IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR ___________ COUNTY, FLORIDA
Case No.:
Division:
__________________,
Petitioner
and
__________________,
Respondent.
ORDER EXTENDING INJUNCTION FOR PROTECTION AGAINST
( ) DOMESTIC VIOLENCE ( ) REPEAT VIOLENCE
( ) DATING VIOLENCE ( ) SEXUAL VIOLENCE ( ) STALKING
THIS CAUSE came before the Court on {date} , upon Petitioners motion for
an extension of injunction for protection and it appearing to the Court as follows:
1.____Ex parte.
The claims in the motion for extension of injunction for protection make it appear to the Court that
there is an immediate and present danger of domestic, repeat, dating, or sexual violence as required
under section 741.30 or section 784.046, Florida Statutes, or that stalking exists, pursuant to section
784.0485, Florida Statutes. The previously entered injunction is extended until {date} ____________.
A full hearing on the petition is scheduled for {date} ___________at_____a.m./p.m. in
______________________________________________________________________________.
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 partys expense.
c. ____If this is a repeat violence, dating violence, or sexual violence action, no
electronic recording or court reporting services are 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 partys expense.
Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against
Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15)
_______________________________________________________________
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.
2._____After notice and hearing.
Respondent was served with a copy of the temporary injunction, if applicable, and a notice of this
hearing within the time required by Florida law and was afforded an opportunity to be heard. The notice
and opportunity to be heard were sufficient to protect Respondent’s right to due process. The following
persons attended the hearing: ____ Petitioner ____ Respondent.
After hearing the testimony of each party present and of any witnesses, or upon consent of Respondent,
the Court finds that Petitioner is a victim of domestic, repeat , dating , or sexual violence, or stalking, or
reasonably fears that he/she will become a victim of domestic or dating violence from Respondent. The
previously entered injunction is extended until {date}________________________________________,
or until further order of the Court.
DONE AND ORDERED in __________________, Florida, on ______________________________.
CIRCUIT JUDGE
Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against
Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15)
COPIES TO:
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 ordersee below)
_____ by e-mail to designated address
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 ordersee 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 certified copy of this injunction)
__State Attorneys Office
__Other:
I CERTIFY the foregoing is a true copy of the original Order Extending the Injunction for Protection as it
appears on file in the office 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(m), Order Extending Injunction for Protection Against
Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15)
________________________________________
_______________________________________
ACKNOWLEDGMENT
I, {Name of Petitioner} , acknowledge receipt of a
certified copy of this Order Extending the Injunction for Protection.
Petitioner
ACKNOWLEDGMENT
I, {Name of Respondent} , acknowledge receipt of a
certified copy of this Order Extending the Injunction for Protection.
Respondent
Florida Supreme Court Approved Family Law Form 12.980(m), Order Extending Injunction for Protection Against
Domestic, Repeat, Dating or Sexual Violence, or Stalking (03/15)