IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR ___________ COUNTY, FLORIDA
Case No.:
Division:
__________________ ,
Petitioner,
and
__________________ ,
Respondent.
TEMPORARY INJUNCTION FOR PROTECTION AGAINST
STALKING
The Petition for Injunction for Protection Against Stalking under Section 784.0485,
Florida Statutes, and other papers fled in this Court have been reviewed. Under the
laws of Florida, the Court has jurisdiction of the Petitioner and the subject matter,
and has jurisdiction of the Respondent upon service of the temporary injunction.
The term Petitioner as used in this injunction includes the person on whose behalf
this injunction is entered.
It is intended that this protection order meet the requirements of 18
U.S.C. Section 2265 and therefore intended that it be accorded full faith
and credit by the court of another state or Indian tribe and enforced as if
it were the order of the enforcing state or of the Indian tribe.
SECTION I. NOTICE OF HEARING
Because this Temporary Injunction for Protection Against Stalking has been issued
without notice to Respondent, Petitioner and Respondent are instructed that they
are scheduled to appear and testify at a hearing regarding this matter on {date}
_______________________, at ________ a.m./p.m., when the Court will consider whether
it should issue a Final Judgment of Injunction for Protection Against Stalking, which
shall remain in efect until modifed or dissolved by the Court, and whether other
things should be ordered. The hearing will be before The Honorable {name}
____________________________, at the following address:
_________________________________________________________, Florida. If Petitioner
and/or Respondent do not appear, this temporary injunction may be continued in
force, extended, or dismissed, and/or additional orders may be granted, including
entry of a permanent injunction and the imposition of court costs. All witnesses and
evidence, if any, must be presented at this time. Petitioner and Respondent will
be bound by the terms of any injunction or order issued at the fnal
hearing.
Florida Supreme Court Approved Family Law Form 12.980(u), Temporary Injunction for
Protection Against Stalking (03/15)
IF EITHER PETITIONER OR RESPONDENT DO NOT APPEAR AT THE FINAL
HEARING, HE OR SHE WILL BE BOUND BY THE TERMS OF ANY INJUNCTION
OR ORDER ISSUED IN THIS MATTER.
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.
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.
SECTION II. FINDINGS
The statements made under oath by Petitioner make it appear that Section
784.0485, Florida Statutes, applies to the parties, and that stalking exists.
SECTION III. TEMPORARY INJUNCTION AND TERMS
This injunction shall be in efect until the hearing set above and in no
event for longer than 15 days, unless extended by court order. If a fnal
order of injunction is issued, the terms of this temporary injunction will be
extended until service of the fnal injunction is efected upon Respondent.
This injunction is valid and enforceable in all counties of the State of
Florida. The terms of this injunction may not be changed by either party
alone or by both parties together. Only the Court may modify the terms of
this injunction. Either party may ask the Court to change or end this
Florida Supreme Court Approved Family Law Form 12.980(u), Temporary Injunction for
Protection Against Stalking (03/15)
injunction.
Willful violation of the terms of this injunction, such as: committing an act
of stalking against Petitioner; going to or being within 500 feet of
Petitioner's residence, place of employment, school, or other place
prohibited in this injunction; knowingly and intentionally coming within
100 feet of Petitioner’s motor vehicle, whether or not that vehicle is
occupied; committing any other violation of this injunction through an
intentional unlawful threat, word or act to do violence to Petitioner;
telephoning, contacting or communicating with Petitioner, unless indirect
contact through a third party is specifcally allowed by this injunction;
defacing or destroying Petitioner’s personal property, including
Petitioner’s motor vehicle; or refusing to surrender frearms or
ammunition if ordered to so by the Court, constitutes a misdemeanor of
the frst degree punishable as provided by Sections 775.082 and 775.083,
Florida Statutes.
Any party violating this injunction may be subject to civil or indirect
criminal contempt proceedings, including the imposition of a fne or
imprisonment, and also may be charged with a crime punishable by a fne,
jail, or both, as provided by Florida Statutes.
ORDERED and ADJUDGED:
1. Prohibited Actions. Respondent shall not commit, or cause any other
person to commit, any acts of stalking against Petitioner, including stalking,
cyberstalking, aggravated stalking, or any criminal ofense resulting in
physical injury or death. Respondent shall not commit any other violation of
this injunction through an intentional unlawful threat, word, or act to do
violence to Petitioner.
2. No Contact. Respondent shall have no contact with the Petitioner
unless otherwise provided in this section.
a. Unless otherwise provided herein, Respondent shall have no contact with
Petitioner. Respondent shall not directly or indirectly contact Petitioner in
person, by mail, e-mail, fax, telephone, through another person, or in any
other manner, including any electronic means or use of social media.
Further, Respondent shall not contact or have any third party contact anyone
connected with Petitioner's employment or school to inquire about Petitioner
or to send any messages to Petitioner. Unless otherwise provided herein,
Respondent shall not go to, in, or within 500 feet of:
b. Petitioner’s current residence {list address}
________________________________________________________________________
or any residence to which Petitioner may move;
c. Petitioner’s current or any subsequent place of employment {list address
of current employment}
________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.980(u), Temporary Injunction for
Protection Against Stalking (03/15)
d. where Petitioner attends school {list address of school}
______________________________________________________________________; or
e. the following other places (if requested by Petitioner) where Petitioner,
specifc members of Petitioner’s family, or individuals closely associated with
Petitioner, regularly frequent:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
.
f. Respondent shall not knowingly and intentionally come within 100 feet of
Petitioner’s motor vehicle at any time, whether or not that vehicle is
occupied;
g. Other provisions regarding
contact:_________________________________________
____________________________________________________________________________
____________________________________________________________________________.
3. Firearms.
{Initial all that apply; write N/A if not applicable}
a. ____Respondent is a state or local ofcer, as defned in section 943.10(14),
Florida Statutes,
who holds an active certifcation, who receives or possesses a frearm or
ammunition for use in performing ofcial duties on behalf of the
ofcer’s employing agency, and is not prohibited by
the court from having in his or her care, possession, or control any frearm or
ammunition.
b. ____Respondent shall not use or possess a frearm or ammunition.
c. ____Respondent shall surrender any frearms and ammunition in the
Respondent's possession to the___________________ County Sherif's
Department.
d. _____Other directives relating to frearms and
ammunition:_________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________.
Florida Supreme Court Approved Family Law Form 12.980(u), Temporary Injunction for
Protection Against Stalking (03/15)
4. Mailing Address or Designated E-Mail Address(es). Respondent shall
notify the Clerk of the Court of any change in either his or her mailing
address or designated e-mail address(es)within 10 days of the change. All
further papers (excluding pleadings requiring personal service) shall be
served either by mail to Respondent’s last known mailing address or by e-
mail to Respondent’s designated e-mail address(es). Service shall be
complete upon mailing or e-mailing.
5. Additional order(s) necessary to protect Petitioner from stalking:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________.
6. Referral to Appropriate Services for Petitioner:
Petitioner may contact the following services as needed:
____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________.
SECTION IV. OTHER SPECIAL PROVISIONS
{This section to be used for inclusion of local provisions approved by the chief judge
as provided in
Florida Family Law Rule 12.610.}
_________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________.
SECTION V. DIRECTIONS TO LAW ENFORCEMENT OFFICER IN ENFORCING
THIS INJUNCTION
{Unless ordered otherwise by the judge, all provisions in this injunction
are considered mandatory provisions and should be interpreted as part of
this injunction.}
1. The Sherif of ___________________County, or any other authorized law
enforcement ofcer, is ordered to serve this temporary injunction upon
Respondent as soon as possible after its issuance.
2. This injunction is valid and enforceable in all counties of the State of
Florida. Violation of this injunction should be reported to the appropriate
law enforcement agency. Law enforcement ofcers of the jurisdiction in
which a violation of this injunction occurs shall enforce the provisions of this
injunction and are authorized to arrest without a warrant pursuant to Section
901.15, Florida Statutes, for any violation of its provisions, which constitutes
a criminal act under Section 784.0487, Florida Statutes.
Florida Supreme Court Approved Family Law Form 12.980(u), Temporary Injunction for
Protection Against Stalking (03/15)
3. THIS INJUNCTION IS ENFORCEABLE IN ALL COUNTIES OF FLORIDA
AND LAW ENFORCEMENT OFFICERS MAY EFFECT ARRESTS PURSUANT
TO SECTION 901.15(6), FLORIDA STATUTES. The arresting agent shall
notify the State Attorney’s Ofce immediately after arrest.
4. Reporting alleged violations. If Respondent violates the terms of this
injunction and has not been arrested, Petitioner may contact the clerk of the
circuit court of the county in which the violation is alleged to have occurred.
The clerk shall assist Petitioner in preparing an afdavit in support of
reporting the violation or direct Petitioner to the ofce operated by the court
that has been designated by the chief judge of that circuit as the central
intake point for violations of injunctions for protection where Petitioner can
receive assistance in the preparation of the afdavit in support of the
violation. The afdavit shall be immediately forwarded by the ofce assisting
Petitioner to the state attorney of that circuit and to the judge designated by
the chief judge as the recipient of afdavits of violations of an injunction.
Procedures relating to reporting alleged violations are governed by section
784.0487, Florida Statutes.
DONE AND ORDERED in ____________________________, Florida, on
_________________.
CIRCUIT JUDGE
COPIES TO:
Sherif of ________ County
Petitioner (or his or her attorney):
__ by U. S. Mail
__ by hand delivery in open court
_____ by e-mail to a designated e-mail address
Respondent:
__ forwarded to sherif for service
____ State Attorney’s Ofce
__ Other: ________________________
Florida Supreme Court Approved Family Law Form 12.980(u), Temporary Injunction for
Protection Against Stalking (03/15)
I CERTIFY the foregoing is a true copy of the original Temporary Injunction for
Protection Against Stalking 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(u), Temporary Injunction for
Protection Against Stalking (03/15)
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