or hand-deliver the originally signed 

comment to the Florida Supreme Court, Office of the Clerk, 500 South Duval 

Street, Tallahassee, Florida 32399-1927; no additional copies are required or will 

be accepted.
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LABARGA, C.J., and PARIENTE, LEWIS, QUINCE, CANADY, POLSTON, 

and PERRY, JJ., concur.

THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER THE 

EFFECTIVE DATE OF THESE AMENDMENTS. 

Original Proceedings – Florida Supreme Court Approved Family Law Forms
Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection 

Against Dating Violence (04/15)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW 

FORM 12.980(n)

PETITION FOR INJUNCTION FOR PROTECTION AGAINST DATING 

VIOLENCE (04/15)

When should this form be used?

If you are a victim of dating violence, and have reasonable cause to believe you are in imminent danger 

of becoming the victim of another act of dating violence, or if you have reasonable cause to believe that 

you are in imminent danger of becoming a victim of dating violence, you can use this form to ask the 

court for a protective order prohibiting dating violence. Dating violence means violence between 

individuals who have or have had a continuing and significant relationship of a romantic or intimate 

nature. The dating relationship must have existed within the past six months, the nature of the 

relationship must have been characterized by the expectation of affection or sexual involvement 

between the parties, and the frequency and type of interaction must have included that the persons 

have been involved over time and on a continuous basis during the course of the relationship. Dating 

violence does not include violence in a casual acquaintanceship or violence between individuals who 

only have engaged in ordinary fraternization in a business or social context. Dating violence includes 

assault, aggravated assault, battery, aggravated battery, sexual assault, sexual battery, stalking, 

aggravated stalking, kidnapping, or false imprisonment, or any criminal offense resulting in physical 

injury or death. Because you are making a request to the court, you are called the petitioner. The 

person whom you are asking the court to protect you from is called the respondent. If you are under the 

age of eighteen and have never been married or had the disabilities of nonage removed by a court, one 

of your parents or your legal guardian must sign this petition on your behalf. 

 If you are filing on behalf of a child or children

The parent or legal guardian of any minor child who is living at home may seek an injunction for 

protection against dating violence on behalf of the minor child. With respect to a minor child who is 

living at home, if the party against whom the protective injunction is sought is also a parent, stepparent, 

or legal guardian, you, as the parent or legal guardian filing the petition, must have been an eye-witness 

to, or have direct physical evidence or affidavits from eye-witnesses of, the specific facts and 

circumstances that form the basis of the petition. If the party against whom the protective injunction is 

sought is a person OTHER THAN a parent, stepparent, or legal guardian of the minor child, you, as the 

parent or legal guardian filing the petition, must state why you have reasonable cause to believe that 

the minor child is a victim of dating violence.

 Additional Information

 

If the respondent is your spouse, former spouse, related to you by blood or marriage, living with you 
Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection 

Against Dating Violence (04/15)

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now or has lived with you in the past (if you are or were living as a family), or the other parent of your 

child(ren), whether or not you have ever been married or ever lived together, you should use Petition 

for Injunction for Protection Against Domestic Violence, Florida Supreme Court Approved Family Law 

Form 12.980(a), rather than this form. 

This form should be typed or printed in black ink. You should complete this form (giving as much detail 

as possible) and sign it the presence of a notary or in front of the clerk of the circuit court in the county 

where you live. The clerk will take your completed petition to a judge. You should keep a copy for your 

records. If you have any questions or need assistance completing this form, the clerk or family law 

intake staff will help you.

What should I do if the judge grants my petition?

If the facts contained in your petition convince the judge that an immediate and present danger of 

dating violence exists, the judge will sign a Temporary Injunction for Protection Against Dating 

Violence, Florida Supreme Court Approved Family Law Form 12.980(o). A temporary injunction is issued 

without notice to the respondent. The clerk will give your petition, the temporary injunction, and any 

other papers filed with your petition to the sheriff or other law enforcement officer for personal service

on the respondent. The temporary injunction will take effect immediately after the respondent is served 

with a copy of it. It lasts until a full hearing can be held or for a period of 15 days, whichever comes first. 

The court may extend the temporary injunction beyond 15 days for a good reason, which may include 

failure to obtain service on the respondent.

The temporary injunction is issued ex parte. This means that the judge has considered only the 

information presented by one side--YOU. Section I of the temporary injunction gives a date that you 

should appear in court for a hearing. You will be expected to testify about the facts in your petition. The 

respondent will be given the opportunity to testify at this hearing, also. At the hearing, the judge will 

decide whether to issue a Final Judgment of Injunction for Protection Against Dating Violence (After 

Notice), Florida Supreme Court Approved Family Law Form 12.980(p), which will remain in effect for a 

specific time period or until modified or dissolved by the court. If you and/or the respondent do not 

appear, the temporary injunction may be continued in force, extended, or dismissed, and/or 

additional orders may be granted, including entry of a permanent injunction and the imposition of 

court costs. You and respondent will be bound by the terms of any injunction or order issued at the 

final hearing.

IF EITHER YOU OR RESPONDENT DO NOT APPEAR AT THE FINAL HEARING, YOU WILL BOTH BE BOUND 

BY THE TERMS OF ANY INJUNCTION OR ORDER ISSUED IN THIS MATTER.

If the judge signs a temporary or final injunction, the clerk will provide you with the necessary copies. 

Make sure that you keep one certified copy of the injunction with you at all times!

What can I do if the judge denies my petition?
Instructions for Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection 

Against Dating Violence (04/15)

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If your petition is denied on the grounds that it appears to the court that no immediate and present 

danger of dating violence exists, the court will set a full hearing on your petition. The respondent will be 

notified by personal service of your petition and the hearing. If your petition is denied, you may: amend 

your petition by filing a Supplemental Affidavit in Support of Petition for Injunction for Protection, 

Florida Supreme Court Approved Family Law Form 12.980(g); attend the hearing and present facts that 

support your petition; and/or dismiss your petition.

Where can I look for more information?

Before proceeding, you should read General Information for Self-Represented Litigants found at the 

beginning of these forms. The words that are in bold underline are defined in that section. The clerk of 

the circuit court or family law intake staff will help you complete any necessary forms. For further 

information, see Section 784.046, Florida Statutes, and Rule 12.610, Florida Family Law Rules of 

Procedure. 
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating 

Violence (04/15)

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IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

Case No.: 

Division: 

 ,

Petitioner,

and

 ,

Respondent.

PETITION FOR INJUNCTION FOR PROTECTION AGAINST DATING VIOLENCE

I, {full legal name} , being sworn, certify that the 

following statements are true:

SECTION I. PETITIONER

(This section is about you. It must be completed.)

1. Petitioner currently lives at the following address: {address, city, state, zip code}_____________

______________________________________________________________________________.

Date of Birth of Petitioner: ___________________________.

[Indicate if applicable]

_____ Petitioner seeks an injunction for protection on behalf of a minor child. Petitioner is 

the parent or legal guardian of {full legal name}_________________________________,

a minor child who is living at home.

2. Petitioner's attorney's name, address, and telephone number is: _________________________

______________________________________________________________________________.

(If you do not have an attorney, write "none.")

SECTION II. RESPONDENT

(This section is about the person you want to be protected from. It must be completed.)
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating 

Violence (04/15)

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1. Respondent currently lives at the following address: {address, city, state, and zip code}________ 

______________________________________________________________________________

Respondent’s Driver’s License number is: {if known} ____________________________________

2. Petitioner has known Respondent since {date}_____________________________________.

3. Respondent's last known place of employment:_____________________________________

Employment address:_________________________________________________________

Working hours: ___________________________

4. Physical description of Respondent:

Race: _____ Sex: Male ____ Female ____ Date of Birth:

Height: _____ Weight: _____ Eye Color: _____ Hair Color:________________

Distinguishing marks and/or scars: 

Vehicle: (make/model) _______________ Color: __________ Tag Number: ____________

5. Other names Respondent goes by (aliases or nicknames):______________________________

_____________________________________________________________________________.

6. Respondent's attorney’s name, address, and telephone number is: _______________________

(If you do not know whether Respondent has an attorney, write "unknown." If Respondent 

does not have an attorney, write "none.")

7. If Respondent is a minor, the address of Respondent’s parent or legal guardian is:

SECTION III. CASE HISTORY AND REASON FOR SEEKING PETITION (This section must be completed.)

1. Have the Petitioner and Respondent been involved in a dating relationship within the past six 

months? _______Yes __________No

2. Describe the nature of the relationship between the Petitioner and Respondent {include the 

length of time of the relationship, the romantic or intimate nature of the relationship, the 

frequency or type of interaction, and any other facts that characterize the relationship}

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating 

Violence (04/15)

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______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________.

_____Please indicate here if you are attaching additional pages to continue these facts.

3. Has Petitioner ever received or tried to get an injunction for protection against domestic 

violence, dating violence, repeat violence, or sexual violence, or stalking against Respondent in 

this or any other court?

 _____ Yes _____ No If yes, what happened in that case? {Include case number, if known}

 

 

4. Has Respondent ever received or tried to get an injunction for protection against domestic 

violence, dating violence, repeat violence, or sexual violence, or stalking against Petitioner in 

this or any other court? 

_____ Yes _____ No If yes, what happened in that case? {Include case number, if known}__

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________.

5. Describe any other court case that is either going on now or that happened in the past

between Petitioner and Respondent {Include case number, if known}:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

_____________________________________________________________________________.

 6.Respondent has directed an incident of violence, meaning assault, aggravated assault, battery, 

aggravated battery, sexual assault, sexual battery, stalking, aggravated stalking, kidnapping, or 

false imprisonment, or any criminal offense resulting in physical injury or death against 

Petitioner or a minor child living at home. The incident (including date and location) is 

described below. 

 On {date} , at {location} ___________________________,

 Respondent ______________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against 

Dating Violence (04/15)

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 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________.

 _____Please indicate here if you are attaching additional pages to continue these facts.

7. Other prior incidents (including dates and location) are described below:

 On {date(s)} , at {location(s)} _____________________________,

 Respondent____________________________________________________________________

 ______________________________________________________________________________

 ______________________________________________________________________________

_______________________________________________ 

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________.

_____Please indicate here if you are attaching additional pages to continue these facts.

8. Imminent Danger

{Please complete either paragraph a or b below}

a. ________Petitioner is a victim of dating violence and has reasonable cause to believe he or 

she is in imminent danger of becoming a victim of another act of dating violence. {Explain what 

Respondent has done to make you a victim of dating violence and to make you fear that you are 

in imminent danger of becoming a victim of another act of dating violence.}

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________.

OR

b. _____Petitioner has reasonable cause to believe he or she is in imminent danger of becoming 

a victim of dating violence as demonstrated by the fact that Respondent has: {Explain what 

Respondent has done that makes you fear that you are in imminent danger of becoming a victim 

of dating violence.}
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating 

Violence (04/15)

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______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

 ______________________________________________________________________________.

9. Additional Information

{Indicate all that apply}

a.____ Respondent owns, has, and/or is known to have guns or other weapons.

Describe weapon(s):______________________________________________________________

______________________________________________________________________________

 b.____ This or prior acts of dating violence have been previously reported to: {person or agency}

______________________________________________________________________________

______________________________________________________________________________.

SECTION IV. INJUNCTION 

(This section must be completed.)

1. Petitioner asks the Court to enter a TEMPORARY INJUNCTION for protection against dating

violence that will be in place from now until the scheduled hearing in this matter.

 2. Petitioner asks the Court to enter an injunction prohibiting Respondent from committing any 

acts of violence against Petitioner and:

a. prohibiting Respondent from going to or within 500 feet of any place Petitioner lives;

b. prohibiting Respondent from going to or within 500 feet of Petitioner’s place(s) of 

employment or the school that Petitioner attends; the address of Petitioner's place(s) of 

employment and/or school 

is:_______________________________________________________________________

______________________________________________________________________________;

c. prohibiting Respondent from contacting Petitioner by telephone, mail, by e-mail, in writing, 

through another person, or in any other manner;

d. ordering Respondent not to use or possess any guns or firearms;

 {Indicate all that apply}

 e. ____prohibiting Respondent from going to or within 500 feet of the following place(s) 

Petitioner or Petitioner’s immediate family must go to often: ____________________________

______________________________________________________________________________

______________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating 

Violence (04/15)

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______________________________________________________________________________;

f. ____ prohibiting Respondent from knowingly and intentionally going to or within 100 feet of 

Petitioner’s motor vehicle; 

and any other terms the Court deems necessary for the safety of Petitioner and Petitioner’s 

immediate family.

I UNDERSTAND THAT BY FILING THIS PETITION, I AM ASKING THE COURT TO HOLD A HEARING ON 

THIS PETITION, THAT BOTH THE RESPONDENT AND I WILL BE NOTIFIED OF THE HEARING, AND THAT I 

MUST APPEAR AT THE HEARING. I UNDERSTAND THAT IF EITHER RESPONDENT OR I FAIL TO APPEAR 

AT THE FINAL HEARING, WE WILL BE BOUND BY THE TERMS OF ANY INJUNCTION OR ORDER ISSUED 

AT THAT HEARING.

I UNDERSTAND THAT I AM SWEARING OR AFFIRMING UNDER OATH TO THE TRUTHFULNESS OF THE 

CLAIMS MADE IN THIS PETITION AND THAT THE PUNISHMENT FOR KNOWINGLY MAKING A FALSE 

STATEMENT INCLUDES FINES AND/OR IMPRISONMENT.

Dated:____________________________ _______________________________________ 

 Signature of Petitioner

Printed Name: 

Address:

City, State, Zip: 

Telephone Number:

Fax Number: 

Designated E-Mail Address(es):______________

_______________________________________

STATE OF FLORIDA

COUNTY OF 

Sworn to or affirmed and signed before me on by .

NOTARY PUBLIC or DEPUTY CLERK
Florida Supreme Court Approved Family Law Form 12.980(n), Petition for Injunction for Protection Against Dating 

Violence (04/15)

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[Print, type, or stamp commissioned name of 

notary or clerk.]

 Personally known

 Produced identification

 Type of identification produced _____________________________________