Fill and Sign the Florida Injunction and Form

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. TEMPORARY INJUNCTION TO PREVENT REMOVAL OF MINOR CHILD(REN) AND/OR DENIAL OF PASSPORT SERVICES (AFTER NOTICE) Upon verifed motion of _____Petitioner _____ Respondent, the Court has jurisdiction of the parties and the subject matter and the Court being fully advised, it is ORDERED and ADJUDGED that: {Indicate all that apply} 1. The following minor child(ren) shall not be removed from the jurisdiction of this Court during the pendency of this proceeding, or until further order of this Court: Name Birth date ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2. _____ Petitioner _____Respondent shall not apply for any passports or passport services on behalf of the child(ren). 3. _____ Petitioner _____Respondent shall immediately deliver any existing passports for the child(ren) to {name} _____________________________________________________________. 4. The Court may enforce compliance with the terms of this injunction through civil and/or indirect criminal contempt proceedings, which may include arrest, incarceration, and/or the imposition of a fne. 5. Violation of this injunction may constitute criminal contempt of court. Florida Supreme Court Approved Family Law Form 12.941(c), Temporary Injunction to Prevent Removal of Minor Child(ren) and/or Denial of Passport Services (After Notice) (03/15) 6. Bond. a. _____Bond is waived because this injunction is issued solely to prevent physical injury or abuse of a natural person. b. _____This order is conditioned upon _____Petitioner _____Respondent posting bond in the sum of $ _______ with the clerk of this Court. 7. Expiration. This temporary injunction shall remain in efect until the minor child(ren) reach(es) the age of 18, or until {date} ____________________, not to exceed one year from the date of this order, whichever occurs frst, unless modifed by further order of this Court. DONE AND ORDERED at ______________________, Florida, on {date} _____________________. ____________________________________________ CIRCUIT JUDGE I certify that a copy of the {name of document(s)} ___________________________________________ was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and any other person(s) or entities listed below on { date }_____________________. _______________________________________ By: Clerk of Court, Designee, or Judicial Assistant Petitioner (or his or her attorney) Respondent (or his or her attorney) U.S. Department of State Office of Children s Issues 2201 “C” Street NW CA/OCS/CI Washington, D.C. 20520 Fax (202) 736-9133 preventabduction@state.gov Florida Supreme Court Approved Family Law Form 12.941(c), Temporary Injunction to Prevent Removal of Minor Child(ren) and/or Denial of Passport Services (After Notice) (03/15)