_______________________________
_____________________________________
IN THE CIRCUIT COURT OF THE ______________________ JUDICIAL CIRCUIT,
IN AND FOR ________________________________COUNTY, FLORIDA
Case No.: _______________________________
Division: _______________________________
Petitioner,
and
_______________________________,
Respondent.
NOTICE OF COMPLIANCE
WHEN CONSTITUTIONAL CHALLENGE IS BROUGHT
( ) Petitioner ( ) Respondent files this notice of compliance with section 86.091, Florida Statutes, and
hereby gives notice of compliance with Florida Family Law Rule of Procedure 12.071, with respect to the
constitutional challenge brought pursuant to ______________________( ) Florida Statute ( ) charter
( ) ordinance or ( ) franchise challenged_________________. The undersigned complied by serving
the: ( ) Attorney General for the State of Florida or ( ) State Attorney for the ________ Judicial Circuit
with a copy of the pleading or motion challenging ______________________ ( ) Florida Statute ( )
charter ( ) ordinance or ( ) franchise challenged___________, by ( ) certified or ( ) registered mail
on {date}_____________________.
I hereby certify that a copy of this document was [choose only one] ( ) e-mailed ( ) mailed ( ) faxed
( ) hand delivered to the person(’s) listed below on {date} .
Other party or his/her attorney:
Name:
Address: ________________________________
City, State, Zip: ___________________________
Fax Number: ____________________________
E-mail Address(es): _______________________
Signature of Party or his/her Attorney:
Printed Name: __________________________
Address: ______________________________
City, State, Zip: _________________________
Telephone Number: _____________________
Fax Number: ___________________________
E-mail Address(es): ______________________
Florida Bar Number: _____________________
Florida Family Law Rules of Procedure Form 12.975, Notice of Compliance When Constitutional Challenge is Brought
(03/17)