Opinion ID: 1625076
Heading Depth: 1
Heading Rank: 12

Heading: Family Court Cover Sheet (01/10)

Text: The Family Court Cover Sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other documents as required by law. This form shall be filed by the petitioner for the use of the clerk of court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25.075. The petitioner must file this cover sheet with first paperwork filed in the action or proceeding for all domestic and juvenile cases. I. Case Style. Enter the name of the court, the appropriate case number assigned at the time of filing of the original petition, the name of the judge assigned (if applicable), and the name (last, first, middle initial) of petitioner(s) and respondent(s). II. Type of Action/Proceeding. Place a check in the appropriate box beside the proceeding you are initiating. If you are simultaneously filing more than one type of proceeding against the same opposing party, such as a modification and an enforcement proceeding, complete a separate coversheet for each action being filed. (A) Initial Action/Petition (B) Reopening Case. If you check Reopening Case, indicate whether you are filing a modification or supplemental petition or an action for enforcement by checking the appropriate box. (C) Modification/Supplemental Petition (D) Petition Enforcement III. Type of Case. Place a check in the appropriate box. If the cause fits more than one type of case, select the most definitive. If the most definitive label is a subcategory (indented under a broader category label), place a check in the category and subcategory boxes. Definitions of the categories and subcategories are provided below. (A) Simplified Dissolution of Marriage-petitions for the termination of marriage pursuant to Florida Family Law Rule of Procedure 12.105. (B) Dissolution of Marriagepetitions for the termination of marriage pursuant to Chapter 61, Florida Statutes, other than simplified dissolution. (C) Domestic Violenceall matters relating to injunctions for protection against domestic violence pursuant to section 741.30, Florida Statutes. (D) Dating Violenceall matters relating to injunctions for protection against dating violence pursuant to section 784.046, Florida Statutes. If you check this subcategory, you should also check Domestic violence. (E) Repeat Violenceall matters relating to injunctions for protection against repeat violence pursuant to section 784.046, Florida Statutes. If you check this subcategory, you should also check Domestic violence. (F) Sexual Violenceall matters relating to injunctions for protection against sexual violence pursuant to section 784.046, Florida Statutes. If you check this subcategory, you should also check Domestic violence. (G) Support-IV-Dall matters relating to child or spousal support in which an application for assistance has been filed under Title IV-D, Social Security Act, except for such matters relating to dissolution of marriage petitions (sections 409.2564, 409.2571, and 409.2597, Florida Statutes), paternity, or UIFSA. (H) Support-Non IV-Dall matters relating to child or spousal support in which an application for assistance has not been filed under Title IV-D, Social Security Act. (I) UIFSA-IV-Dall matters relating to Chapter 88, Florida Statutes, in which an application for assistance has been filed under Title IV-D, Social Security Act. (J) UIFSA-Non IV-Dall matters relating to Chapter 88, Florida Statutes, in which an application for assistance has not been filed under Title IV-D, Social Security Act. (K) Otherall matters involving time-sharing and/or parenting plans relating to minor child(ren), adoption, juvenile dependency, juvenile delinquency, name change, paternity, separate maintenance, annulment, truancy, CINS/FINS, emancipation, declaratory judgment actions related to premarital, marital, or post-marital agreements, or other matters not included in the categories above. (L) Adoptionall matters relating to adoption pursuant to Chapter 63, Florida Statutes. If you check this subcategory, you should also check Other. (M) Juvenile Delinquencyall matters relating to juvenile delinquency pursuant to Chapter 985, Florida Statutes. If you check this subcategory, you should also check Other. (N) Juvenile Dependencyall matters relating to juvenile dependency and termination of parental rights pursuant to Chapter 39, Florida Statutes. If you check this subcategory, you should also check Other. (O) Name Changeall matters relating to name change, pursuant to section 68.07, Florida Statutes. If you check this subcategory, you should also check Other. (P) Paternityall matters relating to paternity pursuant to Chapter 742, Florida Statutes. If you check this subcategory, you should also check Other. ATTORNEY OR PARTY SIGNATURE. Sign the family court cover sheet. Print legibly the name of the person signing the family court cover sheet. Attorneys must include a Florida Bar number. Insert the date the family court cover sheet is signed. Signature is a certification that filer has provided accurate information on the family court cover sheet. Family Court Cover Sheet I. Case Style IN THE CIRCUIT COURT OF THE ____________JUDICIAL CIRCUIT, IN AND FOR ___________ COUNTY, FLORIDA _____________________________ Petitioner Case No.: _____________ Judge: _______________ _________________________________________ and ______________________________________ Respondent II. Type of Action/Proceeding. Place a check in the appropriate box beside the proceeding you are initiating. If you are simultaneously filing more than one type of proceeding against the same opposing party, such as a modification and an enforcement proceeding, complete a separate cover sheet for each action being filed. If you are reopening a case, check that box and one of the two boxes below it. [] Initial Action/Petition [] Reopening Case [] Modification/Supplemental Petition [] Petition Enforcement III. Type of Case. If the case fits more than one type of case, select the most definitive. If the most definitive label is a subcategory (indented under a broader category label), place a check in the category and subcategory boxes. [] Simplified dissolution [] UIFSA Non-IV-D [] Dissolution [] Other [] Domestic violence [] Adoption under Chapter 63 [] Dating Violence [] Juvenile Delinquency [] Repeat Violence [] Juvenile Dependency [] Sexual Violence under Chapter 39 [] Support IV-D [] Name Change [] Support Non-IV-D [] Paternity [] UIFSA IV-D IV. Has notice of any known related case, Family Law Form 12.900(h), been filed? [] No. [] Yes. If Yes, list all related cases by name, case number, and court. _______________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ATTORNEY OR PARTY SIGNATURE I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief. Signature _____________ FL Bar No.: _______________ Attorney or party (Bar number, if attorney) _____________ ___________________ (Type or print name) Date