PETITION FOR INJUNCTION FOR PROTECTION AGAINST STALKING
Before me, the undersigned authority, personally appeared Petitioner (Name), who has been sworn and says that the following statements are true:
(Petitioner may furnish the address to the court in a separate confidential filing if, for safety reasons, the petitioner requires the location of the current residence to be confidential.)
(Mark all sections that apply and describe in the spaces below the incidents of stalking specifying when and where they occurred, including, but not limited to, locations such as a home, school, or place of employment.)
____ Committed stalking.
____ Previously threatened, harassed, stalked, cyberstalked, or physically abused the petitioner.
____ Threatened to harm the petitioner or family members or individuals closely associated with the petitioner.
____ Intentionally injured or killed a family pet.
____ Used, or threatened to use, against the petitioner any weapons such as guns or knives.
____ A criminal history involving violence or the threat of violence, if known.
____ Another order of protection issued against him or her previously or from another jurisdiction, if known.
____ Destroyed personal property, including, but not limited to, telephones or other communication equipment, clothing, or other items belonging to the petitioner.
(Mark appropriate section or sections.)
____ Immediately restraining the respondent from committing any acts of stalking.
____ Restraining the respondent from committing any acts of stalking.
____ Providing any terms the court deems necessary for the protection of a victim of stalking, including any injunctions or directives to law enforcement agencies.
I HAVE READ EVERY STATEMENT MADE IN THIS PETITION AND EACH STATEMENT IS TRUE AND CORRECT. I UNDERSTAND THAT THE STATEMENTS MADE IN THIS PETITION ARE BEING MADE UNDER PENALTY OF PERJURY, PUNISHABLE AS PROVIDED IN SECTION, FLORIDA STATUTES.
Fla. Stat. § 784.0485