# Supreme Court of Florida

____________
No. SC22

- 1737

____________
IN RE : AMENDMENTS TO THE FLORIDA SUPREME COURT APPROVED FAMILY LAW FORMS

— 12.975(a)

- (c).
March 2, 2023

PER CURIAM.
This matter is before the Court for consideration of proposed
amendments to the Florida Family Law Rules of Procedure Forms.
We have jurisdiction. See art. V, § 2(a), Fla. Const.; see also Fla. R.
Gen. Prac. & Jud. Admin. 2.140(e).

The Florida Bar’s Family Law Rules Committee (Committee)

has filed a fast

- track report proposing amendments to form
12.975(a) (Petition for Grandparent Visitation with Minor

Child ( ren ) ), creating a new form 12.975(b) (Petition for Grandparent

Visitation with Minor Chi ld ( ren ) When One Parent Has Been Found
Criminally or Civilly Liable for the Death of the Other Parent), and
renumbering existing form 12.975(b) (Order on Grandparent’s

Petition for Visitation with Minor Child ( ren ) ). The proposed changes

## - 2

- are in response to recent legislation amending section 752.011,

Florida Statutes. See ch. 2022

- 217, § 1, Laws of Fla. The Board of
Governors of The Florida Bar unanimously approved the proposed
amendments. The Committee did not publish the proposals for

comment before fi ling them with the Court.
Having considered the Committee’s report and relevant
legislation, we hereby amend the forms as proposed by the
Committee, with modifications. Significantly, while we adopt the
forms the Committee has proposed and thank the Comm ittee for its
work on these forms, we designate these forms as “Florida Supreme
Court Approved Family Law Forms,” removing them from the
rulemaking process set forth in Florida Rule of General Practice and

Judicial Administration 2.1 4 0.
In deciding to desi gnate these forms as “Florida Supreme
Court Approved Family Law Forms,” we look at the history of the
bifurcation of the family law forms. In Amendments to the Florida
Family Law Rules of Procedure and Family Law Forms , 810 So. 2d

1, 13

- 14 (Fla. 2000), th e Court divided the family law forms into two
groups: (1) Florida Family Law Rules of Procedure Forms and (2)
Supreme Court Approved Family Law Forms. This division is

## - 3

- reflected in Florida Family Law Rule of Procedure 12.015 (Family
Law Forms). Subdivis ion (a) (Forms Adopted as Rules) lists the
“Florida Family Law Rules of Procedure Forms” to which the
Committee may propose amendments. More specifically,
subdivision (a) begins by stating that “[t]he forms listed in this rule
shall be adopted by the rule making process in Florida Rule of
General Practice and Judicial Administration 2.140” and provides
that the Committee “may propose amendments to these forms and
any associated instructions.” Subdivision (a) includes a list of
existing forms that fall unde r this provision. “All additional
Supreme Court approved forms shall be adopted by opinion of the
Supreme Court of Florida and outside the rulemaking procedures
required by rule 2.140.” Fla. Fam. L. R. P. 12.015(b). Thus, under
rule 12.015(a), the Commi ttee may only propose amendments to the
limited list of forms that have been designated “Florida Family Law

Rules of Procedure Forms.”
Thereafter, in In re Amendments to Fla. Family Law Rules of

Procedure

— 2020 Regular

- Cycle Report , 345 So. 3d 69, 72 (Fla.
2020), the Committee proposed new forms 12.975(a) (Petition for
Grandparent Visitation with Minor Child ( ren ) ) and 12.975(b) (Order

## - 4

- on Grandparent’s Petition for Visitation with Minor Child ( ren ) ).
However, rule 12.015(a) was not amended to include these forms on
the list of those adopted by the Committee as part of the
rulemaking process. Accordingly, we now correct this oversight by
designating these forms as “Florida Supreme Court Approved
Family Law Forms” that will be revised and amended by opi nion of
this Court and outside of the rulemaking process required by rule

2.1 40 going forward. And, while we adopt the Committee’s
proposed new form 12.975(b) (Petition for Grandparent Visitation

with Minor Child ( ren ) When One Parent Has Been Found Crimin ally
or Civilly Liable for the Death of the Other Parent), we also
designate it as a “Florida Supreme Court Approved Family Law

Form.”
As to the specific amendments to the forms, we amend form
12.975(a) as proposed by the Committee. However, we further

a mend the form by revising the e

- service language to comply with

Florida Rule of General Practice and Judicial Administration 2.516.
Accordingly, we replace the current e

- service language with the
following:

## - 5

- You must strictly comply with the format requi rements set forth in the Florida Rules of General Practice and Judicial Administration and you must review Florida Rule of General Practice and Judicial Administration 2.516. You may find this rule at www.flcourts.org through the link to the Rules of Gene ral Practice and Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the A

- Z Topical Index.

SELF

- REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E

- MAIL UNLESS EXCUSED PURSUANT TO FLORIDA RULE OF GENERAL PRAC TICE AND JUDICIAL ADMINISTRATION 2.516(b)(1)(D). If a self

- represented litigant has been excused from serving documents by e

- mail and then elects to serve and receive documents by e

- mail, the procedures must always be followed once that election is made.
Next, we amend existing form 12.975(b) by renumbering it to
form 12.975(c) (Order on Grandparent’s Petition for Visitation with

Minor Child ( ren ) ).
Additionally, we adopt new form 12.975(b) (Petition for
Grandparent Visitation with Minor Child ( ren ) when O ne Parent Has
Been Found Criminally or Civilly Liable for the Death of the Other
Parent). However, we revise item number 8 in the form to read:
“There is a presumption for granting reasonable visitation because
the Petitioner is the ____ grandparent or _ ___ stepgrandparent of the
child, and he or she is the parent of the child’s deceased parent.”

## - 6

- Accordingly, the Florida Supreme Court Approved Family Law
Forms are amended as reflected in the appendix to this opinion,
with the forms fully engrossed and re ady for use. The forms may be

accessed and downloaded from the Florida State Courts’ website at
http://www.flcourts.org/resources

- and

- services/court

improvement/family

- courts/family

- law

- forms.stml. The
amendments shall take effect immediately upon the re lease of this
opinion. Because the amendments were not published for comment
prior to their adoption, interested persons shall have 75 days from
the date of this opinion in which to file comments with the Court. 1



## It is so ordered. MUÑIZ, C.J., and CANADY , POLSTON, LABARGA, COURIEL, GROSSHANS, and FRANCIS, JJ., concur.

1

. All comments must be filed with the Court on or before May 16 , 2023 , 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 Florida Courts E

- Filing Portal (Portal). If filed by a nonlawyer or a lawyer not licensed to practice in Florida, the comment may be, but is not required to be, filed via the Portal. 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, 50 0 South Duval Street, Tallahassee, Florida 32399

- 1927.

## - 7

- THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER THE EFFECTIVE DATE OF TH ESE AMENDMENT S

. Original Proceeding

– Florida Family Law Rules of Procedure
Michael V. Andriano, Chair, Family Law Rules Committee, Orlando, Florida, Joshua E. Doyle, Executive Director, The Florida Bar, Tallahassee, Florida, and Kelly N. Smith , Staff Liaison, The Florida Bar, Tallahassee, Florida,

for PetitionerInstructions for Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 8

- APPENDIX

**INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED**  **FAMILY LAW FORM 12.975(a)**  **PETITION FOR GRANDPARENT VISITATION WITH MINOR CHILD(REN) (**  **0 3**  **/ 23**  **)**

**When should this form be used?**

This form should be used when a grandparent is filing for visitation rights as provided in Section 752.011, Florida Statutes. You may file a petition for grandparent visitation with minor child(ren) in Florida if one of the following is true:

• One or both of the minor child(ren)’s parents died;

• One or both of the minor child(ren)’s parents are missing;

• One or both of the minor child(ren)’s parents are in a persistent vegetative state; or a combination of these three situations. If only one of the minor ch ild(ren)’s parents qualifies in one of the three categories above, the other parent must have been convicted of a felony or an offense of violence evincing behavior that poses a substantial threat of harm to the minor child’s health or welfare

. This petit ion should be typed or printed in black ink.


### What should I do next?
After completing this form, you should file this form with the clerk of the circuit court in the county where you live and keep a copy for your records.
You must file Florida Supreme Cou rt Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction and Enforcement Affidavit

. You must pay the appropriate filing fees to the clerk of the circuit court. If you cannot afford to pay the filing fees, you may fill out an Application f or Determination of Civil Indigent Status , and file it with your petition for Grandparent Visitation with Minor Child(ren). You may obtain this form from the clerk and he or she will determine whether you are eligible to have filing fees waived.
Either yo u or the clerk of court will need to complete a Family Court Cover Sheet , Florida Family Law Rules of Procedure Form 12.928. The clerk’s office can provide this form.
For your case to proceed, you must properly notify the parents of the minor child(ren) u nless they have died. If either or both parents have died, you must file a certified copy of the death certificate.
If you know where either or both parents live, you should use personal service

. If the basis of your petition is that one or both parents are missing, you must file an affidavit of diligent search with regard to that parent(s) to demonstrate to the court that one or both are in fact missing. See Florida Family Law Rules of Procedure Form 12.913(b).Instructions for Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 9

- If you absolutely do not know where one or both parents live, you may also use constructive service. You may also be able to use constructive service if one or both parents reside in another state or country. For more information on constructive service, see Notice of Action for Family Case s with Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.913(a)(2), and Affidavit of Diligent Search and Inquiry , Florida Family Law Rules of Procedure Form 12.913(b).
The parents will have 20 days to answer your petition after being ser ved with your petition. Your case will then generally proceed in one of the following three ways:

DEFAULT

. If after 20 days, none of the parties have filed an answer or any other document, you may file a Motion for Default , Florida Supreme Court Approved Family Law Form 12.922(a), with the clerk of court. Then, if you have filed all of the required papers, depe nding on your jurisdiction, you may call the clerk, family law intake staff, or the judicial assistant to set a final hearing. You must notify the parents of the hearing by using a Notice of Final Hearing (General) , Florida Supreme Court Approved Family La w Form 12.923, or other appropriate notice of hearing form.

UNCONTESTED . If all parties file an answer that agrees with everything in your petition, depending on your jurisdiction, you may call the clerk, family law intake staff, or judicial assistant
to schedule a final hearing. You must notify the other party of the hearing by using a Notice of Final Hearing (General), Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.

CONTESTED . If any of the parties fil e an answer, which disagrees with or denies anything in your petition, and you are unable to settle the disputed issues, you should file a Notice for Trial , Florida Supreme Court Approved Family Law Form 12.924.
Unless the reason for filing the petition is that both parents have died, some circuits may require the completion of mediation before a final hearing may be scheduled. Depending on your jurisdiction, you should contact the clerk, family law intake staff, or judicial assistant for instructions on ho w to set your case for trial (final hearing) and to inquire if mediation is required before a final hearing.
You must obtain a date and time for any court appearance, including the final hearing, from the clerk of court, family law intake staff or judicia l assistant. On that date of the hearing, all petitioners must appear before a judge . If required by your jurisdiction, you should bring an Order On Grandparent’s Petition for Visitation with Minor Child(ren), Florida Supreme Court Approved Family Law For m 12.975( c ), with you to the hearing.
If you fail to complete this procedure, the court may dismiss the case.


### Where can I look for more information?
Before proceeding, you should read “General Information for Self

- Represented Litigants” found at the beginn ing of these forms. The words that are in “ bold underline ” in these instructions are defined there. For further information, see chapter 752, Florida Statutes, and Florida Family Law Rules of Procedure Rule 12.105.Instructions for Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 10

- **IMPORTANT INFORMATION REGARDING E**

**- FILI**  **NG**
The Florida Rules of General Practice and Judicial Administration now require that all petitions, pleadings, and documents be filed electronically except in certain circumstances. Self

- represented litigants may file petitions or other pleadings or docum ents electronically; however, they are not required to do so. If you choose to file your pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules and procedures should be carefully read and followed.



### IMPORTANT INFORMATION REGARDING E

**- SERVICE ELECTION** 
After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server, the Florida Rules of General Practice and Judicial Administration now require that all documents required or permitted to be served on the other party must be served by electronic mail (e

mail) except in certain circumstances. You must strictly comply with the format requirements set forth in the Florida Rule s of General Practice and Judicial Administration and you must review Florida Ru le of General Practice and Judicial Administration 2.516. You may find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court i n the A

- Z Topical Index.

SELF

- REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E

- MAIL UNLESS EXCUSED PURSUANT TO FLORIDA RULE OF GENERAL PRACTICE AND JUDICIAL ADMINISTRATION 2.516(b)(1)(D). If a self

represented litigant has been excused from serving documents by e

- mail and then elec ts to serve and receive documents by e

- mail, the procedures must always be followed once that election is made.

To serve and receive documents by e

- mail, you must designate your e

- mail addresses by using the Designation of Current Mailing and E

- mail Addre ss, Florida Supreme Court Approved Family Law Form 12.915, and you must provide your e

- mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E

- mail Address , Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of General Practice and Judicial Administration 2.516.


### Special notes . . .

Remember, a person who is NOT an attorney is called a nonlawyer. I f a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer , Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 11

- IN THE CIRCUIT COURT OF THE _______________________________ JUDICIAL CIRCUIT, IN AND FOR ___________________________________ COUNTY, FLO RIDA

In Re: Case No.: Division:

______________________________, Petitioner,

and

_______________________________, Respondent(s).



## PETITION FOR GRANDPARENT VISITATION WITH MINOR CHILD(REN)

The Petitioner(s), ______________________________________________, files this Petition for Grandparent Visitation Rights pursuant to section 752.011, Florida Statutes, and states as follows:
1. Action for Grandparent Visitation Rights: This is an action f or Grandparent Visitation Rights pursuant to section 752.011, Florida Statutes.

2. Child(ren): Petitioner(s), ________________________________________________ is (are) the grandparent(s) [or great

- grandparent(s)] of the following minor children subject to this action: [Please use initials for each of the minor child(ren)]

Name Birth date

_____________________________________________________________________________________

_______________________________________________________________________________ ______

_____________________________________________________________________________________

_____________________________________________________________________________________

________________________________________________________________________________ _____

_____________________________________________________________________________________ 3. Parents: The parents of the child(ren) are as follows:

Parent Name Date of Birth Last Known Address

_____________________________________________________________________________________

_____________________________________________________________________________________Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 12

- 4. Petitioner’s current address is: {street address, city, state, zip code}

______ ______________

______________________________________________________________________________ 5. Petitioner’s relationship to the minor child(ren) is: ___________________________________

__________________________________________________________________ ____________ 6. Petitioner’s relationship to any of the parents listed in paragraph 3 above is as follows:

______________________________________________________________________________ 7. A completed Uniform Child Custody Jurisdiction and Enforcement Ac t (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d), is filed with this petition.
8. The minor child(ren) subject to this action has (have) a parent who is one of the following:
[ Select one ]
a. _____ Deceased. Name of Deceased Pa rent {name}

___________________________ and Date of Death {date} ___________________________________. b. _____ Missing. Name of Missing Parent {name}

______________________________ and last known address ___________________________________________________

_ and date of last known address: __________________________________.
c. _____ in a persistent vegetative state since {date} ______________________ pursuant to section 752.001, Florida Statutes. If the minor child(ren) has/have one parent who is not decea sed, missing, or in a persistent vegetative state: [ Select One ]
d. _____ parent who has been convicted of a felony. For each felony, please provide the following: type of felony, county, state, court case number, and date of conviction:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________ _______________________________. e. _____ parent who has been convicted of an offense of violence that poses a substantial threat of harm to the minor child(ren)’s health or welfare pursuant to section 752.011, Florida Statutes. For each offense, please pr ovide the following: the offense, county, state, and date of conviction: ________________________________

________________________________________________________________________

________________________________________________________________________

______ _________________________________________________________________. 9. The parent of the minor child(ren) is unfit or poses significant harm to the child because:Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 13

- ______________________________________________________________________________

_______________ _______________________________________________________________

______________________________________________________________________________

______________________________________________________________________________.
10. Visitation: Based on the forgo ing, Petitioner(s) request(s) reasonable visitation with the minor child(ren) as follows: _____________________________________________________________

______________________________________________________________________________

__________________________ ____________________________________________________

______________________________________________________________________________.
11. Explain why this visitation with Petitioner(s) is in the best interests of the child(ren):

___________________________ ___________________________________________________

______________________________________________________________________________

______________________________________________________________________________

_________________________________________________ _____________________________.
12. Visitation will not materially harm the parent

- child relationship because: _________________

______________________________________________________________________________

_________________________________________________ _____________________________

______________________________________________________________________________

______________________________________________________________________________.
13. ____ Petitioner(s) has (have) not filed an original action requesting visitation with the minor child(ren) within the preceding two (2) years.

OR
____ Petitioner(s) has (have) filed an original action requesting visitation with the minor child(ren) within the preceding two (2) years and good cause exists for this Petition because the minor child(ren) is suffering or may suffer significant and demonstrable mental or emotional harm caused by a parental decision to deny visitation with Petitioner(s) that was not known to Petitioner(s) at the time of filing of the earlier action.
WHEREFORE, Petitioner(s) respectfully request(s) that the Court grant the following relief:
A. Take jurisdiction over the subject matter and the parties and find that venue is proper;
B. Find that Petitioner(s) is (are) the grandparent(s) [or great

- grandparent(s)] of minor child(ren) subject to this action;
C. Find that both parents of the minor child(ren) are deceased, missing, or in a permanent vegetative state, or one parent is deceased, missing, or in a persistent vegetative state and the other parent is unfit or poses significant harm to the child;
D. Appoint a Guardian ad Litem to represent the interests of the minor child(ren);Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation with Minor Child(ren) ( 0 3 / 23 )



## - 14

- E. Enter an order referring this matter to family mediation as provided in section 752.015, Florida Statute s; F. Establish a visitation schedule granting Petitioner(s) frequent and liberal time

- sharing with the minor child(ren); and
G. Grant such other and further relief as the Court deems appropriate under the circumstances to protect the rights and interests of the minor child(ren).
Under penalties of perjury, I declare that I have read this document and the facts stated in it are true.

Dated:

Signature of Party Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: Email Address(es):

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fill in all blanks] This form was prepared for the: {choose only one }

_____ Petitioner _____ Respondent This form was completed with the assistance of: {name of individual}
, {name of business}

_ , {address}
, {city} __________________, {state} ____
, {zip code} ______, {telephone number}

.Instructions for Florida Supreme Court Approved Family Law Form 12.975(b), Petition for Grandpare nt Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent ( 0 3 / 23 )



## - 15

- **INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED**  **FAMILY LAW FORM 12.975(b) PETITION FOR GRANDPARENT VISITATION WITH MINOR CHILD(REN)**  **WHEN ONE PARENT HAS BEEN FOUND CRIMINALLY OR CIVILLY LIABLE FOR THE DEATH OF THE OTHER PARENT**  **( 0**  **3 /**  **23 )** 

**When should this form be used?**

This form should be used when a grandparent or stepgrandparent is filing for visitation rights as provided in Section 752.011(2), Florida Statutes. You may file for visitation under this law if you are the grandparent or stepgrandparent of a child(ren) who se parent died and the other parent was held criminally liable for the death of the other parent of the child(ren) or civilly liable for an intentional tort causing the death of the other parent of the child.

This petition should be typed or printed in b lack ink.


### What should I do next?
After completing this form, you should file this form with the clerk of the circuit court in the county where you live and keep a copy for your records.
You must file Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction and Enforcement Affidavit

. You must pay the appropriate filing fees to the clerk of the circuit court. If you cannot afford to pay the filing fees, you may fill out an Application for Determination of Civil In digent Status , and file it with your petition for Grandparent Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent. You may obtain this form from the clerk and he or she will determi ne whether you are eligible to have filing fees waived.
Either you or the clerk of court will need to complete a Family Court Cover Sheet , Florida Family Law Rules of Procedure Form 12.928. The clerk’s office can provide this form.
For your case to proce ed, you must properly notify the parent of the minor child(ren) that is not deceased with this petition. You must file a certified copy of the death certificate of the parent who died.
If you know where the non

- deceased parent lives, you should use persona l service

. If you absolutely do not know where the non

- deceased parent lives, you may also use constructive service. You may also be able to use constructive service if the non

- deceased parent resides in another state or country. For more information on constructive service, see Notice of Action for Family Cases with Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.913(a)(2), and Affidavit of Diligent Search and Inquir y , Florida Family Law Rules of Procedure Form 12.913(b).Instructions for Florida Supreme Court Approved Family Law Form 12.975(b), Petition for Grandpare nt Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent ( 0 3 / 23 )



## - 16

- The parent will have 20 days to answer your petition after being served with your petition. Your case will then generally proceed in one of the following three ways:

DEFAULT . If after 20 days, none of the parties have filed an answer or any other document, you may file a Motion for Default , Florida Supreme Court Approved Family Law Form 12.922(a), with the clerk of court. Then, if you have filed all of the required papers, depending on your jurisdict ion, you may call the clerk, family law intake staff, or the judicial assistant to set a final hearing. You must notify the parents of the hearing by using a Notice of Final Hearing (General) , Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.

UNCONTESTED . If all parties file an answer that agrees with everything in your petition, depending on your jurisdiction, you may call the clerk, family law intake staff, or judicial assistant to schedule a final hearin g. You must notify the other party of the hearing by using a Notice of Final Hearing (General), Florida Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.

CONTESTED . If any of the parties file an answer, which disa grees with or denies anything in your petition, and you are unable to settle the disputed issues, you should file a Notice for Trial , Florida Supreme Court Approved Family Law Form 12.924.
Some circuits may require the completion of mediation before a fina l hearing may be scheduled. Depending on your jurisdiction, you should contact the clerk, family law intake staff, or judicial assistant for instructions on how to set your case for trial (final hearing) and to inquire if mediation is required before a fin al hearing.
You must obtain a date and time for any court appearance, including the final hearing, from the clerk of court, family law intake staff or judicial assistant. On that date of the hearing, all petitioners must appear before a judge . If required by your jurisdiction, you should bring an Order On Grandparent’s Petition for Visitation with Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.975(c), with you to the hearing.
If you fail to complete this procedure, the court may dismis s the case.


### 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 ” in these instructions are defined there. For further information, see chapter 752, Florida Statutes, and Florida Family Law Rules of Procedure Rule 12.105.



### IMPORTANT INFORMATION REGARDING E

**- FILING** 

The Florida Rules of General Practice and Judicial Admi nistration require that all petitions, pleadings, and documents be filed electronically except in certain circumstances. Self

- represented litigants may file petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to file your pleadings or other documents electronically, you must do so in accordance with Florida Rule of General Practice and Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. The rules and procedures should be carefully read and followed.Instructions for Florida Supreme Court Approved Family Law Form 12.975(b), Petition for Grandpare nt Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent ( 0 3 / 23 )



## - 17

- **IMPORTANT INFORMATION REGARDING E**

**- SERVICE ELECTION** 

After the initial service of process of the petition or supplemental petition by the Sheriff or certified process server, the Florida Rules of General Practice and Judicial Administration require that all documents required or permitted to be served on the other party must be served by electronic mail (e

mail) except in certain circumstances. You must strictly comply with the format requirements set forth in the Florida Rule s of General Practice and Judicial Administration and you must review Florida Rule o f General Practice and Judicial Administration 2.516. You may find this rule at www.flcourts.org through the link to the Rules of General Practice and Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court in the A

- Z Topical Index.

SELF

- REPRESENTED LITIGANTS MUST SERVE DOCUMENTS BY E

- MAIL UNLESS EXCUSED PU RSUANT TO FLORIDA RULE OF GENERAL PRACTICE AND JUDICIAL ADMINISTRATION 2.516(b)(1)(D). If a self

represented litigant has been excused from serving documents by e

- mail and then elects to serve and receive documents by e

- mail, the procedures must always be followed once that election is made.

To serve and receive documents by e

- mail, you must designate your e

- mail addresses by using the Designation of Current Mailing and E

- mail Address, Florida Supreme Court Approved Family Law Form 12.915, and you must pro vide your e

- mail address on each form on which your signature appears. Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court Approved Family Law Form 12.914; Designation of Current Mailing and E

- mail Address , Florida Supreme Court Approved Family Law Form 12.915; and Florida Rule of General Practice and Judicial Administration 2.516.


### Special notes . . .

Remember, a person who is NOT an attorney is called a nonlawyer. I f a nonlawyer helps you fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer , Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps yo u. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete.Florida Supreme Court Approved Family Law Form 12.975( b ), Petition for Grandparent Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent ( 0 3 / 23 )



## - 18

- IN THE CIRCUIT COURT OF THE _______________________________ JUDICIAL CI RCUIT, IN AND FOR ___________________________________ COUNTY, FLORIDA

In Re: Case No.: Division:

______________________________, Petitioner,

and

_______________________________, Respondent(s).



## PETITION FOR GRANDPARENT VISITATION WITH MINOR CHILD(REN) **WHEN ONE PARENT HAS BEEN FOUND CRIMINALLY OR CIVILLY LIABLE FOR THE DEATH OF THE OTHER PARENT** 

The Petitioner(s), ______________________________________________, files this Petition for Grandparen t Visitation Rights pursuant to section 752.011(2), Florida Statutes, and states as follows:
1. Action for Grandparent Visitation Rights: This is an action for Grandparent Visitation Rights pursuant to section 752.011(2), Florida Statutes.
2. Child(ren): Petitioner(s), ________________________________________________ is (are) the grandparent(s) [or stepgrandparent(s)] of the following minor child(ren) subject to this action: [Please use initials for each of the minor child(ren]

Name Birth date

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_

____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________ 3. Parents: The parents of the child(ren) are as follows:

Parent Name Date of Birth Last Known Address

_____________________________________________________________________________________

_______________________________________________________________ ______________________Florida Supreme Court Approved Family Law Form 12.975( b ), Petition for Grandparent Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent ( 0 3 / 23 )



## - 19

- 4. Petitioner’s current address is: {street address, city, state, zip code} ____________________

______________________________________________________________________________ 5. Petitioner’s relationship to the minor child(ren) is: __________________________________

______________________________________________________________________________ 6. A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d), is filed with this petition.
7. The minor child(ren) subject to this action has (have) a parent who is one of the following:

a. Deceased. Name of Deceased Parent {name} ___________________________ and Date of Death {date} ___________________________________. b. The parent who is not deceased is {name} ___________________________. This parent has been found _____civil ly liable for an intentional tort causing the death of the deceased parent or _____criminally liable for the death of the other parent of the child(ren). ___A copy of a certified order evidencing the criminal or civil liability is attached.
8. There is a p resumption for granting reasonable visitation because the Petitioner is the ____ grandparent or ____ stepgrandparent of the child, and he or she is the parent of the child’s deceased parent.

9. Visitation: Based on the forgoing, Petitioner(s) request(s) reasonable visitation with the minor child(ren) as follows:

___________________________________________________________________

_____________________________________________________________________________________

___________________________________________ __________________________________________

____________________________________________________________________________________ 10. Explain why this visitation is in the best interests of the child(ren): _____________________

___________________________________________________________________ __________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_

____________________________________________________________________________________ WHEREFORE, Petitioner(s) respectfully request(s) that the Court grant the following relief:
A. Take jurisdiction over the subject matter and the parties and find that ve nue is proper;
B. Find that Petitioner(s) is (are) the grandparent(s) or stepgrandparent(s) of minor child(ren) subject to this action;
C. Find that a court has previously found that one parent is civilly liable for an intentional tort causing the death of the deceased parent or criminally liable for the death of the other parent of the child(ren).Florida Supreme Court Approved Family Law Form 12.975( b ), Petition for Grandparent Visitation with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other Parent ( 0 3 / 23 )



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- D. Establish a visitation schedule granting Petitioner(s) frequent and liberal time

- sharing with the minor child(ren); and

E. Grant such other and further relie f as the Court deems appropriate under the circumstances to protect the rights and interests of the minor child(ren).
Under penalties of perjury, I declare that I have read this document and the facts stated in it are true.

Dated: ____________________

__________

Signature of Party Printed Name: ______________________________ Address: ___________________________________ City, State, Zip:______________________________ Telephone Number:

__________________________ Fax Number: ________________________________ Email Address(es): ____________________________

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fill in all blanks] This form was prepared fo r the: {choose only one } _____ Petitioner _____ Respondent This form was completed with the assistance of: {name of individual}
, {name of business}

_ , {address}
, {city} __________________, {state}

____ , {zip code} ______, {telephone number}

.Florida Supreme Court Approved Family Law Form 12.975( c ), Order on Grandparent’s Petition for Visitation with Minor Child(ren) ( 0 3 / 23 )



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- IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

In Re: Case No.: __________________

__________ Division:

, Petitioner,

and

, Respondent(s).



## ORDER ON GRANDPARENT’S PETITION FOR VISITATION WITH MINOR **CHILD(REN)**

THIS ACTION , having come to be heard upon the Petition for Grandparent Visitation with Minor Child(ren) filed by ________________________________________, and the Final Hearing on the Petition pursuant to section 752.011, Florida Statutes, and the Court having review ed the file and received evidence, makes the following findings of facts and conclusions of law:

1. The Petitioner(s) is/are the maternal/paternal grandparent(s) of the following minor child(ren):

Name Birth date

__________________________________ ____________________________________________

______________________________________________________________________________

______________________________________________________________________________

________________________________________________________ ______________________

______________________________________________________________________________

_____________________________________________________________________________ _Florida Supreme Court Approved Family Law Form 12.975( c ), Order on Grandparent’s Petition for Visitation with Minor Child(ren) ( 0 3 / 23 )



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- 2. The Court has jurisdiction over the subject matter of the Petition, over the minor child(ren), and the parties.
{Choose all that apply}

a. The minor child(ren)’s mother is:
_____Deceased

_____Missing

_____ In a persistent vegetative state

_____Has been convicted of a felony or an offense of violence evincing behavior that poses a substantial threat of harm to the minor child’s health or welfare.
b. The minor child(ren)’s father is:

_____ Deceased

_____ Missing

_____ In a persistent vegetative state

_____ Has been convicted of a felony or an offense of v iolence evincing behavior that poses a substantial threat of harm to the minor child’s health or welfare

3. Based on the testimony and the evidence presented, this Court finds by clear and convincing evidence that a parent _____is _____is not (or both par ents are) unfit or that there _____is _____is not significant harm to the child(ren), that visitation with the Petitioner/Grandparent(s) _____is _____is not in the best interest of the minor child(ren), and that the visitation _____will _____ will not mate rially harm the parent

- child relationship.Florida Supreme Court Approved Family Law Form 12.975( c ), Order on Grandparent’s Petition for Visitation with Minor Child(ren) ( 0 3 / 23 )



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- 4. Other: _____________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

____________________________________________________________________________.

Based on the foregoing, it is ORDERED AND ADJUDGED:

a. That the Petition for Grandparent Visitation is hereby _____ DENIED _____ GRANTED

b. {Choose ONE that applies}

_____ Effective ________________________, the Petitioner is awarded reasonable visitation rights with the m inor child(ren) who are his/her grandchild(ren) named above as follows:

______________________________________________________________________________

______________________________________________________________________________

___________________________ ___________________________________________________. Said visitation shall continue until further court order.

_____ No visitation is ordered.

c. {Choose ONE that applies}

_____ The Guardian ad Litem is hereby discharged

_____ No Guardian ad Litem was appointed

d. This Order for grandparent visitation may be modified upon a showing by the person petitioning for modification that a substantial change in circumstances has occurred and that modification of the grandparent visitation is in the best intere st of the minor child(ren).
e. Other: ___________________________________________________________________Florida Supreme Court Approved Family Law Form 12.975( c ), Order on Grandparent’s Petition for Visitation with Minor Child(ren) ( 0 3 / 23 )



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- ______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________. f. This Court reserves juris diction to enforce this Order and enter such other orders as it may deem just and proper.

DONE AND ORDERED in Chambers, {city} ________________________, {county}___________________, Florida, this __________ day of ________________, 20____.

__ ____________________________ CIRCUIT JUDGE

Copies Furnished: Petitioner (or his or her attorney) Respondent (or his or her attorney)