Fill and Sign the Florida Order Protection Form

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR ___________ COUNTY, FLORIDA Case No.: Division: __________________ , Petitioner and __________________ , Respondent. ORDER EXTENDING INJUNCTION FOR PROTECTION AGAINST ( ) DOMESTIC VIOLENCE ( ) REPEAT VIOLENCE ( ) DATING VIOLENCE ( ) SEXUAL VIOLENCE ( ) STALKING THIS CAUSE came before the Court on {date} , upon Petitioner’s motion for an extension of injunction for protection and it appearing to the Court as follows: 1 .____ Ex parte. The claims in the motion for extension of injunction for protection make it appear to the Court that there is an immediate and present danger of domestic, repeat, dating, or sexual violence as required under section 741.30 or section 784.046, Florida Statutes, or that stalking exists, pursuant to section 784.0485, Florida Statutes. The previously entered injunction is extended until {date} ____________ . A full hearing on the petition is scheduled for {date} ___________ at_____a.m./p.m. in ______________________________________________________________________________. NOTICE: Because this is a civil case, there is no requirement that these proceedings be transcribed at public expense. YOU ARE ADVISED THAT IN THIS COURT: a. ____a court reporter is provided by the court. b.____ electronic recording only is provided by the court. A party may arrange in advance for the services of and provide for a court reporter to prepare a written transcript of the proceedings at that party’s expense. c. ____If this is a repeat violence, dating violence, or sexual violence action, no electronic recording or court reporting services are provided by the court. A party may arrange in advance for Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15) the services of and provide for a court reporter to prepare a written transcript of the proceedings at that party’s expense. A RECORD, WHICH INCLUDES A TRANSCRIPT, MAY BE REQUIRED TO SUPPORT AN APPEAL. THE PARTY SEEKING THE APPEAL IS RESPONSIBLE FOR HAVING THE TRANSCRIPT PREPARED BY A COURT REPORTER. THE TRANSCRIPT MUST BE FILED WITH THE REVIEWING COURT OR THE APPEAL MAY BE DENIED. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact ___________________________ _______________________________________________________________ {identify applicable court personnel by name, address, and telephone number} at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days; if you are hearing or voice impaired, call 711. 2 ._____ After notice and hearing. Respondent was served with a copy of the temporary injunction, if applicable, and a notice of this hearing within the time required by Florida law and was aforded an opportunity to be heard. The notice and opportunity to be heard were sufcient to protect Respondent’s right to due process. The following persons attended the hearing: ____ Petitioner ____ Respondent. After hearing the testimony of each party present and of any witnesses, or upon consent of Respondent, the Court fnds that Petitioner is a victim of domestic, repeat , dating , or sexual violence, or stalking, or reasonably fears that he/she will become a victim of domestic or dating violence from Respondent. The previously entered injunction is extended until {date} ________________________________________, or until further order of the Court. DONE AND ORDERED in __________________, Florida, on ______________________________. CIRCUIT JUDGE Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15) COPIES TO: Sherif of ___ County Petitioner (or his or her attorney): _____by U.S. Mail _____ by hand delivery in open court (Petitioner must acknowledge receipt in writing on the face of the original order— see below) _____ by e-mail to designated address Respondent (or his or her attorney): ___ forwarded to sherif for service _____ by hand delivery in open court (Respondent must acknowledge receipt in writing on the face of the original order— see below) _____ by certifed mail (may only be used when Respondent is present at the hearing and Respondent fails or refuses to acknowledge the receipt of certifed copy of this injunction) __ State Attorney’s Ofce __ Other: I CERTIFY the foregoing is a true copy of the original Order Extending the Injunction for Protection as it appears on fle in the ofce of the Clerk of the Circuit Court of __________ County, Florida, and that I have furnished copies of this order as indicated above. CLERK OF THE CIRCUIT COURT (SEAL) By: _______________________________ Deputy Clerk or Judicial Assistant Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15) ACKNOWLEDGMENT I, {Name of Petitioner} , acknowledge receipt of a certifed copy of this Order Extending the Injunction for Protection. ________________________________________ Petitioner ACKNOWLEDGMENT I, {Name of Respondent} , acknowledge receipt of a certifed copy of this Order Extending the Injunction for Protection. _______________________________________ Respondent Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15)