Form 12.915, Designation of Current Mailing and E-mail Address Instructions

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This form contains 43 fields organized into 10 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Court and Case Information
Judicial Circuit Number Text
Enter the number of the judicial circuit in which this case is filed.
County Text
Enter the name of the Florida county where the court sits (the county shown on the caption).
Case Number Text
Enter the court-assigned case number for this matter exactly as it appears on official filings.
Court Division Text
Enter the division of the court handling the case (for example: Family, Civil, Probate, etc.).
Declarant Full Legal Name
Declarant Full Legal Name Text
Enter the declarant's full legal name (first, middle, last and any suffix) exactly as it should appear on court records.
E-mail Addresses
Primary e-mail address Text
Enter your primary e-mail address that will be used for service and receipt of court documents.
Secondary e-mail address No. 1 Text
Enter an alternate e-mail address (Secondary No. 1) to be used for service and receipt of court documents if the primary address is unavailable.
Secondary e-mail address No. 2 Text
Enter a second alternate e-mail address (Secondary No. 2) to be used for service and receipt of court documents if the primary and first secondary addresses are unavailable.
Mailing Address
Street or P.O. Box Text
Enter the street address or post office box for your current mailing address.
Apt / Unit / Lot Text
Enter apartment, unit, suite, lot, or other secondary address information (leave blank if none).
City Text
Enter the city for your current mailing address.
State Text
Enter the state for your current mailing address (e.g., FL or Florida).
ZIP / Postal Code Text
Enter the ZIP or postal code for your current mailing address.
Telephone Number Text
Enter a telephone number where you can be reached, including area code and extension if applicable.
Fax Number Text
Enter a fax number for your mailing address, if you have one (leave blank if none).
Other party or his/her attorney
Name Text
Enter the full name of the other party or his/her attorney as it should appear on court documents.
Address Text
Enter the street address (including apartment or suite number if applicable) for the other party or his/her attorney. Fill only if 'Mailed' is 'Yes'.
Depends on: Mailed
City, State, ZIP Text
Enter the city, state (abbreviation) and ZIP code for the address on a single line (for example: Anytown, CA 90000). Fill only if 'Mailed' is 'Yes'.
Depends on: Mailed
Telephone Number Text
Enter the primary telephone number for the other party or his/her attorney, including area code and extension if applicable.
Fax Number Text
Enter the fax number for the other party or his/her attorney, including area code. Fill only if 'Faxed' is 'Yes'.
Depends on: Faxed
E-mail Address(es) Text
Enter the e-mail address or addresses for the other party or his/her attorney; separate multiple addresses with commas. Fill only if 'E‑mailed' is 'Yes'.
Depends on: E‑mailed
Party Names (Petitioner and Respondent)
Petitioner Name Text
Enter the petitioner's full legal name (individual or business) exactly as it should appear on the court record.
Respondent Name Text
Enter the respondent's full legal name (individual or business) exactly as it should appear on the court record.
Petitioner printed name and contact
Printed Name Text
Enter the petitioner's full printed name as it should appear on the document.
Address Text
Enter the petitioner's street mailing address, including apartment or unit number if applicable.
City, State, Zip Text
Enter the petitioner's city, state (use the two-letter abbreviation) and ZIP code on one line.
Telephone Number Text
Enter the petitioner's daytime telephone number including area code and any extension.
Fax Number Text
Enter the petitioner's fax number including area code, if available.
Designated E-Mail Address(es) Text
Enter the petitioner's designated email address(es) for service, separating multiple addresses with commas.
Prepared for (choose one)
Petitioner Checkbox
Check this box if the form was prepared for the petitioner (select only one option).
Respondent Checkbox
Check this box if the form was prepared for the respondent (select only one option).
Preparer contact information
Preparer's Name Text
Enter the full name of the individual who prepared or assisted in preparing this form.
Preparer's Business Name Text
Enter the name of the business or organization (if any) that prepared or assisted with this form.
Preparer's Street Address Text
Enter the preparer's street address including building number and street name for mailing or contact purposes.
Preparer's City Text
Enter the city of the preparer's mailing address.
Preparer's State Text
Enter the state (abbreviation or full name) of the preparer's mailing address.
Preparer's ZIP Code Text
Enter the ZIP or postal code for the preparer's mailing address.
Preparer's Telephone Number Text
Enter the preparer's daytime telephone number including area code and any extension if applicable.
Service method and date
E‑mailed Checkbox
Check this box if you served a copy of the document by e‑mail to the person(s) listed below on the date shown.
Mailed Checkbox
Check this box if you served a copy of the document by regular mail or postal service to the person(s) listed below on the date shown.
Faxed Checkbox
Check this box if you served a copy of the document by facsimile (fax) to the person(s) listed below on the date shown.
Hand‑delivered Checkbox
Check this box if you personally delivered a copy of the document to the person(s) listed below on the date shown.
Service date Date
Enter the date when the copy of this document was served or delivered to the person(s) listed below. Fill only if 'E‑mailed', 'Mailed', 'Faxed', 'Hand‑delivered' is 'Yes' any.
Depends on: E‑mailed, Mailed, Faxed, Hand‑delivered