Fillable Injunction Identification Sheet Print Legibly (Duval County Clerk of Courts)

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Injunction Identification Sheet Print Legibly (Duval County Clerk of Courts)

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The Injunction Identification Sheet Print Legibly (Duval County Clerk of Courts) form is 1 page long and contains:

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  • 20 check-boxes
  • 55 other fields

Country of origin: US
File type: PDF

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Injunction Identification Sheet
This information is needed to assist the officer in serving the respondent as soon as possible. It may also alert the
officer to any potential danger that could be encountered while attempting to serve this injunction. If the
information for a block is unknown place U/K in the block, if it’s not applicable place N/A in the block.
Would you like your address remain confidential? YES ______ NO ______ ( Only applicable for Petitioners filing
under Domestic Violence, Sexual Violence, Dating Violence and Stalking).
*Please note that form 12.980(h) Request for Confidential Filing of Address, must be filed with the Clerk’s Office*
Date:
Print Legibly
Case #:
Respondent’s Last Name:
First Name:
Middle Name:
Aliases:
Tattoos, Scars and/or Marks:
Place of Birth:
Date of Birth:
Age:
Sex:
Hair color:
Eye Color:
Weight:
Race:
Skin Tone:
Respondent Previously Served An Injunction?
Yes
No
Unk County:
Year Previously
Served:
County Where Respondent Resides:
Respondent Home Address (Duval County):
Zip Code:
Telephone #:
Cell #:
Respondent Work Address:
Business Name:
Work Days and Hours:
Work Telephone #:
Work Position or Title:
Alternate Address:
Zip Code:
Alternate Telephone #:
Alternate Address:
Zip Code:
Alternate Telephone #:
Alternate Address:
Zip Code:
Alternate Telephone #:
Vehicle Year:
Make:
Model:
Color:
Tag:
Respondent known to carry a weapon?
Yes
No
Unk
If yes, what type of weapon(s)?
Respondent have any mental health issues?
Yes
No
Unk
Respondent in a mental health facility?
Yes
No
Unk
Name and Address of Facility:
Respondent have any warrants?
Yes
No
Unk
If yes, what is the warrant for?
Respondent in jail?
Yes
No
Unk
Facility Name and Location:
Petitioner’s Name (Last, First Middle Initial):
Sex:
Race:
DOB:
Cell #:
Address (including zip code):
Home Telephone #:
Work #:
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Injunction Identification Sheet Print Legibly (Duval County Clerk of Courts)

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Completed 9 January 2021

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