FL Domestic Violence Intake Questionnaire - Miami-Dade County 2007-2025 free printable template
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Domestic Violence Intake Questionnaire Date Your Name Female Male Birth Date Are you under 18 years of age yes no If yes name of parent/guardian Relationship to you Petitioner s Place of Birth Race Black White Ethnic Origin Address City State Zip Code Tel. No. - Alternate No. - Name and Relation of Contact Person Does the person who you are filing against know this address yes no Employer Employer s address Telephone Number - Ext Is the person you are filing against aware of another...
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How to fill out domestic violence intake form
How to fill out FL Domestic Violence Intake Questionnaire - Miami-Dade
01
Begin with personal information: Fill in your full name, address, phone number, and email.
02
Provide details about your relationship with the abuser, including their name, relationship to you, and any history of violence.
03
Describe the incidents of domestic violence in detail, including dates, locations, and circumstances.
04
Include information about any children involved, their names, ages, and any relevant details concerning their safety.
05
List any medical issues resulting from the abuse and any treatments received.
06
Indicate if there have been any police reports filed and provide report numbers if applicable.
07
Review the completed questionnaire for accuracy and completeness before submission.
Who needs FL Domestic Violence Intake Questionnaire - Miami-Dade?
01
The FL Domestic Violence Intake Questionnaire is needed by individuals who have experienced domestic violence and are seeking legal protection, assistance, or intervention in Miami-Dade.
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What is FL Domestic Violence Intake Questionnaire - Miami-Dade?
The FL Domestic Violence Intake Questionnaire - Miami-Dade is a form used by individuals seeking legal protections or services related to domestic violence in Miami-Dade County. It collects information about the individual's situation and experiences with domestic violence.
Who is required to file FL Domestic Violence Intake Questionnaire - Miami-Dade?
Individuals who are experiencing domestic violence or have been victims of domestic violence are required to file the FL Domestic Violence Intake Questionnaire - Miami-Dade to seek services or protective orders.
How to fill out FL Domestic Violence Intake Questionnaire - Miami-Dade?
To fill out the FL Domestic Violence Intake Questionnaire - Miami-Dade, individuals should carefully read the instructions, provide accurate personal information, describe the incidents of domestic violence, and submit the completed form to the appropriate legal or support agency.
What is the purpose of FL Domestic Violence Intake Questionnaire - Miami-Dade?
The purpose of the FL Domestic Violence Intake Questionnaire - Miami-Dade is to assess the needs of individuals facing domestic violence, facilitate the provision of legal and support services, and gather necessary information to initiate legal actions.
What information must be reported on FL Domestic Violence Intake Questionnaire - Miami-Dade?
The FL Domestic Violence Intake Questionnaire - Miami-Dade requires the reporting of personal details such as the victim's and alleged abuser's information, specifics of the incidents of violence or threats, any injuries sustained, and prior incidents or reports to law enforcement.
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