INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM
12.911(a)
SUBPOENA FOR HEARING OR TRIAL (ISSUED BY CLERK)
(03/17)
When should this form be used?
This form is used to require the appearance of witnesses at a trial or a hearing and also to notify the
other party(ies) of those witnesses you have subpoenaed as required by Florida Family Law Rule of
Procedure 12.410. This form should be typed or printed in black ink. After you complete the form, you
will need to take it to the clerk of the circuit court’s office to obtain the clerk or deputy clerk’s signature.
The party issuing the subpoena should also sign it.
NOTE: Under Florida Family Law Rule of Procedure 12.407, a minor child may not be brought to court to
testify or appear at a hearing or be subpoenaed to appear at a hearing without prior order of the court
on good cause shown unless it is an emergency situation. See Forms 12.944(a)(b).
What should I do next?
The form must be served on the other party/parties and witness(es) in accordance with Florida Rule of
Judicial Administration 2.516.
This form must be served on the witness(es) in accordance with Florida law and notice must also be given
to the other parties in accordance with Florida Family Law Rule of Procedure 12.410 and with Florida Rule
of Judicial Administration 2.516.
Where can I look for more information?
Before proceeding, you should read General Information for Self-Represented Litigants found at the
beginning of these forms. The words that are in bold underline in these instructions are defined there.
For further information, see Florida Family Law Rule of Procedure 12.410.
Nonlawyer: Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you
fill out these forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law
Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these
forms also must put his or her name, address, and telephone number on the bottom of the last page of
every form he or she helps you complete.
Instructions for Florida Family Law Rules of Procedure Form 12.911(a), Subpoena for Hearing or Trial (Issued By Clerk)
(03/17)
_________________________________________
_________________________________________
____________________________________
IN THE CIRCUIT COURT OF THE ___________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________COUNTY, FLORIDA
Case No.: ___________________
Division: ___________________
In re: ___________________________
________________________________ ,
Petitioner,
and
________________________________,
Respondent.
SUBPOENA FOR HEARING OR TRIAL (ISSUED BY CLERK)
THE STATE OF FLORIDA:
TO ___________________________,
YOU ARE COMMANDED to appear before the Honorable {name} _______________________________,
Judge of the Court, at the ________________________________________ County Courthouse in {city}
________________________, Florida, on {date} ___________________, at {time} ____________, to
testify in this action. If you fail to appear you may be held in contempt of court.
You are subpoenaed to appear by the following party, and unless you are excused from this subpoena by
the party, or court, you must respond to this subpoena as directed.
DATE: _________________________
DEPUTY CLERK
{Print, type, or stamp the name of the deputy clerk}
{Party}: ____________________________
{Address}: ___________________________
{Telephone Number}: ___________________
{E-mail address(es)}: ____________________
CERTIFICATE OF SERVICE
I certify that a copy of this document was [choose only one] ( ) mailed ( ) faxed and mailed ( ) hand
delivered to the person(s) listed below on {date} ______________________________.
Florida Family Law Rules of Procedure Form 12.911(a), Subpoena for Hearing or Trial (Issued By Clerk) (03/17)
_____________________________________
______________________________________________________
______________________________________________________
Other party or his/her attorney:
Name: __________________________
Address: ________________________
City, State, Zip: __________________
Telephone Number: ______________
Fax Number: ____________________
E-mail Address(es): _______________
Other party or his/her attorney:
Name: _________________________
Address: ________________________
City, State, Zip: __________________
Telephone Number: ______________
Fax Number: ____________________
E-mail Address(es): _______________
Other party or his/her attorney:
Name: __________________________
Address: ________________________
City, State, Zip: ___________________
Telephone Number: _______________
Fax Number: _____________________
E-mail Address(es): ________________
I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this
document and that the punishment for knowingly making a false statement includes fines and/or
imprisonment.
Signature of Party or his/her Attorney
Printed Name: __________________________
Address: _______________________________
City, State, Zip: __________________________
Telephone Number:_______________________
Fax Number_____________________________
E-mail Address(es): _______________________
STATE OF FLORIDA
COUNTY OF _______________________
Sworn to or affirmed and signed before me on _______________ by ____________________________.
NOTARY PUBLIC or DEPUTY CLERK
{Print, type or stamp commissioned name of notary or deputy clerk}
Florida Family Law Rules of Procedure Form 12.911(a), Subpoena for Hearing or Trial (Issued By Clerk) (03/17)
____ Personally known
_____ Produced identification
Type of identification produced _________________________
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.
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[fill in all blanks] This form was prepared for the {choose only one} ( ) Petitioner ( ) Respondent
This form was prepared with the assistance of:
{name of individual} ______________________________________________________________,
{name of business} ______________________________________________________________,
{address} _______________________________________________________________________,
{city} ______________________, {state} _________, {telephone number} ____________________.
Florida Family Law Rules of Procedure Form 12.911(a), Subpoena for Hearing or Trial (Issued By Clerk) (03/17)
Florida Family Law Rules of Procedure Form 12.911(a), Subpoena for Hearing or Trial (Issued By Clerk) (03/17)