Fill and Sign the Injunction Minor 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 (EX PARTE) Upon verifed otion of ( ) Petitioner ( ) Respondent, the Court has jurisdiction of the parties and the subject atter and the Court being fully advised, it is ORDERED and ADJUDGED that: NOTICE OF HEARING This Te porary Injunction to Prevent Re oval of Child(ren) has been issued without prior notice to Respondent. Pursuant to Rule 1.610, Florida Rules of Civil Procedure, the other party ay fle a otion to dissolve or odify this te porary injunction and a hearing will be scheduled within 5 days of that otion. If no otion to dissolve is fled, Petitioner and Respondent are instructed that they are scheduled to appear and testify at a hearing regarding this atter on {date} ___________, at _______ a . ./p. ., when the Court will consider whether the Court should continue, odify, or dissolve this Te porary Injunction to Prevent Re oval of Child(ren) and/or Denial of Passport Services, which would re ain in efect until odifed or dissolved by the Court, and whether other things should be ordered, including who should pay the fling fees and costs. The hearing will be before The Honorable {name } _____________________________________________ , at {room name/number, location, address, city} _____________________________________________________________________________, Florida. IF PETITIONER AND/OR RESPONDENT DO (DOES) NOT APPEAR, THIS TEMPORARY INJUNCTION MAY BE CONTINUED IN FORCE, EXTENDED, OR DISMISSED, AND/OR OTHER ADDITIONAL ORDERS MAY BE ISSUED, Florida Supre e Court Approved Fa ily Law For 12.941(b), Te porary Injunction to Prevent Re oval of Minor Child(ren) and/or Denial of Passport Services (Ex Parte) (03/15) INCLUDING THE IMPOSITION OF COURT COSTS. 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. FINDINGS 1. It appears fro specifc facts shown by verifed otion that i ediate and irreparable injury, loss, or da age will result to the inor child(ren) if a te porary injunction is not issued without notice to the other party. 2. _____ Petitioner ’ s _____ Respondent ’ s attorney has certifed in writing any eforts ade to give notice. 3. The reasons why notice should not be given are: __________________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ TEMPORARY INJUNCTION {indicate all that apply} 1. _____The following child(ren) shall not be re oved fro the jurisdiction of this Court during the pendency of this proceeding, or until further order of this Court: Name Birth date ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Florida Supre e Court Approved Fa ily Law For 12.941(b), Te porary Injunction to Prevent Re oval of Minor Child(ren) and/or Denial of Passport Services (Ex Parte) (03/15) ___________________________________________________________________________ ___________________________________________________________________________ 2. _____ Petitioner _____Respondent shall not apply for any passports or passport services on behalf of the child(ren). 3. _____ Petitioner _____ Respondent shall i ediately deliver any existing passports for the child(ren) to {name} ____________________________________________________. 4. The Court ay enforce co pliance with the ter s of this injunction through civil and/or indirect cri inal conte pt proceedings, which ay include arrest, incarceration, and/or the i position of a fne. 5. Violation of this injunction ay constitute cri inal conte pt of court. 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 su of $ _________ with the clerk of this Court. EXPIRATION. This injunction shall re ain in efect until the inor child(ren) reach(es) the age of 18, until the hearing scheduled herein, if any, or {date} _______________________, whichever occurs frst, unless odifed 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 ( ) ailed ( ) faxed and ailed ( ) e- ailed ( ) hand-delivered to the parties and any other person(s) or entities listed below on {date} ____________________________. Florida Supre e Court Approved Fa ily Law For 12.941(b), Te porary Injunction to Prevent Re oval of Minor Child(ren) and/or Denial of Passport Services (Ex Parte) (03/15) ________________________________________ By: Clerk of Court, Designee, or Judicial Assistant Petitioner (or his or her attorney) Respondent (or his or her attorney) U.S. Depart ent 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 Supre e Court Approved Fa ily Law For 12.941(b), Te porary Injunction to Prevent Re oval of Minor Child(ren) and/or Denial of Passport Services (Ex Parte) (03/15)