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Petitioner, and Respondent. (Florida)

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Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.:
Division:
_________________,
Petitioner,
and
_________________,
Respondent.
FINAL JUDGMENT OF INJUNCTION
FOR PROTECTION AGAINST DOMESTIC VIOLENCE
WITHOUT MINOR CHILD(REN) (AFTER NOTICE)
The Petition for Injunction for Protection Against Domestic Violence under Section 741.30, Florida
Statutes, and other papers filed in this Court have been reviewed. The Court has jurisdiction of the
parties and the subject matter.
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. HEARING
This cause came before the Court for a hearing to determine whether an Injunction for Protection
Against Domestic Violence in this case should be:
_____ issued_____ modified _____ extended.
The hearing was attended by:
_____ Petitioner
_____ Petitioner's Counsel
_____ Respondent
_____ Respondent’s Counsel
SECTION II. FINDINGS
On {date} , a notice of this hearing was served on Respondent together
with a copy of Petitioner’s petition to this Court and the temporary injunction, if issued. Service was
within the time required by Florida law, and Respondent was afforded an opportunity to be heard.
After hearing the testimony of each party present and of any witnesses, or upon consent of
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
Respondent, the Court finds, based on the specific facts of this case, that Petitioner is a victim of
domestic violence or has reasonable cause to believe that he/she is in imminent danger of becoming a
victim of domestic violence by Respondent.
SECTION III. INJUNCTION AND TERMS
This injunction shall be in full force and effect until ____ further order of the Court or ____
{date}___________________________. 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 injunction at any time.
Any violation of this injunction, whether or not at the invitation of Petitioner or anyone else, may
subject Respondent to civil or indirect criminal contempt proceedings, including the imposition of a
fine or imprisonment. Certain willful violations of the terms of this injunction, such as: refusing to
vacate the dwelling that the parties share; going to or being within 500 feet of Petitioner's residence,
going to Petitioner’s place of employment, school, or other place prohibited in this injunction;
telephoning, contacting or communicating with Petitioner if prohibited by this injunction; knowingly
or intentionally coming within 100 feet of Petitioner’s motor vehicle, whether or not it is occupied;
defacing or destroying Petitioner’s personal property; refusing to surrender firearms or ammunition if
ordered to do so by the court; or committing an act of domestic violence against Petitioner
constitutes a misdemeanor of the first degree punishable by up to one year in jail, as provided by
sections 775.082 and 775.083, Florida Statutes. In addition, it is a federal criminal felony offense,
punishable by up to life imprisonment, depending on the nature of the violation, to cross state lines or
enter Indian country for the purpose of engaging in conduct that is prohibited in this injunction. 18
U.S.C. Section 2262.
ORDERED and ADJUDGED:
1. Violence Prohibited. Respondent shall not commit, or cause any other person to commit, any
acts of domestic violence against Petitioner. Domestic violence includes: assault, aggravated
assault, battery, aggravated battery, sexual assault, sexual battery, stalking, aggravated stalking,
kidnapping, false imprisonment, or any other criminal offense resulting in physical injury or
death to Petitioner or any of Petitioner's family or household members. Respondent shall not
commit any other violation of the injunction through an intentional unlawful threat, word or act
to do violence to the 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. 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
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
provided herein, Respondent shall not go to, in, or within 500 feet of: Petitioner’s current
residence {list address}
or any residence to which Petitioner may move; Petitioner’s current or any subsequent place of
employment {list address of current employment}
or place where Petitioner attends school {list address of school} ;
or the following other places (if requested by Petitioner) where Petitioner or Petitioner’s minor
child(ren) go often:
.
Respondent may not knowingly come within 100 feet of Petitioner's automobile at any time.
b. Other provisions regarding contact: _______________________________________________
3. Firearms. Unless paragraph a. is initialed below, Respondent shall not have in his or her care,
custody, possession or control any firearm or ammunition. It is a violation of Section 790.233,
Florida Statutes, and a first degree misdemeanor, for the Respondent to have in his or her
care, custody, possession or control any firearm or ammunition.
{Initial if applies; write N/A if not applicable}
a. ____Respondent is a state or local officer as defined in section 943.10(14), Florida Statutes,
who holds an active certification, who receives or possesses a firearm or ammunition for use
in performing official duties on behalf of the officer’s employing agency and is not
prohibited by the court from having in his or her care, custody, possession or control a
firearm or ammunition. The officer’s employing agency may prohibit the officer from having
in his or her care, custody, possession or control a firearm or ammunition.
b.____Respondent shall surrender any firearms and ammunition in the Respondent's possession
to the County Sheriff's Department.
c. ____Other directives relating to firearms and ammunition:
NOTE: RESPONDENT IS ADVISED THAT IT IS A FEDERAL CRIMINAL FELONY OFFENSE TO SHIP
OR TRANSPORT IN INTERSTATE OR FOREIGN COMMERCE, OR POSSESS IN OR AFFECTING
COMMERCE, ANY FIREARM OR AMMUNITION; OR TO RECEIVE ANY FIREARM OR
AMMUNITION WHICH HAS BEEN SHIPPED OR TRANSPORTED IN INTERSTATE OR FOREIGN
COMMERCE WHILE SUBJECT TO SUCH AN INJUNCTION. 18 U.S.C. SECTION 922(g)(8).
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
4. Evaluation/Counseling.
{Initial all that apply; write N/A if does not apply}
a. The Court finds that Respondent has:
i. ____willfully violated the ex parte injunction;
ii. ____been convicted of, had adjudication withheld on, or pled nolo contendere to a
crime involving violence or a threat of violence; and/or
iii. ____in this state or any other state, had at any time a prior injunction for protection
entered against the respondent after a hearing with notice.
Note: If Respondent meets any of the above enumerated criteria, the Court must order the
Respondent to attend a batterers' intervention program unless it makes written factual findings
stating why such a program would not be appropriate. See Section 741.30(6)(e), Florida
Statutes.
b. Within ____10 days ____ days, (but no more than 10 days) of the date of this injunction,
Respondent shall enroll in and thereafter without delay complete the following, and Respondent
shall provide proof of such enrollment to the Clerk of Circuit Court within
____ 30 days _____ days, (but no more than 30 days) of the date of this injunction:
i. ____A certified batterers’ intervention program from a list of programs to be provided
by the Court or any entity designated by the Court. Respondent shall also successfully
complete any substance abuse or mental health evaluation that the assessing
program counselor deems necessary as a predicate to completion of the batterers’
intervention program.
ii. ____A substance abuse evaluation at:
or a similarly qualified facility and any substance abuse treatment recommended by that
evaluation.
iii. ____A mental health evaluation by a licensed mental health professional at:
_______________________or any other similarly qualified facility and any mental
health treatment recommended by that evaluation.
iv. ____Other:
c. ____Although Respondent meets the statutory mandate of attendance at a batterers’
intervention program, the Court makes the following written findings as to why the condition of
batterers’ intervention program would be inappropriate:
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
d. ____Petitioner is referred to a certified domestic violence center and is provided with a list of
certified domestic violence centers in this circuit, which Petitioner may contact.
5. 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
emailing.
6. Other provisions necessary to protect Petitioner from domestic violence:
TEMPORARY EXCLUSIVE USE AND POSSESSION OF HOME
[Initial if applies; write N/A if not applicable]
7. ____Possession of the Home. ____ Petitioner ____ Respondent shall have temporary exclusive use
and possession of the dwelling located at:
.
8. ____Transfer of Possession of the Home. A law enforcement officer with jurisdiction over the home
shall accompany ____ Petitioner ____ Respondent to the home, and shall place ____ Petitioner
____Respondent in possession of the home.
9.____Personal Items. ____ Petitioner ____ Respondent, in the presence of a law enforcement officer,
may return to the premises described above ____ on ________________________,
at ______a.m./p.m., or ____ at a time arranged with the law enforcement department with
jurisdiction over the home, accompanied by a law enforcement officer only, for the purpose of
obtaining his or her clothing and items of personal health and hygiene and tools of the trade. A
law enforcement officer with jurisdiction over the premises shall go with ____ Petitioner
____Respondent to the home and stand by to insure that he/she vacates the premises with only
his/her personal clothing, toiletries, tools of the trade, and any items listed in paragraph 10
below. The law enforcement agency shall not be responsible for storing or transporting any
property. IF THE RESPONDENT IS NOT AWARDED POSSESSION OF THE HOME AND GOES TO
THE HOME WITHOUT A LAW ENFORCEMENT OFFICER, IT IS A VIOLATION OF THIS INJUNCTION.
10. ____The following other personal possessions may also be removed from the premises at this time:
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
.
11. ____Other:________________________________________________________________________
.
TEMPORARY SUPPORT
12. Temporary Alimony.
{nitial all that apply; write N/A if does not apply}
a. ____The court finds that there is a need for temporary alimony and that ____ Petitioner
____Respondent (hereinafter Obligor) has the present ability to pay alimony and shall pay
temporary alimony to ____ Petitioner ____ Respondent (hereinafter Obligee) in the amount of
per month, payable ____ in accordance with Obligor’s employer’s payroll cycle, and in any
event, at least once a month ____ other {explain}
beginning {date} _____________. This alimony shall continue until modified by
court order, until a final judgment of dissolution of marriage is entered, until Obligee dies, until
this injunction expires, or until {date} ___, whichever
occurs first.
b. ____The _____ Petitioner _____ Respondent shall be required to maintain health insurance
coverage for the other party. Any uncovered medical costs for the party awarded alimony shall
be assessed as follows:
.
c. ____Other provisions relating to alimony:
________________________________________.
13. Method of Payment.
[Initial one only]
a. ____Obligor shall pay any temporary court-ordered alimony through income deduction, and such
support shall be paid to either the State Disbursement Unit or the central depository. Obligor is
individually responsible for paying this support obligation in the event that all or any portion of
said support is not deducted from Obligor’s income. Obligor shall also pay any service charge
required by statute. Until alimony payments are deducted from Obligor’s paycheck pursuant to
the Income Deduction Order, Obligor is responsible for making timely payments directly to
either the State Disbursement Unit or the central depository.
b. ____Temporary alimony shall be paid through either the State Disbursement Unit or the central
depository. Obligor shall also pay any applicable service charge required by statute.
c. ____Other provisions relating to method of payment: _________________________________
yryryr
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
.
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. This injunction is valid in all counties of the State of Florida. Violation of this injunction should
be reported to the appropriate law enforcement agency. Law enforcement officers of the
jurisdiction in which a violation of this injunction occurs shall enforce the provisions of this
injunction and are authorized to arrest without warrant pursuant to section 901.15, Florida
Statutes, for any violation of its provisions, except those regarding child support and/or alimony,
which constitutes a criminal act under section 741.31, Florida Statutes. When inconsistent with
this order, any subsequent court order issued under Chapter 61, Florida Statutes, shall take
precedence over this order on all matters relating to property division, alimony, child custody,
or child support.
2. 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 Office immediately after arrest.
3. Reporting alleged violations. If Respondent violates the terms of this injunction and there has
not been an arrest, Petitioner may contact the Clerk of the Circuit Court of the county in which
the violation occurred and complete an affidavit in support of the violation, or Petitioner may
contact the State Attorney’s office for assistance in filing an action for indirect civil contempt or
indirect criminal contempt. Upon receiving such a report, the State Attorney is hereby
appointed to prosecute such violations by indirect criminal contempt proceedings, or the State
Attorney may decide to file a criminal charge, if warranted by the evidence.
4. Respondent, upon service of this injunction, shall be deemed to have knowledge of and to be
bound by all matters occurring at the hearing and on the face of this injunction.
5. The temporary injunction, if any, entered in this case is extended until such time as service of
this injunction is effected upon Respondent.
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
DONE AND ORDERED in ______________________________, Florida on _____________.
CIRCUIT JUDGE
I CERTIFY that a copy of the original Final Judgment of Injunction for Protection Against Domestic
Violence without Minor Child(ren) was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-
delivered to the parties and any entities listed below on {date}________________.
CLERK OF THE CIRCUIT COURT
(SEAL)
By:
Deputy Clerk or Judicial Assistant
Sheriff of County
Petitioner (or his or her attorney):
____ by U. S. Mail
____ by hand delivery in open court (Petitioner must acknowledge receipt in writing on the face of the
original order--see below.)
Respondent (or his or her attorney):
___ _forwarded to sheriff for service
____ by hand delivery in open court (Respondent must acknowledge receipt in writing on the face of the
original order--see below.)
____ by certified mail (may only be used when Respondent is present at the hearing and Respondent
fails or refuses to acknowledge the receipt of a certified copy of this injunction.)
____ State Attorney’s Office
____ Batterer’s intervention program (if ordered)
___ _State Disbursement Unit (if ordered)
____Central Depository (if ordered)
____ Department of Revenue
____ Other __________________________________________________
Florida Supreme Court Approved Family Law Form 12.980(d)(2), Final Judgment of Injunction for Protection
Against Domestic Violence without Minor Child(ren) (After Notice) (03/15)
ACKNOWLEDGMENT
I, {Name of Petitioner} , acknowledge receipt of a certified copy of this
Injunction for Protection.
__________________________________
Petitioner
ACKNOWLEDGMENT
I, {Name of Respondent} , acknowledge receipt of a certified
copy of this Injunction for Protection.
____________________________________
Respondent
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Petitioner, and Respondent. (Florida)

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Completed 10 January 2021

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