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.