Form 12.901(b)(1), Petition for Dissolution of Marriage Instructions
This form contains 148 fields organized into 36 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Alimony Request | ||
| Explain why the Court should order Petitioner or Respondent to pay, and any specific request(s) for type of alimony | Text |
Provide an explanation for why the Court should order either the petitioner or respondent to pay alimony, including any specific requests regarding the type of alimony.
|
| Asset Distribution | ||
| Indicate all that apply. 1 - 6. Check if distributing marital assets and liabilities as requested in Section I of this petition | CheckBox |
Check this box if you are requesting the equitable distribution of marital assets and liabilities as outlined in Section I.
|
| Asset Division | ||
| no marital assests or liabilities | CheckBox |
Check this box if there are no assets or liabilities acquired during the marriage that require division.
|
| there are marital assets or liabilities | CheckBox |
Select this option if marital assets or liabilities exist that need to be considered for division in the dissolution process.
|
| all marital assets or liabilities have been divided by written agreement | CheckBox |
Mark this box if all marital assets and liabilities have already been divided by a written agreement between the parties.
|
| The Court should determine how the assets and liabilities of this marriage are to be distributed | CheckBox |
Check this option if you want the Court to determine the distribution of marital property and debts instead of relying on an agreement.
|
| check if petitioner should be awarded an interest in the other spouse’s property | CheckBox |
Select this box if the petitioner is seeking an award of an interest in the other spouse’s property.
|
| check if respondent should be awarded an interest in the other spouse’s property | CheckBox |
Check this box if the respondent is seeking an award of an interest in the other spouse’s property.
|
| Explain | Text |
Provide an explanation detailing why an interest in the other spouse’s property should be awarded.
|
| Attachments | ||
| Check if a separate sheet is attached | CheckBox |
Check if an additional sheet is attached that contains supplemental information related to this section.
|
| Case Info | ||
| Case No | Text |
Enter the case number assigned to this dissolution case.
|
| Child Custody | ||
| minor resides with petitioner | CheckBox |
Select this option if the minor child primarily resides with the petitioner.
|
| minor resides with respondent | CheckBox |
Select this option if the minor child primarily resides with the respondent.
|
| minor resides with other | CheckBox |
Select this option if the minor child resides under an arrangement other than with the petitioner or respondent.
|
| Explain if other arrangement | Text |
Provide an explanation detailing the alternative living arrangement of the minor child if it is not solely with the petitioner or respondent.
|
| Child Details | ||
| name and date of birth child 1 | Text |
Enter the full name and date of birth for Child 1. Provide the child’s legal name and the precise birth date.
|
| name and date of birth child 2 | Text |
Enter the full name and date of birth for Child 2. Provide the child’s legal name and the precise birth date.
|
| name and date of birth child 3 | Text |
Enter the full name and date of birth for Child 3. Provide the child’s legal name and the precise birth date.
|
| Minor child(ren) not common to both parties | Text |
List each minor child born or conceived during the marriage who is not common to both parties, providing full name and any identifying details (for example date of birth and relationship) as needed.
|
| check if child not common to both parties | CheckBox |
Check this box if the child in question is not common to both parties, meaning the child is from a different relationship or not shared by both parties.
|
| child not common to both 1 | Text |
Enter the name for the child identified as not common to both parties (first instance). Provide the full legal name.
|
| child not common to both 2 | Text |
Enter the name for the second child identified as not common to both parties. Provide the full legal name.
|
| Child Disability Details | ||
| Name and date of birth of child(ren) common to both parties who are 18 or older but who are dependent due to mental or physical disabiltiy. Line 1 of 2 | CheckBox |
Check this box if there is at least one child common to both parties who is 18 or older yet remains dependent due to a mental or physical disability. This indicates the inclusion of dependent adult children.
|
| child name and birth date with disability 1 | Text |
Enter the name and date of birth for the dependent child (18 or older) with a disability. Provide the legal name and accurate birth date.
|
| Name and date of birth of child(ren) common to both parties who are 18 or older but who are dependent due to mental or physical disabiltiy. Line 2 of 2 | Text |
Enter additional details (name and date of birth) for another dependent child (18 or older) with a disability if applicable.
|
| Child Interests | ||
| Explain why this request is in the best interests of the children | Text |
Explain in detail why the request is considered to be in the best interests of the children.
|
| Child Support | ||
| request to award child support by petitioner | CheckBox |
Indicate whether the petitioner is requesting that the court award child support.
|
| guidelines are filed | CheckBox |
Check this box if child support guidelines have already been filed with the court.
|
| guidelines will be filed | CheckBox |
Check this box if the petitioner intends to file child support guidelines.
|
| petitioner requests that the Court award child support to be paid beyond the age of 18 | CheckBox |
Indicate if the petitioner requests that child support continue to be paid beyond the child's 18th birthday.
|
| Check if there are children to receive support beyond 18 years of age | CheckBox |
Check this box if there are children eligible to receive support beyond the age of 18.
|
| Check if petitioner requests that life insurance to secure child support be provided by the other spouse | CheckBox |
Check this box if the petitioner requests that the respondent provide life insurance to secure child support.
|
| Court Info | ||
| NAME OF CIRCUIT COURT | Text |
Enter the name of the circuit court handling the case.
|
| NAME OF COUNTY | Text |
Enter the name of the county where the court is located.
|
| Division | Text |
Enter the court division relevant to this case.
|
| Dates | ||
| check for date of separation | CheckBox |
Select this box to indicate that the form should include the date of separation.
|
| date of separation | Date |
Enter the specific date when the petitioner separated from the spouse.
|
| check for date of filing | CheckBox |
Check this box to denote that the form should capture the filing date.
|
| check for date of other | CheckBox |
Select this box to indicate that an alternate date (other than separation or filing) is applicable.
|
| indicate other date here | Date |
Provide the alternate date if the 'other date' option is selected.
|
| explain other date of filing | Text |
Explain the circumstances or relevance of the alternate filing date provided.
|
| Dependent Children | ||
| Indicate name(s) of dependent child(ren) | Text |
List the name(s) of dependent child(ren) relevant to the petition.
|
| explain incapacity of children | Text |
Provide details regarding the physical or mental incapacity of the children, if applicable.
|
| check if children are dependent between 18 and 19 years of age but are in high shool | CheckBox |
Select this box if there are children aged between 18 and 19 who are still in high school and considered dependent.
|
| List names of these children | Text |
List the names of the children who are dependent because they are between 18 and 19 years of age but remain in high school.
|
| Divorce Grounds | ||
| check if the marriage is irretrievably broken | CheckBox |
Select this box if you wish to assert that the marriage is irretrievably broken, which is a fundamental ground for requesting dissolution.
|
| check if one of the parties has been adjudged mentally incapacitated for a period of 3 years | CheckBox |
Mark this box if one of the parties has been legally declared mentally incapacitated for at least 3 years, as this may affect jurisdiction and proceedings.
|
| Family Info | ||
| check if minor child common to both | CheckBox |
Check this box if there is a minor child common to both parties.
|
| Financial Documentation | ||
| A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c) {choose only one}. filed with this petition | CheckBox |
Check this box if a completed Family Law Financial Affidavit (Florida Family Law Rules of Procedure Form 12.902(b) or (c)) has been filed with the petition.
|
| A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c) {choose only one}. will be timely filed | CheckBox |
Check this box if a completed Family Law Financial Affidavit (Florida Family Law Rules of Procedure Form 12.902(b) or (c)) will be timely filed in conjunction with this petition.
|
| General | ||
| name and date of birth child 4 | Text | |
| name and date of birth child 5 | Text | |
| name and date of birth child 6 | Text | |
| The birth parent (s) of the above minor child(ren) is (are): {name and address | Text | |
| The birth parent (s) of the above minor child(ren) is (are): {name and address | Text | |
| Check if establishing child support for the dependent or minor child(ren) common to both parties, as requested in Section IV of this petition | CheckBox |
Check this box if you are requesting that child support be established for the dependent or minor children as outlined in Section IV.
|
| Check if restoring petitioner’s former name as requested in Section V of this petition | CheckBox |
Check this box if you would like the court to restore the petitioner’s former name, as detailed in Section V.
|
| Check if awarding other relief as requested in Section V of this petition; and any other terms the Court deems necessary | CheckBox |
Check this box if the petitioner is seeking other forms of relief not specifically addressed in the previous sections or any additional terms the Court may consider necessary.
|
| Dated | Text |
Enter the date on which the document is being signed.
|
| Printed Name | Text |
Enter the printed full name of the person signing the document.
|
| Address | Text |
Enter the mailing address of the signing party.
|
| City, State, Zip | Text |
Enter the city, state, and ZIP code corresponding to the mailing address.
|
| Telephone Number | Text |
Enter the telephone number of the signing party for contact purposes.
|
| Fax Number | Text |
Enter the fax number used for sending or receiving documents related to this case.
|
| designated email address | Text |
Enter the designated email address for receiving correspondence regarding this family law matter.
|
| name of individual who assisted with this form | Text |
Enter the full name of the individual who assisted with filling out this form.
|
| name of business of individual who assisted with this form | Text |
Enter the name of the business associated with the individual who assisted with this form.
|
| address of individual who assisted with this form | Text |
Enter the street address of the individual who helped complete this form.
|
| city of individual who assisted with this form | Text |
Enter the city for the address of the individual who assisted with this form.
|
| state of individual who assisted with this form | Text |
Enter the state for the address of the individual who assisted with this form.
|
| zip code of individual who assisted with this form | Text |
Enter the zip code for the address of the individual who assisted with this form.
|
| telephone of individual who assisted with this form | Text |
Enter the telephone number for the individual who assisted with this form.
|
| Insurance | ||
| check if this is a petitioner request on medical/dental insurance | CheckBox |
Indicate whether the petitioner is also requesting assistance related to medical or dental insurance.
|
| Choose only one. Check if medical/dental insurance provided by petitioner | CheckBox |
Select this box if the petitioner is providing medical/dental insurance for the dependent child(ren).
|
| Check if medical/dental insurance provided by respondent | CheckBox |
Select this box if the respondent is providing medical/dental insurance for the dependent child(ren).
|
| Check if this is a petitioner request that uninsured medical/dental expenses for child(re) be paid | CheckBox |
Check this box if the petitioner is requesting that the court order payment for uninsured medical/dental expenses related to the child(ren).
|
| Jurisdiction | ||
| check jurisdiction if petitioner | CheckBox |
Check this box if the petitioner satisfies the jurisdiction requirements.
|
| check jurisdiction if respondent | CheckBox |
Check this box if the respondent satisfies the jurisdiction requirements.
|
| check jurisdiction if petitioner and respondent | CheckBox |
Check this box if both the petitioner and respondent satisfy the jurisdiction requirements.
|
| check if petitioner is | CheckBox |
Check this box if the petitioner meets the specified eligibility or residency requirements.
|
| check if petitioner is not | CheckBox |
Check this box if the petitioner does not meet the specified eligibility or residency requirements.
|
| check if respondent is | CheckBox |
Check this box if the respondent meets the specified eligibility or residency requirements.
|
| check if respondent is not | CheckBox |
Check this box if the respondent does not meet the specified eligibility or residency requirements.
|
| Life Insurance | ||
| petitioner requests life insurance on the other spouse’s life | CheckBox |
Check this box if the petitioner is requesting that the court order life insurance to be maintained on the other spouse’s life.
|
| Marriage Info | ||
| Date of marriage month, day, year | Date |
Enter the full date (month, day, year) of the marriage.
|
| date of separation | Date |
Enter the date on which the separation occurred.
|
| check if date is approximate | CheckBox |
Check this box if the provided date is an approximation.
|
| Place of marriage: county, state, country | Text |
Enter the place of marriage including county, state, and country.
|
| Other Provisions | ||
| check for other provisions | CheckBox |
Check this box if you want to include additional provisions beyond those listed in the form.
|
| indicate what other provisons are | Text |
Describe the additional provisions you wish to include, such as special arrangements or conditions not covered elsewhere.
|
| Parental Information | ||
| Birth parent(s) name and address | Text |
Enter the full name(s) and mailing address(es) of the birth parent(s) of the above minor child(ren).
|
| Parental Responsibility | ||
| parental responsibility shall be shared by both parents | CheckBox |
Check this box to indicate that parental responsibility will be shared equally by both parents.
|
| parental responsibility shall be awarded to petitioner or respondent. A choice required | CheckBox |
Select this option if you wish to assign parental responsibility exclusively to either the petitioner or respondent.
|
| responsibility awarded solely to petitioner | CheckBox |
Check this box to assign sole parental responsibility to the petitioner.
|
| responsibility awarded solely to respondent | CheckBox |
Check this box to assign sole parental responsibility to the respondent.
|
| Explain why shared parental responsibility would be detrimental to the children because | Text |
Explain why granting shared parental responsibility might be detrimental to the child(ren)’s well-being.
|
| Parenting Plan | ||
| parenting plan includes time sharing | CheckBox |
Check this box if your parenting plan includes a schedule for time sharing between the parties.
|
| parenting plan does not include time sharing | CheckBox |
Check this box if your parenting plan does not include a schedule for time sharing between the parties.
|
| Check if attached proposed parenting plan should be adopted by the court | CheckBox |
Check this box if you want the court to adopt the attached proposed parenting plan.
|
| parties agreed to having a parenting plan | CheckBox |
Indicate that the parties have agreed to establish a parenting plan.
|
| parties have not agreed to a parenting plan | CheckBox |
Indicate that the parties have not reached an agreement regarding the parenting plan.
|
| court should establish a parenting plan with following | CheckBox |
Indicate that the court should establish a parenting plan that includes the details specified in the attached information.
|
| Check if adopting or establishing a Parenting Plan containing provisions for parental responsibility and time-sharing for the dependent or minor child(ren) common to both parties, as requested in Section III of this petition | CheckBox |
Check this box if you are requesting the adoption or establishment of a Parenting Plan that addresses parental responsibility and time-sharing for the dependent or minor children as outlined in Section III.
|
| Parties | ||
| Enter name or designation petitioner will be referred to as | Text |
Provide the name or a designation for the petitioner as they will be referred to in this case.
|
| Enter name or designation Respondent will be referred to as | Text |
Provide the name or a designation for the respondent as they will be referred to in this case.
|
| Parties Info | ||
| Name of Petitioner | Text |
Enter the full legal name of the petitioner as it appears on official documents.
|
| Name of Respondent | Text |
Enter the full legal name of the respondent as it appears on official documents.
|
| full legal name | Text |
Enter the party’s full legal name (if additional clarification is needed) as it appears on official records.
|
| Payment | ||
| Choose only one. To be paid by petitioner | CheckBox |
Select this option if the petitioner is responsible for making the payment as indicated on the form.
|
| To be paid by respondent | CheckBox |
Select this option if the respondent is responsible for making the payment as part of the petition.
|
| To be paid by both spouses equally | CheckBox |
Select this option if both spouses are to share the payment equally.
|
| To be paid according to the percentages in the Child Support Guidelines Worksheet, Florida Family | CheckBox |
Select this option if the payment should be determined based on the percentages outlined in the Child Support Guidelines Worksheet.
|
| Other {explain | CheckBox |
Select this option if an alternative payment arrangement applies that is not covered by the standard options. Further explanation may be needed.
|
| Explaination of other payment arrangements | Text |
Provide details explaining the alternative payment arrangements if 'Other' was selected above.
|
| Payment Responsibility | ||
| check for payment by petitioner | CheckBox |
Check this box if the petitioner is responsible for making the support payment.
|
| check for payment by respondent | CheckBox |
Check this box if the respondent is responsible for making the support payment.
|
| Personal Information | ||
| former legal name | Text |
Enter the former legal name of the petitioner, if applicable.
|
| Petitioner Request | ||
| check if this is a petitioner request | CheckBox |
Check this box to confirm that the request being made is coming from the petitioner.
|
| Pregnancy Info | ||
| check if petitioner is pregnant | CheckBox |
Select this box if the petitioner is currently pregnant.
|
| Baby is due on what date | Date |
Enter the due date for the petitioner’s baby.
|
| check if respondent is pregnant | CheckBox |
Select this box if the respondent is currently pregnant.
|
| Baby is due on what date | Date |
Enter the due date for the respondent’s baby.
|
| Relief | ||
| Other relief. Specify | Text |
Specify any additional relief sought by the petitioner that is not covered in other sections of the form.
|
| Spousal Support | ||
| Petitioner forever gives up any right to spousal support (alimony) from the other spouse | CheckBox |
Mark this option if the petitioner is waiving any future right to receive spousal support (alimony) from the other spouse.
|
| Respondent forever gives up any right to spousal support (alimony) from the other spouse | CheckBox |
Select this box if the respondent is waiving any future right to receive spousal support (alimony) from the other spouse.
|
| Petitioner requests that the Court order the other spouse to pay the following | CheckBox |
Check this box if the petitioner is requesting that the Court order the other spouse to pay specific amounts or payments.
|
| Respondent requests that the Court order the other spouse to pay the following | CheckBox |
Mark this option if the respondent is requesting that the Court order the other spouse to make certain payments.
|
| indicate amount of payment | Number |
Enter the specific amount of payment being requested by the party.
|
| check for every week | CheckBox |
Check this box if the requested payment is to be made on a weekly basis.
|
| check for every other week | CheckBox |
Select this option if the requested payment frequency is every other week.
|
| check for every month | Text |
Enter or select this option if the payment is to be made on a monthly basis.
|
| Check if Other | CheckBox |
Mark this box if the payment frequency does not fit into the given options and additional details are provided elsewhere.
|
| Check if awarding spousal support (alimony) as requested in Section II of this petition | CheckBox |
Check this box if the petitioner is requesting spousal support (alimony) as detailed in Section II.
|
| Support Terms | ||
| enter other payment period | Text |
Specify an alternate payment period (e.g., weekly, bi-weekly, monthly) if the standard option does not apply.
|
| enter beginning date of support | Date |
Enter the starting date from which support payments will commence.
|
| ending date of support | Date |
Enter the ending date up to which support payments will be made.
|
| Time-Sharing | ||
| Check if each child will have time-sharing | CheckBox |
Check if each child involved will have a specific time-sharing arrangement with the parents.
|
| Explanation of time-sharing schedule | Text |
Provide an explanation for the proposed time-sharing schedule, detailing how it will be implemented.
|
| parenting plan with no time sharing | CheckBox |
Select this option if the parenting plan does not include any time-sharing arrangement between the parents.
|
| Enter name of parent with no time-sharing | Text |
Enter the name of the parent who will not participate in any time-sharing arrangement.
|
| limited time sharing | CheckBox |
Check this box if a limited time-sharing arrangement is proposed.
|
| Enter name of parent with limited time-sharing | Text |
Provide the name of the parent who is subject to a limited time-sharing arrangement.
|
| supervised time sharing | CheckBox |
Check this box if the time-sharing arrangement requires supervision.
|
| Enter name of parent with supervised time-sharing | Text |
Enter the name of the parent who will have a supervised time-sharing arrangement.
|
| Enter Name of parent with supervised time-sharing | Text |
Enter the name of another parent subject to a supervised time-sharing arrangement if applicable.
|
| supervised or third party exchange of children regarding time sharing as follows | CheckBox |
Indicate if exchanges of children are to be supervised or managed by a third party, and provide any necessary details.
|
| Check if time sharing schedule follows the instructions indicated below | CheckBox |
Check this box to confirm that the time-sharing schedule follows the instructions provided below.
|
| Explanation of time-sharing schedule | Text |
Provide an explanation for the time-sharing schedule, particularly regarding supervised or third party exchanges.
|