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 Child(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 
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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 filing 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 Committee 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 2.140.

In deciding to designate 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), the 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 
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reflected in Florida Family Law Rule of Procedure 12.015 (Family 

Law Forms). Subdivision (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 rulemaking 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 under 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 Committee 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 
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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 opinion of 

this Court and outside of the rulemaking process required by rule 

2.140 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 Criminally 

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 

amend 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: 
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You must strictly comply with the format 

requirements 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 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 

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 

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 One 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.”
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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 ready for use. The forms may be 

accessed and downloaded from the Florida State Courts’ website at 

http://www.flcourts.org/resources-and-services/courtimprovement/family-courts/family-law-forms.stml. The 

amendments shall take effect immediately upon the release 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, 500 South Duval Street, Tallahassee, 

Florida 32399-1927.
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THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER 

THE EFFECTIVE DATE OF THESE AMENDMENTS.

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 Petitioner
Instructions for Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation 

with Minor Child(ren) (03/23)

- 8 -

APPENDIX

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED

FAMILY LAW FORM 12.975(a)

PETITION FOR GRANDPARENT VISITATION WITH MINOR CHILD(REN)

(03/23)

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 child(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 petition 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 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 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 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 proceed, you must properly notify the parents of the minor child(ren) unless 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) (03/23)

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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 Cases 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 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 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 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 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 file 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 how 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 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 dismiss 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. 
Instructions for Florida Supreme Court Approved Family Law Form 12.975(a), Petition for Grandparent Visitation 

with Minor Child(ren) (03/23)

- 10 -

IMPORTANT INFORMATION REGARDING E-FILING

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 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. 

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 (email) except in certain circumstances. You must strictly comply with the format requirements 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 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 PURSUANT TO 

FLORIDA RULE OF GENERAL PRACTICE AND JUDICIAL ADMINISTRATION 2.516(b)(1)(D). If a selfrepresented 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 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. If 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) (03/23)

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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).

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 for 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) (03/23)

- 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 Act (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 Parent {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 deceased, 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 provide 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) (03/23)

- 13 -

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________.

10. Visitation: Based on the forgoing, 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) (03/23)

- 14 -

E. Enter an order referring this matter to family mediation as provided in section 752.015, Florida 

Statutes;

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 Grandparent Visitation 

with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other 

Parent (03/23)

- 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 

(03/23)

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) whose 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 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 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 Indigent 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 

determine 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 proceed, 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 personal 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 Inquiry, Florida Family Law Rules of Procedure Form 12.913(b). 
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 (03/23)

- 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 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 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 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 file 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.

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 how 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 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 dismiss 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 Administration 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 Grandparent Visitation 

with Minor Child(ren) when One Parent has Been Found Criminally or Civilly Liable for the Death of the Other 

Parent (03/23)

- 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 (email) except in certain circumstances. You must strictly comply with the format requirements 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 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 PURSUANT TO 

FLORIDA RULE OF GENERAL PRACTICE AND JUDICIAL ADMINISTRATION 2.516(b)(1)(D). If a selfrepresented 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 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. If 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(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 (03/23)

- 18 -

IN THE CIRCUIT COURT OF THE _______________________________ JUDICIAL CIRCUIT,

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 

Grandparent 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 (03/23)

- 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 _____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). ___A copy of a 

certified order evidencing the criminal or civil liability is attached.

8. 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. 

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 venue 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 (03/23)

- 20 -

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 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} .
Florida Supreme Court Approved Family Law Form 12.975(c), Order on Grandparent’s Petition for Visitation with 

Minor Child(ren) (03/23)

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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 reviewed 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) (03/23)

- 22 -

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 violence 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 parents 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 materially 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) (03/23)

- 23 -

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 minor 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 interest 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) (03/23)

- 24 -

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________.

f. This Court reserves jurisdiction 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)