Form 12.912(A) "Memorandum for Certificate of Military Service" - Florida

What Is Form 12.912(A)?

This is a legal form that was released by the Florida Circuit Court - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2016;
  • The latest edition provided by the Florida Circuit Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 12.912(A) by clicking the link below or browse more documents and templates provided by the Florida Circuit Court.

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Download Form 12.912(A) "Memorandum for Certificate of Military Service" - Florida

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY
LAW FORM 12.912(a)
MEMORANDUM FOR CERTIFICATE OF MILITARY SERVICE (09/16)
When should this form be used?
This form should be used if you KNOW OR DO NOT KNOW whether the other party in your case is on
active duty in a branch of the military service of the United States. “Active duty” includes reserve
personnel of the Army, Navy, Air Force, Marine Corps, and Coast Guard, and members of the Florida
National Guard who have been called to active duty for more than thirty (30) days. Even if you believe
that the other party has never or would never join the military, you must show the court proof that he
or she is not a member of the military. Therefore, you may need to use this form to provide the court
with such proof. See the instructions for an Affidavit of Military Service, Florida Supreme Court
Approved Family Law Form 12.912(b), for additional information. Please note that the contact
information below is correct as of the effective date of this form; however, it may be subject to change.
If you have difficulty obtaining the certificates or need additional information, you may wish to contact
Military One Source at
https://www.militaryonesource.mil//
or 800-342-9647.
Servicemembers Civil Relief Act (SCRA) Certificates:
For information on obtaining certificates of service or non-service under the Servicemembers Civil Relief
Act (SCRA)(formerly known as Soldiers’ and Sailors’ Civil Relief Act of 1940), please refer to the Defense
Manpower Data Center (DMDC) SCRA website:
https://www.dmdc.mil/appj/scra
You may also write the DMDC at the following address:
Defense Manpower Data Center [Attn: Military Verification]
1600 Wilson Blvd., Suite 400
Arlington, VA 22209-2593
You may be charged a service fee by each military service branch for its response. Please refer to the
websites, e-mail addresses, and/or phone numbers listed below for help in determining the amount of
each military branch’s fee and to verify its current mailing address.
ARMY:
Phone: 888-276-9472
E-mail:
usarmy.knox.hrc.mbx.foia@mail.mil
AIR FORCE: HQ AFPC/DS1W, Attn: World Wide Locator, 550 C Street, West, Suite 50, JBSA-Randolph
AFB, TX 78150-4752
Phone: 210-565-2450 (Option 1)
COAST GUARD: USCG Commander, Personnel Service Center, Attn: PSD-MR, 4200 Wilson Blvd.,
Suite 1100, Arlington VA 22203
E-mail:
MR_CustomerService@uscg.mil
Fax: 202-372-8440
Instructions for Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of
Military Service (09/16)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY
LAW FORM 12.912(a)
MEMORANDUM FOR CERTIFICATE OF MILITARY SERVICE (09/16)
When should this form be used?
This form should be used if you KNOW OR DO NOT KNOW whether the other party in your case is on
active duty in a branch of the military service of the United States. “Active duty” includes reserve
personnel of the Army, Navy, Air Force, Marine Corps, and Coast Guard, and members of the Florida
National Guard who have been called to active duty for more than thirty (30) days. Even if you believe
that the other party has never or would never join the military, you must show the court proof that he
or she is not a member of the military. Therefore, you may need to use this form to provide the court
with such proof. See the instructions for an Affidavit of Military Service, Florida Supreme Court
Approved Family Law Form 12.912(b), for additional information. Please note that the contact
information below is correct as of the effective date of this form; however, it may be subject to change.
If you have difficulty obtaining the certificates or need additional information, you may wish to contact
Military One Source at
https://www.militaryonesource.mil//
or 800-342-9647.
Servicemembers Civil Relief Act (SCRA) Certificates:
For information on obtaining certificates of service or non-service under the Servicemembers Civil Relief
Act (SCRA)(formerly known as Soldiers’ and Sailors’ Civil Relief Act of 1940), please refer to the Defense
Manpower Data Center (DMDC) SCRA website:
https://www.dmdc.mil/appj/scra
You may also write the DMDC at the following address:
Defense Manpower Data Center [Attn: Military Verification]
1600 Wilson Blvd., Suite 400
Arlington, VA 22209-2593
You may be charged a service fee by each military service branch for its response. Please refer to the
websites, e-mail addresses, and/or phone numbers listed below for help in determining the amount of
each military branch’s fee and to verify its current mailing address.
ARMY:
Phone: 888-276-9472
E-mail:
usarmy.knox.hrc.mbx.foia@mail.mil
AIR FORCE: HQ AFPC/DS1W, Attn: World Wide Locator, 550 C Street, West, Suite 50, JBSA-Randolph
AFB, TX 78150-4752
Phone: 210-565-2450 (Option 1)
COAST GUARD: USCG Commander, Personnel Service Center, Attn: PSD-MR, 4200 Wilson Blvd.,
Suite 1100, Arlington VA 22203
E-mail:
MR_CustomerService@uscg.mil
Fax: 202-372-8440
Instructions for Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of
Military Service (09/16)
NAVY: Navy World Wide Locator, Navy Personnel Command, PERS 1, 5720 Integrity Drive, Millington,
TN 38055-3120
Phone: 800-522-3451
www.public.navy.mil
MARINE CORPS: Headquarters, United States Marine Corps, Personnel Management Support Branch
(MMSB-17), 2008 Elliot Road, Room 201, Quantico, VA 22134
Phone: 703-784-3941 or 703-784-3920
https://www.hqmc.marines.mil/agencies
or
SMB.manpower.mmrp@usmc.mail
PUBLIC HEALTH SERVICE: Attn: Director, Division of Commissioned Corps Officer Support, 1101 Wooten
Parkway, Plaza Level, Suite 100, Rockville MD 20852
This form should be typed or printed in black ink. You should complete this form for each branch of the
United States’ military listed above, and mail the form to each branch with a check for the appropriate
amount and a stamped, self-addressed envelope. You should keep a copy of the form for your records.
After you have received a verification of military status from each branch, you will need to attach those
verifications to an Affidavit of Military Service, Florida Supreme Court Approved Family Law Form
12.912(b), for filing with the clerk.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be
filed electronically except in certain circumstances. Self-represented litigants may file petitions or other
pleadings or documents electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance with Florida Rule of
Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION
After the initial service of process of the petition or supplemental petition by the Sheriff or certified
process server, the Florida Rules of Judicial Administration now require that all documents required or
permitted to be served on the other party must be served by electronic mail (e-mail) except in certain
circumstances. You must strictly comply with the format requirements set forth in the Rules of Judicial
Administration. If you elect to participate in electronic service, which means serving or receiving
pleadings by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review Florida
Rule of Judicial Administration 2.516. You may find this rule at
www.flcourts.org
through the link to the
Rules of Judicial Administration provided under either Family Law Forms: Getting Started, or Rules of Court
in the A-Z Topical Index.
SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT
REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the
procedures must always be followed once the initial election is made.
Instructions for Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of
Military Service (09/16)
To serve and receive documents by e-mail, you must designate your e-mail addresses by using the
Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form
12.915, and you must provide your e-mail address on each form on which your signature appears. Please
CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court
Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme
Court Approved Family Law Form 12.915; and Florida Rule of Judicial Administration 2.516.
Special notes...
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out
these forms, that person must give you a copy of Disclosure from Nonlawyer, Florida Family Law Rules
of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms
also must put his or her name, address, and telephone number on the bottom of the last page of every
form he or she helps you complete.
Instructions for Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of
Military Service (09/16)
IN THE CIRCUIT COURT OF THE
JUDICIAL CIRCUIT,
IN AND FOR
COUNTY, FLORIDA
Case No.: _____________________
Division: _______________________
,
Petitioner,
and
,
Respondent.
MEMORANDUM FOR CERTIFICATE OF MILITARY SERVICE
TO:
(
)
usarmy.knox.hrc.mbx.foia@mail.mil
(Army)
(
)
HQ AFPC/DS1W, Attn: World Wide Locator, 550 C. Street West, Suite 50, Randolph AFB,
TX 78150-4752 (Air Force)
(
)
USCG Commander, Personnel Service Center, Attn: PSD-MR, 4200 Wilson Blvd, Suite
1100, Arlington, VA 22203 (Coast Guard)
(
)
Navy World Wide Locator, Navy Personnel Command, PERS-1, 5720 Integrity Drive,
Millington, TN 38055-3120
www.public.navy.mil
(Navy)
(
)
United States Marine Corps, Personnel Support Management Branch, (MMSB-17), ,
2008 Elliot Road, Room 201, Quantico, VA 22134 (Marines)
(
)
Public Health Service: Attn: Director, Division of Commissioned Corps Officer Support,
http://dcp.psc.gov/ccmis
(Public Health)
RE:
{Name of Respondent}
{Respondent’s Social Security Number}
This case involves a family matter. It is imperative that a determination be made whether the above-
named individual, who has an interest in these proceedings, is presently in the military service of the
United States, and the dates of induction and discharge, if any. This information is requested under the
Servicemembers Civil Relief Act (formerly known as Soldiers’ and Sailors’ Civil Relief Act of 1940). Please
supply verification as soon as possible. My check for $
___ for your search fee and a self-
addressed, stamped envelope are enclosed.
Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of Military Service
(09/16)
Dated:
______________________________________
Signature of Petitioner
Printed Name: _________________________
Address: _____________________________
City, State, Zip: ________________________
Telephone Number: ____________________
Fax Number: _________________________
Designated E-mail Address(es):____________
_____________________________________
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[fill in all blanks] This form was prepared for the Petitioner.
This form was completed with the assistance of:
{name of individual} ______________________________________________________________,
{name of business}_________________________________________________________________,
{address}__________________________________________________________________________,
{city}__________________, {state}____,{zip code}________, {telephone number} _______________.
Florida Supreme Court Approved Family Law Form 12.912(a), Memorandum for Certificate of Military Service
(09/16)
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