Case Title: - In Re Amendment to the Florida Rules of Juvenile Procedure (with)

Citation: 

Docket Number: 

State: florida

Court: Florida Supreme Court

Date: 2013-06-13T00:00:00Z

Document:
Supreme Court of Florida 
 
 
____________ 
 
No. SC12-188 
____________ 
 
 
IN RE:  AMENDMENTS TO THE FLORIDA RULES OF JUVENILE 
PROCEDURE. 
 
[May 23, 2013] 
CORRECTED OPINION 
 
PER CURIAM. 
 
The Juvenile Court Rules Committee (Committee) has filed its regular-cycle 
report of proposed rules and forms amendments in accordance with Florida Rule of 
Judicial Administration 2.140(b).  We have jurisdiction.  See art. V, § 2(a), Fla. 
Const. 
BACKGROUND 
  The Committee proposes amendments to rules 8.035 (Petitions for 
Delinquency), 8.070 (Arraignments), 8.075 (Pleas), 8.080 (Acceptance of Guilty or 
Nolo Contendere Plea), 8.115 (Disposition Hearing), 8.201 (Commencement of 
Proceedings), 8.225 (Process, Diligent Searches, and Service of Pleadings and 
Papers), 8.260 (Orders), 8.285 (Contempt), 8.340 (Disposition Hearings), 8.345 
(Post-Disposition Relief), 8.350 (Placement of Child Into Residential Treatment 
 
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Center After Adjudication of Dependency), and proposes new rules 8.286 (Civil 
Contempt), 8.347 (Motion to Supplement Order of Adjudication, Disposition 
Order, and Case Plan), and 8.517 (Withdrawal and Appointment of Counsel).  The 
Committee also proposes amendments to a number of juvenile forms and proposes 
new form 8.952 (Findings for Juvenile Sexual Offender Registration).  Consistent 
with rule 2.140(b)(2), the Committee published its proposals for comment prior to 
filing them with the Court.  One comment was received.  The Board of Governors 
of The Florida Bar unanimously approved the proposals.  After the report was 
filed, the proposals were again published for comment.  No comments were filed.  
Oral argument was heard on the proposals on June 6, 2012.  After oral argument, 
the Court directed the Committee to file supplemental information pertaining to the 
proposed amendments to rules 8.080 (Acceptance of Guilty or Nolo Contendere 
Plea) and 8.225 (Process, Diligent Searches, and Service of Pleadings and Papers).   
AMENDMENTS 
 
After considering the Committee’s report, its presentation at oral argument, 
and the supplemental information provided, we adopt a number of amendments to 
the Florida Rules of Juvenile Procedure, as described below.1
                                         
 
1.  In addition to the amendments specifically described, other minor and 
editorial amendments are also made to several of the rules and forms. 
   
 
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Rules 8.035 (Petitions for Delinquency), 8.070 (Arraignments), 8.075 
(Pleas), and 8.115 (Disposition Hearing) are amended to conform the language of 
those rules more closely with their adult criminal rule counterparts.   
Rule 8.080 (Acceptance of Guilty or Nolo Contendere Plea) is amended to:   
(1) add new subdivision (b) requiring that pleas be taken in open court, similar to 
Florida Rule of Criminal Procedure 3.172(b), but providing that “the hearing may 
be closed as provided by law;” (2) add new subdivision (c)(8) requiring that before 
entering a plea, the child must be advised that the plea may require the child to 
register as a sexual offender; (3) add new subdivision (c)(10) requiring that before 
entering a plea, the child must be advised that the plea may have deportation and 
immigration consequences, similar to criminal rule 3.172(c)(8); and (4) amend 
current subdivision (e) (now redesignated as (f)) to state that the parties must 
advise the court of any plea agreement and may advise the court of the reasons for 
it, and to state that the court must advise the parties whether it accepts or rejects the 
plea agreement and may state its reasons, similar to criminal rule 3.171.2
 Subdivisions (a) and (b) of rule 8.201 (Commencement of Proceedings) are 
amended to add two new items constituting “commencement” of a dependency 
proceeding: (1) filing of a petition or affidavit or an order to take a child into 
 
                                         
 
2.  We note, however, that this new requirement in the rule does not relieve 
defense counsel of his or her separate obligations to the client.  
 
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custody; and (2) filing of any other petition authorized by Chapter 39, Florida 
Statutes, and to provide that upon commencement of any proceeding, the clerk 
shall open a file and assign a case number.3
 
Rule 8.260 (Orders) is amended to clarify that all orders must be signed by 
the judge, see section 39.0132(5), Florida Statutes (2012), and to list the types of 
orders over which a dependency order takes precedence, see section 39.013(4), 
Florida Statutes (2012).   
   
 
The title of rule 8.285 (Contempt) is amended to reflect that the rule 
addresses only criminal contempt proceedings, and new rule 8.286 (Civil 
Contempt) is adopted to govern civil contempt proceedings in dependency and 
termination of parental rights matters.   
 
Subdivision (c) of rule 8.340 (Disposition Hearings) is amended to more 
closely mirror the requirements for disposition orders, as set forth in section 
39.521(1)(d), Florida Statutes (2012).        
 
Subdivision (b) of rule 8.345 (Post-Disposition Relief) is amended to 
provide that jurisdiction does not terminate at age eighteen if the court has 
                                         
 
3.  The Committee proposed adding a third item constituting 
“commencement” of a proceeding.  That item, a petition for an injunction to 
prevent child abuse, was recently added to rule 8.201(a) in another case.  See In re 
Amend. to Fla. R. Juv. P., 101 So. 3d 368, 369 (Fla. 2012).    
 
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extended jurisdiction over the child, as provided under certain circumstances in 
section 39.013(2), Florida Statutes (2012).   
 
New rule 8.347 (Motion to Supplement Order of Adjudication, Disposition 
Order, and Case Plan) is adopted in order to provide a uniform process for a party 
to move the court to supplement a dependency adjudication order with findings 
that a parent or legal guardian contributed to the dependent status of the child.  The 
rule addresses the requirements for the content of the motion, service of the 
motion, and procedures for a hearing on the motion.    
 
Rule 8.350 (Placement of Child Into Residential Treatment Center After 
Adjudication of  Dependency) is amended to delete the requirement in subdivision 
(a)(11)(A)(iii) that the court consider “a case review committee recommendation, 
if there has been one,” as such is not required under section 39.407(6), Florida 
Statutes (2012).   
 
New rule 8.517 (Withdrawal and Appointment of Counsel) is adopted to 
address withdrawal of counsel of record for a parent or custodian in a dependency 
or termination of parental rights proceeding and appointment of appellate counsel 
in such proceedings.  The new rule provides that after an order of adjudication of 
dependency, an order of disposition, or an order terminating parental rights has 
been entered, counsel of record shall not be permitted to withdraw until counsel 
certifies that he or she has discussed appellate remedies with the parent or 
 
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custodian and certifies that the parent or custodian does not wish to appeal or, if 
the parent or custodian wishes to appeal, certain appellate documents have been 
filed and appellate counsel has been appointed.  If counsel is unable to contact the 
parent or custodian, counsel must certify the efforts made to contact the parent or 
custodian.  Finally, the rule requires the court to serve a copy of the order 
appointing appellate counsel on the appointed counsel and the clerk of the 
appellate court. 
 
Forms 8.908, 8.929, 8.959, 8.960, 8.961, 8.963, 8.964, 8.965, 8.966, 8.967, 
8.970, 8.973, 8.975, 8.979, and 8.982 are amended to conform the ADA notice 
language in those forms to the requirements of Florida Rule of Judicial 
Administration 2.540(c)(1).4
                                         
 
4.  Florida Rule of Judicial Administration 2.540(c)(1) states: 
  Appropriate ADA notice language is added to forms 
8.929 and 8.961.    
 
(1) All notices of court proceedings to be held in a public 
facility, and all process compelling appearance at such proceedings, 
shall include the following statement in bold face, 14-point Times 
New Roman or Courier font: 
 
“If you are a person with a disability who needs any 
accommodation in order to participate in this proceeding, you are 
entitled, at no cost to you, to the provision of certain assistance.  
Please contact [identify applicable court personnel by name, address, 
and telephone number] at least 7 days before your scheduled court 
appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days; if you are hearing 
or voice impaired, call 711.” 
 
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Form 8.947 (Disposition Order—Delinquency) is amended to include the 
specific statutory authority for costs and fees imposed on the child by the court and 
to correct the reference to the statutory basis for collection of a DNA sample at 
disposition.5
 
New form 8.952 (Findings for Juvenile Sexual Offender Registration) is 
adopted and provides the court with the necessary factual findings required under 
section 943.0435(1)(a)1.d., Florida Statutes (2012), in determining whether a 
juvenile is required to register as a sexual offender.  
   
 
Finally, the Committee proposed fairly major amendments to rule 8.225 
(Process, Diligent Searches, and Service of Pleadings and Papers) in order to 
address two areas it identified as primary reasons for delays in permanency for 
children:  (1) lack of legally sufficient and effective diligent search to locate the 
parent for service of a dependency petition or petition to terminate parental rights, 
and (2) lack of effective procedures for the identification and establishment of 
paternity in dependency and termination of parental rights proceedings.  The 
Committee proposed amending subdivision (b) of rule 8.225 in order to provide a 
                                         
5.  As adopted, the amendments to this form differ slightly from those 
proposed by the Committee.  In its proposed amendments, the Committee referred 
to the “Victim’s Crime Compensation Trust Fund,” but under section 938.03, 
Florida Statutes (2012), the trust fund is called the “Crimes Compensation Trust 
Fund.”  Additionally, the proposed amendments referred to “chapter 800 (lewd or 
lascivious),” but the title of chapter 800 is “Lewdness; Indecent Exposure.” 
 
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process for the court, at the outset of a proceeding, to review the affidavit of 
diligent search to determine whether there are deficiencies in the search process 
and to add a requirement that the clerk not certify a notice of action for 
constructive service unless the court has entered an order finding that the petitioner 
has conducted a diligent search as required by law.  The Committee proposed 
adding and amending subdivisions (c) through (f) to provide procedures for the 
identification and establishment of parenthood in dependency or termination of 
parental rights proceedings.  The new and amended provisions address 
identification of parents or prospective parents, failure of the court to identify any 
parent or prospective parent, and determinations of parenthood.  We adopt the 
amendments proposed by the Committee; however, we adopt proposed new 
subdivision (f) (Determination of Parenthood) as a separate new rule, rule 8.226.     
Accordingly, the Florida Rules of Juvenile Procedure are hereby amended as 
set forth in the appendix to this opinion.  New language is indicated by 
underscoring; deletions are indicated by struck-through type.  These amendments 
shall become effective at 12:01 a.m., on July 1, 2013. 
It is so ordered. 
 
POLSTON, C.J., and PARIENTE, LEWIS, QUINCE, CANADY, LABARGA, 
and PERRY, JJ., concur. 
 
THE FILING OF A MOTION FOR REHEARING SHALL NOT ALTER THE 
EFFECTIVE DATE OF THESE AMENDMENTS.  
 
 
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Original Proceedings – Florida Rules of Juvenile Procedure 
 
Honorable Daniel Paul Dawson, Chair, Juvenile Court Rules Committee, Orlando, 
Florida, and Joel M. Silvershein, Past Chair, Juvenile Court Rules Committee, Fort 
Lauderdale, Florida; Robert W. Mason, Jacksonville , Florida; Deborah Schroth, 
Orange Park Florida, Co-Counsel, Juvenile Court Rules Committee; John F. 
Harkness, Jr., Executive Director, and Ellen H. Sloyer, Staff Liaison, The Florida 
Bar, Tallahassee, Florida,  
 
 
for Petitioner 
 
 
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APPENDIX 
RULE 8.035. 
PETITIONS FOR DELINQUENCY 
 (a) 
Contents of Petition. 
(1) 
Each petition shall be entitled a petition for delinquency and 
shall allege facts showing the child to have committed a delinquent act. The 
petition must be a plain, concise, and definite written statement of the essential 
facts constituting the offense charged. 
(2) – (4) [No Change] 
(5) 
Two or more children may be the subject of the same petition if 
they are alleged to have participated in the same act or transaction or in the same 
series of acts or transactions constituting an offense or offenses. The children may 
be named in 1one or more counts together or separately and all of them need not be 
named in each count. 
 (6) 
Allegations made in one count shall not be incorporated by 
reference in another count. 
(b) 
[No Change] 
 (c) 
Child’s Right to Copy of Petition.  Upon application to the clerk, a 
child must be furnished a copy of the petition and the endorsements on it at least 
24 hours before being required to plead to the petition. 
(cd) Amendments. At any time prior to the adjudicatory hearing an 
amended petition may be filed or the petition may be amended on motion. 
Amendments shall be freely permitted in the interest of justice and the welfare of 
the child. A continuance may be granted upon motion and a showing that the 
amendment prejudices or materially affects any party. 
(e) 
Statement of Particulars. The court, on motion, must order the 
prosecuting attorney to furnish a statement of particulars when the petition on 
which the child is to be tried fails to inform the child of the particulars of the 
offense sufficiently to enable the child to prepare a defense. The statement of 
particulars must specify as definitely as possible the place, date, and all other 
material facts of the crime charged that are specifically requested and are known to 
 
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the prosecuting attorney. Reasonable doubts concerning the construction of this 
rule shall be resolved in favor of the child. 
(df) Defects and Variances. No petition or any count thereof shall be 
dismissed, or any judgment vacated, on account of any defect in the form of the 
petition or of misjoinder of offenses or for any cause whatsoever. If the court is of 
the opinion that the petition is so vague, indistinct, and indefinite as to mislead the 
child and prejudice the child in the preparation of a defense, the petitioner may be 
required to furnish a statement of particulars. 
 
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RULE 8.070. 
ARRAIGNMENTS 
(a) 
[No Change] 
(b) 
Plea. The reading or statement as to the charge or charges may be 
waived by the child. No child, whether represented by counsel or otherwise, shall 
be called on to plead unless and until he or she has had a reasonable time within 
which to deliberate thereon. If the child is represented by counsel, counsel may file 
a written plea of not guilty at or before arraignment and arraignment shall then be 
deemed waived. If a plea of guilty or nolo contendere is entered, the court shall 
proceed as set forth under rule 8.115, disposition hearings. If a plea of not guilty is 
entered, the court shall set an adjudicatory hearing within the period of time 
provided by law. The child is entitled to a reasonable time in which to prepare for 
trial. 
Committee Notes 
[No Change] 
 
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RULE 8.075. 
PLEAS 
No written answer to the petition nor any other pleading need be filed. No 
child, whether represented by counsel or otherwise, shall be called upon to plead 
until he or she has had a reasonable time within which to deliberate thereon. 
(a) – (b) [No Change] 
 
(c) 
Written Answer. A written answer admitting or denying the 
allegations of the petition may be filed by the child joined by a parent, custodian, 
or the child’s counsel. If the answer admits the allegations of the petition it must 
acknowledge that the child has been advised of the right to counsel, the right to 
remain silent, and the possible dispositions available to the court and shall include 
a consent to a predispositional study. Upon the filing of such an answer, a hearing 
for adjudication or adjudication and disposition shall be set at the earliest 
practicable time. 
(d) 
[No Change] 
(e) 
Withdrawal of Plea. The court may for good cause shown at any 
time prior to the beginning of a disposition hearing permit a plea of guilty or nolo 
contendere to be withdrawn, and if a finding that the child committed a delinquent 
act has been entered thereon, set aside such finding and allow another plea to be 
substituted for the plea of guilty or nolo contendere. In the subsequent adjudicatory 
hearing, the court shall not consider the plea which was withdrawn as an 
admission. 
(f) 
[No Change]  
 
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RULE 8.080. 
ACCEPTANCE OF GUILTY OR NOLO CONTENDERE 
PLEA 
(a) 
[No Change] 
(b) 
Open Court. All pleas shall be taken in open court, except the hearing 
may be closed as provided by law. 
(bc) Determination by Court. The court, when making this determination, 
should place the child under oath and shall address the child personally. The court 
shall determine that the child understands each of the following rights and 
consequences of entering a guilty or nolo contendere plea: 
(1) 
The nature of the charge to which the plea is offered and the 
possible dispositions available to the court. 
(2) 
If the child is not represented by an attorney, that the child has 
the right to be represented by an attorney at every stage of the proceedings and, if 
necessary, one will be appointed. Counsel shall be appointed if the child qualifies 
for such appointment and does not waive counsel in writing subject to the 
requirements of rule 8.165. 
(3) 
That the child has the right to plead not guilty, or to persist in 
that plea if it had already been made, and that the child has the right to an 
adjudicatory hearing and at that hearing has the right to the assistance of counsel, 
the right to compel the attendance of witnesses on his or her behalf, the right to 
confront and cross-examine witnesses against him or her, and the right not to be 
compelled to incriminate himself or herself. 
(4) 
That, if the child pleads guilty or nolo contendere, without 
express reservation of the right to appeal, the right to appeal all matters relating to 
the judgment, including the issue of guilt or innocence, is relinquished, but the 
right to review by appropriate collateral attack is not impaired. 
(5) 
That, if the child pleads guilty or nolo contendere, there will not 
be a further adjudicatory hearing of any kind, so that by pleading so the right to an 
adjudicatory hearing is waived. 
(6) 
That, if the child pleads guilty or nolo contendere, the court 
may ask the child questions about the offense to which the child has pleaded, and, 
 
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if those questions are answered under oath, on the record, the answers may later be 
used against the child in a prosecution for perjury. 
(7) 
The complete terms of any plea agreement including 
specifically all obligations the child will incur as a result. 
(8) 
That, if the child pleads guilty or nolo contendere to certain 
sexual offenses, the child may be required to register as a sexual offender. 
(89) That, if the child pleads guilty or nolo contendere, and the 
offense to which the child is pleading is a sexually violent offense or a sexually 
motivated offense, or if the child has been previously adjudicated for such an 
offense, the plea may subject the child to involuntary civil commitment as a 
sexually violent predator on completion of his or her sentence. It shall not be 
necessary for the trial judge to determine whether the present or prior offenses 
were sexually motivated, as this admonition shall be given to all children in all 
cases. 
(10) That, if the child pleads guilty or nolo contendere, and the child 
is not a United States citizen, the facts underlying the plea may subject the child to 
deportation pursuant to the laws and regulations governing the United States 
Citizenship and Immigration Services. It shall not be necessary for the trial judge 
to inquire as to whether the child is a United States citizen, as this admonition shall 
be given to all children in all cases. 
(cd) Acknowledgment by Child. Before the court accepts a guilty or nolo 
contendere plea, the court must determine that the child either: 
(1) 
acknowledges guilt; or 
(2) 
acknowledges that the plea is in the child’s best interest, while 
maintaining innocence. 
(de) Of Record. These proceedings shall be of record. 
(ef) 
When Binding. Prior to the court’s acceptance of a plea, the parties 
must notify the court of any plea agreement and may notify the court of the reasons 
for the plea agreement. Thereafter, the court must advise the parties whether the 
court accepts or rejects the plea agreement and may state its reasons for a rejection 
of the plea agreement. No plea offer or negotiation is binding until it is accepted by 
the court after making all the inquiries, advisements, and determinations required 
 
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by this rule. Until that time, it may be withdrawn by either party without any 
necessary justification. 
(fg) 
Withdrawal of Plea When Judge Does Not Concur. If the trial 
judge does not concur in a tendered plea of guilty or nolo contendere arising from 
negotiations, the plea may be withdrawn. 
(gh) Failure to Follow Procedures. Failure to follow any of the 
procedures in this rule shall not render a plea void, absent a showing of prejudice. 
 
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RULE 8.115. 
DISPOSITION HEARING 
(a) 
Information Available to Court. At the disposition hearing the 
court, after establishing compliance with the dispositional considerations, 
determinations, and discussions required by law, may receive any relevant and 
material evidence helpful in determining the proper disposition to be made. It shall 
include written reports required by law, and may include, but shall not be limited 
to, the child’s need for substance abuse evaluation and/or treatment, and any 
psychiatric or psychological evaluations of the child that may be obtained and that 
are relevant and material. Such evidence may be received by the court and may be 
relied upon to the extent of its probative value, even though not competent in an 
adjudicatory hearing. In any case in which it is necessary or consented to by the 
parties that disposition be pronounced by a judge other than the judge who 
presided at the adjudicatory hearing or accepted a plea of guilty or nolo 
contendere, the sentencing judge shall not pronounce disposition until the judge 
becomes acquainted with what transpired at the adjudicatory hearing, or the facts 
concerning the plea and the offense, including any plea discussions if a plea of 
guilty or nolo contendere was entered. 
(b) – (e) [No Change] 
 
Committee Notes 
[No Change] 
 
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RULE 8.201. 
COMMENCEMENT OF PROCEEDINGS 
(a) 
Commencement of Proceedings. Proceedings are commenced when: 
(1) 
an initial shelter petition is filed; 
(2) 
a petition alleging dependency is filed;  
(3) 
a petition for termination of parental rights is filed; or 
(4) 
a petition for an injunction to prevent child abuse under chapter 
39, Florida Statutes, is filed;   
(5) 
a petition or affidavit for an order to take into custody is filed; 
or 
(6) 
any other petition authorized by chapter 39, Florida Statutes, is 
filed. 
(b) 
File to Be Opened.  Upon commencement of any dependency or 
termination of parental rights proceeding, the clerk shall open a file and assign a 
case number. 
 
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RULE 8.225. 
PROCESS, DILIGENT SEARCHES, AND SERVICE OF 
PLEADINGS AND PAPERS 
(a) 
Summons and Subpoenas. 
(1) – (4) [No Change] 
 
(b) 
Paternity Inquiry and Diligent Search. 
(1) 
Identity Unknown. If the identity of a parent is unknown, and 
a petition for dependency, shelter care, or termination of parental rights is filed, the 
court shall conduct the inquiry required by law. The information required by law 
may be submitted to the court in the form of a sworn affidavit executed by a person 
having personal knowledge of the facts. 
(21) Location Unknown. If the location of a parent is unknown and 
that parent has not filed a permanent address designation with the court, the 
petitioner shall undertakecomplete a diligent search as required by law. 
(32) Affidavit of Diligent Search. If the location of a parent is 
unknown after the diligent search has been completed, the petitioner shall file with 
the court an affidavit of diligent search executed by the person who made the 
search and inquiry. 
(3) 
Court Review of Affidavit. The court must review the 
affidavit of diligent search and enter an order determining whether the petitioner 
has completed a diligent search as required by law.  In termination of parental 
rights proceedings, the clerk must not certify a notice of action until the court 
enters an order finding that the petitioner has conducted a diligent search as 
required by law. In a dependency proceeding, if the court finds that the petitioner 
has conducted a diligent search, the court may proceed to grant the requested relief 
of the petitioner as to the parent whose location is unknown without further notice. 
(34) Continuing Duty. After filing an affidavit of diligent search in 
a dependency or termination of parental rights proceeding, the petitioner, and, if 
the court requires, the department, are under a continuing duty to search for and 
attempt to serve the parent whose location is unknown until excused from further 
diligent search by the court. The department shall report on the results of the 
continuing search at each court hearing until the person is located or until further 
search is excused by the court. 
 
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(5) 
Effect of Paternity Inquiry and Diligent Search. 
(A) 
Failure to serve parents whose identity or residence is 
unknown shall not affect the validity of an order of adjudication or disposition if 
the court finds the petitioner has completed a diligent search. 
(B) 
If the court inquiry fails to identify any person as a parent 
or prospective parent, the court shall so find and may proceed without further 
notice. 
(C) 
If the inquiry, diligent search, or subsequent search 
identifies and locates any person who may be a parent or prospective parent, the 
court shall require notice of the hearing to be provided to that person. That person 
must then be given an opportunity to become a party to the proceedings by 
completing a sworn affidavit of parenthood and filing it with the court or the 
department. 
(c) 
Identity of Parent Unknown.  
(1) 
If the identity of a parent is unknown, and a petition for 
dependency, shelter care, or termination of parental rights is filed, the court shall 
conduct the inquiry required by law. The information required by law may be 
submitted to the court in the form of a sworn affidavit executed by a person having 
personal knowledge of the facts. 
(2) 
If the court inquiry fails to identify any person as a parent or 
prospective parent, the court shall so find and may proceed to grant the requested 
relief of the petitioner as to the unknown parent without further notice. 
(d) 
Identity and Location Determined. If an inquiry or diligent search 
identifies and locates any person who may be a parent or prospective parent, the 
court must require that notice of the hearing be provided to that person. 
(e) 
Effect of Failure to Serve. Failure to serve parents whose identity or 
residence is unknown shall not affect the validity of an order of adjudication or 
disposition if the court finds the petitioner has completed a diligent search. 
(cf) 
Notice and Service of Pleadings and Papers. 
(1) – (11) [No Change]  
 
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RULE 8.226. 
DETERMINATION OF PARENTHOOD 
(a) 
In General. The court must determine the identity of all parents 
and prospective parents at the initial hearing in proceedings under chapter 39, 
Florida Statutes, as provided by law. Nothing in this rule prevents a parent or 
prospective parent from pursuing remedies under chapter 742, Florida Statutes. 
The court having jurisdiction over the dependency matter may conduct 
proceedings under chapter 742, Florida Statutes, either as part of the chapter 39, 
Florida Statutes, proceeding or in a separate action under chapter 742, Florida 
Statutes. 
(b) 
Appearance of Prospective Parent.  
(1) 
If a prospective parent appears in the chapter 39, Florida 
Statutes, proceeding, the court shall advise the prospective parent of the right to 
become a parent in the proceeding by completing a sworn affidavit of parenthood 
and filing the affidavit with the court or the department. This subdivision shall not 
apply if the court has identified both parents of the child as defined by law.   
(2) 
If the prospective parent seeks to become a parent in the 
chapter 39, Florida Statutes, proceeding, the prospective parent shall complete a 
sworn affidavit of parenthood and file the affidavit with the court or the 
department. If a party objects to the entry of the finding that the prospective parent 
is a parent in the proceeding, or if the court on its own motion requires further 
proceedings to determine parenthood, the court shall not enter an order finding 
parenthood until proceedings under chapter 742, Florida Statutes, have been 
concluded. The prospective parent shall continue to receive notice of hearings as a 
participant pending the proceedings under chapter 742, Florida Statutes. If no other 
party objects and the court does not require further proceedings to determine 
parenthood, the court shall enter an order finding that the prospective parent is a 
parent in the proceeding.   
(3) 
If the prospective parent is uncertain about parenthood 
and requests further proof of parenthood, or if there is more than one prospective 
parent for the same child, the juvenile court may conduct proceedings under 
chapter 742, Florida Statutes, to determine parenthood. At the conclusion of the 
chapter 742, Florida Statutes, proceedings, the court shall enter an order 
determining parenthood. 
(4) 
Provided that paternity has not otherwise been 
established by operation of law or court order, at any time prior to the court 
 
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entering a finding that the prospective parent is the parent in the proceeding, the 
prospective parent may complete and file with the court or the department a sworn 
affidavit of nonpaternity declaring that the prospective parent is not the parent of 
the child and waiving all potential rights to the child and rights to further notices of 
hearing and court filings in the proceeding.  
(5) 
If the court has identified both parents of a child as 
defined by law, the court shall not recognize an alleged biological parent as a 
parent in the proceeding until a court enters an order pursuant to law establishing 
the alleged biological parent as a parent in the proceeding. 
 
 
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RULE 8.260. 
ORDERS  
(a) 
General Requirements. All orders of the court shallmust be reduced 
to writing as soon after they are entered as is consistent with orderly procedure, 
and shallmust contain specific findings of fact and conclusions of law, and 
shallmust be signed by the judge as provided by law.  
(b) 
Transmittal to Parties. A copy of all orders shallmust be transmitted 
by the court or under its direction to all parties at the time of entry of the order.  
(c) 
[No Change]  
(d) 
Precedence of Orders. Orders of the circuit court hearing 
dependency matters shallmust be filed in any dissolution or other custody action or 
proceeding involving the same child. These orders shallmust take precedence over 
other custody and visitation orders affecting the placement of, access to, parental 
time with, adoption of, or parental rights and responsibilities for the same minor 
child, unless jurisdiction has been terminated. TheyThese orders may be filed 
under seal and need not be open to inspection by the public. 
 
- 24 - 
RULE 8.285. 
CRIMINAL CONTEMPT  
(a) – (b) [No Change] 
 
 
- 25 - 
RULE 8.286. 
CIVIL CONTEMPT 
(a) 
Applicability. This rule governs indirect civil contempt proceedings 
in matters related to juvenile dependency. The use of civil contempt sanctions 
under this rule must be limited to those used to compel compliance with a court 
order or to compensate a movant for losses sustained as a result of a contemnor's 
willful failure to comply with a court order. Contempt sanctions intended to punish 
an offender or to vindicate the authority of the court are criminal in nature and are 
governed by rule 8.285. 
(b) 
Motion and Notice. Civil contempt may be initiated by motion. The 
motion must recite the essential facts constituting the acts alleged to be 
contemptuous. No civil contempt may be imposed without notice to the alleged 
contemnor and without providing the alleged contemnor with an opportunity to be 
heard. The civil contempt motion and notice of hearing may be served by mail 
provided notice by mail is reasonably calculated to apprise the alleged contemnor 
of the pendency of the proceedings. The notice must specify the time and place of 
the hearing and must contain the following language: “FAILURE TO APPEAR 
AT THE HEARING MAY RESULT IN THE COURT ISSUING A WRIT OF 
BODILY ATTACHMENT FOR YOUR ARREST. IF YOU ARE ARRESTED, 
YOU MAY BE HELD IN JAIL UP TO 48 HOURS BEFORE A HEARING IS 
HELD.”  
(c) 
Hearing. In any civil contempt hearing, after the court makes an 
express finding that the alleged contemnor had notice of the motion and hearing: 
(1) 
The court shall determine whether the movant has established 
that a prior order was entered and that the alleged contemnor has failed to comply 
with all or part of the prior order. 
(2) 
If the court finds the movant has established all of the 
requirements in subdivision (c)(1) of this rule, the court must, 
 
(A) 
if the alleged contemnor is present, determine whether 
the alleged contemnor had the present ability to comply with the prior court order; 
or 
  
 
- 26 - 
(B) 
if the alleged contemnor fails to appear, set a reasonable 
purge based on the circumstances of the parties.  
The court may issue a writ of bodily attachment and direct that, upon execution of 
the writ of bodily attachment, the alleged contemnor be brought before the court 
within 48 hours for a hearing on whether the alleged contemnor has the present 
ability to comply with the prior court order and, if so, whether the failure to 
comply is willful.  
(d) 
Order and Sanctions. After hearing the testimony and evidence 
presented, the court must enter a written order granting or denying the motion for 
contempt. 
(1) 
An order finding the alleged contemnor to be in contempt must 
contain a finding that a prior order was entered, that the alleged contemnor has 
failed to comply with the prior court order, that the alleged contemnor had the 
present ability to comply, and that the alleged contemnor willfully failed to comply 
with the prior court order. The order must contain a recital of the facts on which 
these findings are based. 
(2) 
If the court grants the motion for contempt, the court may 
impose appropriate sanctions to obtain compliance with the order including 
incarceration, attorneys’ fees and costs, compensatory or coercive fines, and any 
other coercive sanction or relief permitted by law provided the order includes a 
purge provision as set forth in subdivision (e) of this rule. 
(e) 
Purge. If the court orders incarceration, a coercive fine, or any other 
coercive sanction for failure to comply with a prior order, the court must set 
conditions for purge of the contempt, based on the contemnor’s present ability to 
comply. The court must include in its order a separate affirmative finding that the 
contemnor has the present ability to comply with the purge and the factual basis for 
that finding. The court may grant the contemnor a reasonable time to comply with 
the purge conditions. If the court orders incarceration but defers incarceration for 
more than 48 hours to allow the contemnor a reasonable time to comply with the 
purge conditions, and the contemnor fails to comply within the time provided, the 
movant must file an affidavit of noncompliance with the court. The court then may 
issue a writ of bodily attachment. Upon incarceration, the contemnor must be 
brought before the court within 48 hours for a determination of whether the 
contemnor continues to have the present ability to comply with the purge. 
 
- 27 - 
(f) 
Review after Incarceration. Notwithstanding the provisions of this 
rule, at any time after a contemnor is incarcerated, the court on its own motion or 
motion of any party may review the contemnor’s present ability to comply with the 
purge and the duration of incarceration and modify any prior orders. 
(g) 
Other Relief. When there is a failure to comply with a court order but 
the failure is not willful, nothing in this rule shall be construed as precluding the 
court from granting such relief as may be appropriate under the circumstances. 
 
- 28 - 
RULE 8.340. 
DISPOSITION HEARINGS 
(a) 
Information Available to Court. At the disposition hearing, the 
court, after establishing compliance with the dispositional considerations, 
determinations, and discussions required by law, may receive any relevant and 
material evidence helpful in determining the proper disposition to be made. It 
shallmust include written reports required by law, and may include, but shallis not 
be limited to, any psychiatric or psychological evaluations of the child or his or her 
parent, caregiver, or legal custodian that may be obtained and that are relevant and 
material. Such evidence may be received by the court and may be relied upon to 
the extent of its probative value, even though not competent in an adjudicatory 
hearing. 
(b) 
Disclosure to Parties. All parties shall beare entitled to disclosure of 
all information in all reports submitted to the court. 
(c) 
Orders of Disposition. The court shall in its written order of 
disposition include: 
(1) 
the placement or custody of the child; 
(2) 
special conditions of placement and visitation; 
(3) 
evaluation, counseling, treatment activities, and other actions to 
be taken by the parties, whenif ordered; 
(4) 
persons or entities responsible for supervising or monitoring 
services to the child and parentagencies, and;  
(5) 
continuation or discharge of the guardian ad litem, whenas 
appropriate; 
(56) date, time, and location for subsequent case reviewof next 
scheduled review hearing, as required by law; 
(67) child support payments, if the child is in an out-of-home 
placement; 
(78) if the child is placed in foster care, the reasons why the child 
was not placed in the legal custody of an adult relative, legal custodian, or other 
adult approved by the court and a further determination as to whether diligent 
 
- 29 - 
efforts were made by the department to locate an adult relative, legal custodian, or 
other adult willing to care for the child instead of placement with the department; 
(8) 
approval of the case plan or direction to amend the case plan 
within 30 days; and 
(9) 
such other requirements as are deemed necessary to protect the 
health, safety, and well-being of the child, to preserve the stability of the child’s 
educational placement, and to promote family preservation or reunification 
whenever possible; and  
(10) approval of the case plan as filed with the court. If the court 
does not approve the case plan at the disposition hearing, the court must set a 
hearing within 30 days after the disposition hearing to review and approve the case 
plan. 
Committee Notes 
[No Change] 
 
- 30 - 
RULE 8.345. 
POST-DISPOSITION RELIEF 
(a) 
[No Change] 
(b) 
Motion for Termination of Supervision or Jurisdiction. Any party 
requesting termination of agency supervision or the jurisdiction of the court or both 
shall do so by written motion or in a written report to the court. The court 
shallmust hear all parties present and enter an order terminating supervision or 
terminating jurisdiction and supervision or continuing them as previously ordered. 
The court shall not terminate jurisdiction unless the child is returned to the parent 
and has been in the placement for at least 6 months, the child is adopted, or the 
child attains the age of 18, unless the court has extended jurisdiction. 
 
- 31 - 
RULE 8.347. 
MOTION TO SUPPLEMENT ORDER OF 
ADJUDICATION, DISPOSITION ORDER, AND CASE 
PLAN 
(a) 
Motion. After the court has entered an order of adjudication of 
dependency, any party may file a motion for the court to supplement the order of 
adjudication with findings that a parent or legal custodian contributed to the 
dependency status of the child pursuant to the statutory definition of a dependent 
child. The motion may also request that the court supplement the disposition order 
and the case plan. 
(b) 
Contents.  
(1) 
The motion must identify the age, sex, and name of the children 
whose parent or legal custodian is the subject of the motion. 
(2) 
The motion must specifically identify the parent or legal 
custodian who is the subject of the motion. 
(3) 
The motion must allege sufficient facts showing that a parent or 
legal custodian contributed to the dependency status of the child pursuant to the 
statutory definition of a dependent child. 
(c) 
Verification. The motion must be signed under oath, stating that the 
signer is filing the motion in good faith. 
(d) 
Amendments.  At any time prior to the conclusion of an evidentiary 
hearing on the motion, an amended motion may be filed or the motion may be 
amended by oral motion. A continuance may be granted on motion and a showing 
that the amendment prejudices or materially affects any party. 
(e) 
Notice.  
(1) 
In General.  Parents or legal custodians who have previously 
been properly served with the dependency petition or who have previously 
appeared in the dependency proceeding shall be served with a notice of hearing 
and copies of the motion and the initial order of adjudication of dependency in the 
same manner as the service of documents that are filed after the service of the 
initial dependency petition as provided in these rules.   
(2) 
Summons.  
 
- 32 - 
(A) 
Parents or legal custodians who have not been properly 
served with the dependency petition or who have not previously appeared in the 
dependency proceeding must be properly served with a summons and copies of the 
motion and the initial order of adjudication of dependency. The summons must 
require the person on whom it is served to appear for a preliminary hearing on the 
motion at a time and place specified, not less than 72 hours after service of the 
summons. 
(B) 
Upon the filing of the motion and upon request, the clerk 
shall issue a summons. 
(C) 
The movant shall not be required to serve a summons on 
a parent or legal custodian who has previously been properly served with the 
dependency petition or who has appeared in the dependency proceeding. 
(D) 
The summons shall be served in the same manner as 
service of a dependency petition as required by law. 
(E) 
Service by publication of the motion shall not be 
required. 
(F) 
If the location of the party to be served is unknown, the 
court may enter an order granting the motion only if the movant has properly 
served the person subject to the motion, the person subject to the motion has 
appeared in the proceeding, or the movant has conducted a diligent search and filed 
with the court an affidavit of diligent search. 
(G) 
Personal appearance of any person in a hearing before the 
court on the motion eliminates the requirement for serving process upon that 
person. 
(f) 
Preliminary Hearing on Motion.   
(1) 
The court must conduct a preliminary hearing and determine 
whether the parent or legal custodian who is the subject of the motion: 
(A) 
has been properly served with the summons or notice, 
and with copies of the motion and initial order of adjudication of dependency; 
(B) 
is represented by counsel or is entitled to appointed 
counsel as provided by law; and 
 
- 33 - 
(C) 
wishes to challenge the motion or consent to the court 
granting the motion. 
(2) 
If the parent or legal custodian who is the subject of the motion 
wishes to challenge the motion or if the parent or legal custodian was properly 
served and fails to appear at the preliminary hearing, the court must schedule an 
evidentiary hearing on the motion within 30 days. 
(3) 
If the parent or legal custodian who is the subject of the motion 
wishes to consent to the motion without admitting or denying the allegations of the 
motion, the court shall enter an order supplementing the initial order of 
adjudication of dependency based on the sworn allegations of the motion. 
(g) 
Evidentiary Hearing.  
(1) 
Hearing Procedures. The hearing shall be conducted in the 
same manner and with the same procedures as the adjudicatory hearing on the 
dependency petition as provided in these rules. 
(2) 
Motion for Judgment Denying Motion. In all proceedings, if 
at the close of the evidence for the movant, the court is of the opinion that the 
evidence is insufficient to warrant findings that a parent or legal custodian 
contributed to the dependency status of the child pursuant to the statutory 
definition of a dependent child, it may, and on the motion of any party must, enter 
an order denying the motion for insufficiency of the evidence. 
(3) 
Denial of Motion. If the court, at the conclusion of the 
evidence, finds that the allegations in the motion have not been sustained, the court 
shall enter an order denying the motion. 
(4) 
Granting of the Motion. If the court finds that the movant has 
proven the allegations of the motion, the court shall enter an order granting the 
motion as provided in these rules. 
(h) 
Supplemental Order of Adjudication. 
(1) 
If the parent or legal custodian consents to the motion and its 
allegations or if the court finds that the movant has proven the allegations of the 
motion at an evidentiary hearing, the court shall enter a written order granting the 
motion and specifying facts that support findings that a parent or legal custodian 
contributed to the dependency status of the child pursuant to the statutory 
 
- 34 - 
definition of a dependent child and stating whether the court made the finding by a 
preponderance of the evidence or by clear and convincing evidence. 
(2) 
If necessary, the court shall schedule a supplemental disposition 
hearing within 15 days. 
(3) 
The court shall advise the parent who is the subject of the 
motion that if the parent fails to substantially comply with the case plan, parental 
rights may be terminated. 
(4) 
If the child is in out-of-home placement, the court shall inquire 
of the parents whether the parents have relatives who might be considered as 
placement for the child. The parents shall provide to the court and to all parties the 
identity and location of the relatives. 
(i) 
Supplemental Disposition Hearing. 
(1) 
Hearing. If necessary, the court shall conduct a supplemental 
disposition hearing pursuant to the same procedures for a disposition hearing and 
case plan review hearing as provided by law. 
(2) 
Supplemental Predisposition Study and Case Plan. 
(A) 
A written case plan and a predisposition study prepared 
by an authorized agent of the department must be filed with the court, served upon 
the parents of the child, provided to the representative of the guardian ad litem 
program, if the program has been appointed, and provided to all other parties not 
less than 72 hours before the supplemental disposition hearing. 
(B) 
The court may grant an exception to the requirement for 
a predisposition study by separate order or within the judge's order of disposition 
upon a finding that all the family and child information required by law is available 
in other documents filed with the court. 
(3) 
Supplemental Order of Disposition. The court shall in its 
written supplemental order of disposition include: 
(A) 
the placement or custody of the child; 
(B) 
special conditions of placement and visitation; 
 
- 35 - 
(C) 
evaluation, counseling, treatment activities, and other 
actions to be taken by the parties, when ordered; 
(D) 
the names of the supervising or monitoring agencies, and 
the continuation or discharge of the guardian ad litem, when appropriate; 
(E) 
the date, time, and location for the next case review as 
required by law; 
(F) 
child support payments, if the child is in an out-of-home 
placement; 
(G) 
if the child is placed in foster care, the reasons why the 
child was not placed in the legal custody of an adult relative, legal custodian, or 
other adult approved by the court; 
(H) 
approval of the case plan or direction to amend the case 
plan within 30 days; and 
(I) 
such other requirements as are deemed necessary to 
protect the health, safety, and well-being of the child. 
 
- 36 - 
RULE 8.350. 
PLACEMENT OF CHILD INTO RESIDENTIAL 
TREATMENT CENTER AFTER ADJUDICATION OF 
DEPENDENCY 
(a) 
Placement. 
(1) – (10) [No Change]  
(11) Hearing on Placement. 
(A) 
At the hearing, the court shall consider, at a minimum, all 
of the following: 
(i) 
based on an independent assessment of the child, 
the recommendation of a department representative or authorized agent that the 
residential treatment or hospitalization is in the child’s best interest and a showing 
that the placement is the least restrictive available alternative; 
(ii) 
the recommendation of the guardian ad litem; 
(iii) a case review committee recommendation, if there 
has been one; 
(iviii) the written findings of the evaluation and 
suitability assessment prepared by a qualified evaluator; and 
(viv) the views regarding placement in residential 
treatment that the child expresses to the court. 
(B) 
All parties shall be permitted to present evidence and 
witnesses concerning the suitability of the placement. 
(C) 
If the court determines that the child is not suitable for 
residential treatment, the court shall order the department to place the child in the 
least restrictive setting that is best suited to meet the child’s needs. 
(b) – (d)  [No Change] 
 
 
- 37 - 
RULE 8.517. 
WITHDRAWAL AND APPOINTMENT OF COUNSEL  
(a) 
Order Adjudicating Child Dependent or Terminating Parental 
Rights. After an order of adjudication of dependency, an order of disposition, or an 
order terminating parental rights has been entered, the counsel of record for a 
parent or legal custodian in a dependency proceeding or a parent in a termination 
of parental rights proceeding shall not be permitted to withdraw as counsel of 
record until the following have occurred: 
(1) 
The attorney certifies that the attorney has discussed appellate 
remedies with the parent or legal custodian. 
(A) 
The attorney certifies that after discussing appellate 
remedies with the parent or legal custodian, the parent or legal custodian does not 
want to appeal the order; or 
(B) 
The attorney certifies that after discussing appellate 
remedies with the parent or legal custodian, the parent or legal custodian wants to 
appeal the order, and 
(i) 
a notice of appeal containing the signatures of 
counsel and the parent or legal custodian has been filed; 
(ii) 
directions to clerk, if necessary, have been filed; 
(iii) 
a motion to transcribe the requisite proceedings 
has been filed; 
(iv) 
a designation to the court reporter specifying the 
proceedings that must be transcribed in order to obtain review of the issues on 
appeal and designating the parties to receive a copy of the transcripts has been 
filed; and 
(v) 
an order appointing appellate counsel, if any, has 
been entered. 
Conformed copies of each of these documents shall be attached to the motion to 
withdraw. 
 
- 38 - 
(2) 
If the attorney has been unable to contact the parent or legal 
custodian regarding appellate remedies, the attorney certifies the efforts made to 
contact the parent or legal custodian. 
(b) 
Service of Order Appointing Counsel.  Following rendition of an 
order appointing appellate counsel, the court shall serve a copy of the order on the 
appointed appellate counsel and the clerk of the appellate court. 
 
- 39 - 
FORM 8.908.  
SUMMONS 
SUMMONS 
STATE OF FLORIDA 
TO ...................., .....a child/children..... and ...................., .....parent(s)/custodian.....: 
A petition under oath has been filed in this court alleging the above-named 
.....child/children..... to be .................... under the laws of the State of Florida, a copy of which 
was attached hereto;  
You are to appear before the Honorable ...................., Circuit Judge, at ..... m., on 
.....(date)....., at the county courthouse of .................... County, at ...................., Florida for the 
hearing of this petition. The .....parent(s)/custodian..... .....is/are..... required to produce the 
.....child/children..... at that time and place unless the .....child/children..... .....is/are..... in 
detention or shelter care at that time. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
If you are a person with a disability who needs any accommodation to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, telephone number)..... within two working days of your 
receipt of this summonsat least 7 days before your scheduled court appearance, or 
immediately upon receiving this notification if the time before the scheduled appearance is 
less than 7 days. If you are hearing or voice impaired, call 711. 
You may be held in contempt of court if you fail to appear. 
WITNESS my hand and seal of this court at .................... County, Florida, on 
.....(date)...... 
 
 
 
 
 
…………………, Clerk of Circuit Court 
 
 
 
 
 
………………… County, Florida 
 
 
 
 
 
By:  
 
 
 
 
, D.C. 
 
- 40 - 
FORM 8.929.  
DETENTION ORDER 
DETENTION HEARING ORDER 
Pick up order for absconding from: 
..... 
home detention 
..... 
probation 
..... 
commitment 
..... 
other: .................. 
Present before the court: 
..... 
the child; 
..... 
.....(name)....., Assistant State Attorney; 
..... 
.....(name)....., Assistant Public Defender/defense attorney; 
..... 
.....(name)....., parent/legal guardian; 
..... 
.....(name)....., DJJ juvenile probation officer; 
..... 
.....(name)....., Department of Children and Family Services 
..... 
.....(name)....., guardian ad litem 
DJJ Supervision status: 
..... 
None 
..... 
Home detention 
..... 
Probation 
..... 
Committed to ..... level 
..... 
CINS/FINS 
..... 
Conditional release 
Other court involvement: 
Dependency:  
..... Yes 
..... No  
..... Unknown 
Domestic relations: 
..... Yes 
..... No  
..... Unknown 
Domestic violence: 
..... Yes 
..... No  
 
..... Unknown 
The court finds that the child was taken into custody at ..... a.m./p.m., on .....(date)...... 
Probable cause that the child committed delinquent acts was: 
..... 
found. 
..... 
not found. 
..... 
reset within 48 hours of custody. 
Risk assessment instrument (RAI) score: .......... 
Score amended to: .......... 
..... 
Meets detention criteria. 
IT IS ORDERED that the above-named child be: 
..... 
released to the custody of .....(name)...... 
..... 
held in secure detention for domestic violence charge under section 985.245, 
Florida Statutes. 
The court finds: 
..... 
respite care is not available for the child; and 
 
- 41 - 
..... 
it is necessary to place the child in secure detention to protect the  
 
victim from injury. 
..... 
detained by the Department of Juvenile Justice in 
..... 
home detention. 
..... 
home detention with electronic monitoring. 
..... 
secure detention. 
with the following special conditions: 
..... 
attend school regularly. 
..... 
attend evaluation as follows: 
..... 
physical. 
..... 
psychological. 
..... 
ADM. 
..... 
other ..................... 
..... 
no (..... harmful) contact with .....(name)...... 
..... 
drug testing. 
..... 
no drug and alcohol use. 
..... 
other: .................... 
..... 
released from detention and returned to the child’s nonresidential 
commitment program. 
Reasons for court ordering more restrictive placement than RAI score: .................... 
It is FURTHER ORDERED that unless an adjudicatory hearing has begun or a 
subsequent modification order is entered, the child shall be released no later than 5:00 p.m. on 
.....(date)..... to .....(name(s))....., who is/are ..... the parent(s) ..... a relative ..... foster care ..... 
.................... program ..... .....him/her..... self ..... other ..................... 
IT IS FURTHER ORDERED under section 985.039, Florida Statutes 
..... 
The parent/guardian of the child, .....(name)....., shall pay to the Department of Juvenile 
Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $5 per day for each day the 
juvenile is in secure detention. 
..... 
The parent/guardian of the child, .....(name)....., shall pay to the Department of Juvenile 
Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $1 per day for each day the 
child is in home detention. 
..... 
The parent/guardian of the child, .....(name)....., shall pay to the Department of Juvenile 
Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, a REDUCED rate of $..... 
per day for each day the child is in detention status. This 8.965 reduced fee is based on 
the court’s finding  
..... 
that the parent/guardian was the victim of the delinquent act or violation of law 
for which the child is currently detained and is cooperating in theinvestigation of 
the offense; or  
 
- 42 - 
..... 
of indigency or significant financial hardship. The facts supporting this finding 
are:.................... 
.... 
The parent/guardian of the child, .....(name)....., .....(address)....., shall be liable for ..... % 
of the payment. The parent/guardian of the child, .....(name)....., .....(address)....., shall be 
liable for .....% of the payment. 
..... 
The .....supervision fee/cost of care..... is WAIVED based on the court’s finding 
..... 
that the parent/guardian was the victim of the delinquent act or violation of law 
for which the child is currently detained and is cooperating in the investigation of 
the offense; or 
..... 
of indigency or significant financial hardship. The facts supporting this finding 
are: .................... 
If the child’s case is dismissed or if the child is found not guilty of the charges or court 
order, then the parent/guardian shall not be liable for fees under this order. 
Unless modified by subsequent notice, the NEXT COURT APPEARANCE: 
..... 
will be at .....(time)..... on .....(date)..... at .....(location)....... 
..... 
is to be set. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
If you are a person with a disability who needs any accommodation in order to participate 
in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
Note: The child’s parent/legal guardian shall advise Clerk’s Office and DJJ of any address 
change. 
..... 
Department of Juvenile Justice shall transfer the child to .................... Detention Center. 
...... 
Other: ...................... 
DONE AND ORDERED in ................. County, Florida at .......... a.m./p.m. on 
.....(date)..... 
 
 
 
 
 
 
Circuit Judge 
Copies to: .................... 
 
- 43 - 
FORM 8.947 DISPOSITION ORDER — DELINQUENCY 
DISPOSITION ORDER 
A petition was filed on .....(date)....., alleging .....(name)....., ..... age, to be a delinquent 
child. The court finds that it has jurisdiction of the proceedings. 
Present before the court were: 
..... 
the child; 
..... 
.....(name)....., Assistant State Attorney; 
..... 
.....(name)....., Assistant Public Defender/defense attorney; 
..... 
.....(name)....., guardian; 
..... 
.....(name)....., DJJ juvenile probation officer. 
At the hearing on .....(date)....., after .....entry of a plea/an adjudicatory hearing....., the 
child was found to have committed the delinquent acts listed below: 
 
Count Count Count Count 
Charge  
 
.......... .......... .......... .......... 
Lesser  
 
.......... .......... .......... .......... 
Maximum 
 
.......... .......... .......... .......... 
Degree  
 
.......... .......... .......... .......... 
Guilty  
 
.......... .......... .......... .......... 
Nolo contendere 
.......... .......... .......... .......... 
Nolle prosse  
.......... .......... .......... .......... 
Adjudicated 
 
.......... .......... .......... .......... 
Adj. withheld  
.......... .......... .......... .......... 
The predisposition report was .....received and considered/waived by the child...... 
The court, having considered the evidence and comments offered by those present, 
having inquired, and being otherwise fully advised in the premises ORDERS THAT: 
..... 
Adjudication of delinquency is withheld. 
..... 
The child is adjudicated delinquent. 
..... 
The child is committed to a ….. licensed child caring agency ….. the Department of 
Juvenile Justice for placement in: 
..... 
a minimum-risk nonresidential commitment program, for an indeterminate period, but no 
longer than the child’s 21st birthday or the maximum term of imprisonment an adult may 
serve for each count listed above, whichever comes first. 
….. 
a ….. low- or ….. moderate-risk commitment program, for an indeterminate period, but 
no longer than the child’s 21st birthday or the maximum term of imprisonment an adult 
may serve for each count listed above, whichever comes first, because: 
….. 
the child is before the court for disposition of a felony; 
 
- 44 - 
….. 
the child has previously been adjudicated for a felony offense; 
….. 
the child previously has been adjudicated or had adjudication withheld for three or 
more misdemeanor offenses; 
….. 
the child is before the court for disposition for a violation of sections 800.03, 
806.031, or 828.12, Florida Statutes; or 
….. 
the court finds by a preponderance of the evidence that the protection of the 
public requires such placement or that the particular needs of the child would be 
best served by such placement. The facts supporting this finding are: 
…………………………… 
….. 
a high-risk commitment program for an indeterminate period, but no longer than the 
child’s 21st birthday or the maximum term of imprisonment an adult may serve for each 
count listed above, whichever comes first, because the child is before the court for 
disposition of a felony. 
….. 
a maximum-risk commitment program, for an indeterminate period, but no longer than 
the child’s 21st birthday or the maximum term of imprisonment an adult may serve for 
each count listed above, whichever comes first, because the child meets the criteria in 
section 985.465 or 985.494, Florida Statutes. 
….. 
The child is allowed ….. days credit for time spent in secure detention or incarceration 
before this date. 
The child shall be placed on 
….. 
home detention ….. with/without ….. electronic monitoring until placement. 
….. 
secure detention until placement. 
..... 
The court has orally pronounced its reasons for adjudicating and committing this child. 
..... 
The court retains jurisdiction to accept or reject the discharge of this child from 
commitment, as provided by law. 
..... 
The child is placed on post-commitment juvenile probation for an indefinite period not to 
exceed the child’s 19th birthday or the maximum term of imprisonment an adult could 
receive for each count listed above, whichever comes first. 
..... 
JUVENILE PROBATION: The child is .....placed on/continued in..... juvenile probation 
under supervision of .....the Department of Juvenile Justice/.....(name)..... and 
….. 
the court having withheld adjudication of delinquency, for an indefinite period not 
to exceed the child’s 19th birthday. 
 
- 45 - 
….. 
the court having adjudicated the child delinquent, for an indefinite period not to 
exceed the child’s 19th birthday or the maximum term of imprisonment an adult 
could receive for each count listed above, except for a second degree 
misdemeanor, six months, whichever comes first. 
..... 
DISMISS: The case is dismissed. 
..... 
Disposition on each count is .....concurrent/conecutive...... 
..... 
This case disposition is .....concurrent/consecutive.... with case number ........... 
GENERAL CONDITIONS OF JUVENILE PROBATION. The child shall abide by all of the 
following conditions: 
1. The child shall obey all laws. 
2. The child shall be employed full-time or attend school with no unexcused absences, 
suspensions, or disciplinary referrals. 
3. The child shall not change or leave .....his/her.... residence, school, or place of 
employment without the consent of .....his/her..... parents and juvenile probation officer. 
4. The child shall answer truthfully all questions of .....his/her..... juvenile probation officer 
and carry out  all instructions of the court and juvenile probation officer. 
5. The child shall keep in contact with the juvenile probation officer in the manner 
prescribed by the juvenile probation officer. 
6. The child shall not use or possess alcoholic beverages or controlled substances. 
SPECIAL CONDITIONS OF JUVENILE PROBATION. The child shall abide by all of the 
conditions marked below: 
..... 
Restitution is ordered. Parent and child are responsible, ..... jointly and severally. 
..... 
Amount is reserved. 
..... 
$.......... to be paid to .....(name)...... Payments shall begin .....(date)..... and continue at the 
rate of $.......... each month. 
..... 
The court retains jurisdiction under Chapter 985, Florida Statutes, to enforce its 
restitution order, regardless of the age of the child. 
..... 
Community Service. ..... hours are to be performed by the child at the rate of ..... hours 
per month. Written proof is to be provided to the juvenile probation officer. 
..... 
A letter of apology to be written by the child to .....(name)..... within ..... days. The letter 
must be a minimum of ..... words. 
 
- 46 - 
..... 
A ..... word essay to be written by the child on .....(subject).... and provided to the juvenile 
probation officer within 30 days. 
..... 
The child may have no .......... contact with victim(s), .....(name(s))...... 
..... 
A .....mental health/substance abuse..... evaluation to be completed by the child within ..... 
days. The child will attend and participate in every scheduled appointment and 
successfully attend and complete any and all recommended evaluations and treatment. 
..... 
The parent(s) .....is/are..... to complete counseling in .......... 
..... 
A curfew is set for the child at .......... p.m. Sunday through Thursday and .......... p.m. 
Friday and Saturday. 
..... 
 
The child’s driver’s license is .....suspended/ revoked/withheld..... for .....(time 
period)...... 
..... 
The child is to complete a .....detention/jail/ prison.... tour within ...... days. 
..... 
The child will be subject to random urinalysis. 
..... 
The child will be electronically monitored. 
..... 
The child will successfully complete all sanctions of the original juvenile probation order. 
..... 
Other: .............................................................. 
..... 
The child must pay court costs of $......, as specified below. 
GUN CHARGES 
..... 
The court finds that one of the above charges involves the use or possession of a firearm 
and further ORDERS the following: 
..... 
The child’s driver’s license is .....suspended/ revoked..... for …..1/2….. years. 
..... 
The child is to serve .....5/10.... days in the Juvenile Detention Center. 
THE COURT FURTHER FINDS AND ORDERS: 
….. 
The child must: 
….. 
pay $........., the Crime Compensation Trust Fund fee, under section 938.03, 
Florida Statutes; 
….. 
pay $........., the Teen Court cost, under section 938.19, Florida Statutes (if 
authorized by county ordinance); 
 
- 47 - 
….. 
pay $........., the Public Defender application fee, under section 27.52, Florida 
Statutes; 
….. 
pay $........., the Public Defender attorney fee, under section 938.29, Florida 
Statutes; 
….. 
pay $………, other costs, under section(s) ………., Florida Statutes. 
….. 
The child has been adjudicated delinquent and the child is required to pay $..... an 
additional cost, under section 939.185, Florida Statutes, if authorized by county 
ordinance. 
….. 
The child has been adjudicated delinquent and assessed a fine and the child is required to 
pay $.......... to the Crime Prevention Trust Fund, under section 775.083(2), Florida 
Statutes. 
….. 
The child has committed an enumerated crime against a minor and the child is required to 
pay $.........., under section 938.10, Florida Statutes.  
..... 
The child has violated Cchapter 794, Florida Statutes (sexual battery) or chapter 800 
(lewdness; indecent exposure) and is ordered to make restitution to the Crimes 
Compensation Trust Fund under section 960.28(5), Florida Statutes, for the cost of the 
forensic physical examination. 
..... 
The child .....has been adjudicated delinquent/has entered a plea of no contest/has entered a 
plea of guilty..... to ana felony or an enumerated misdemeanor, offense under Cchapter 794 
or 800, sections 782.04, 784.045, 810.02, 812.133, 812.135, Florida Statutes, or any other 
offense specified in section 943.325, Florida Statutes, and the child is required to submit 
blood specimens under section 943.325, Florida Statutes. 
..... 
Under section 985.039, Florida Statutes: 
..... 
the parent/legal guardian, .....(name)....., shall pay to the Department of Juvenile 
Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $5 per day for each 
day the child is in residential commitment. 
..... 
the parent/legal guardian, .....(name)....., shall pay to the Department of Juvenile 
Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $1 per day for each 
day the child is on probation, nonresidential commitment, or conditional release. 
..... 
the parent/legal guardian, .....(name)....., shall pay to the Department of Juvenile 
Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, a REDUCED fee of 
$..... per day for each day the child is in the custody of or supervised by the 
department. This reduced fee is based on the court’s finding: 
..... 
that the parent/legal guardian was the victim of the delinquent act or 
violation of law for which the child is currently before the court and is 
cooperating in the investigation of the offense. 
 
- 48 - 
..... 
of indigency or significant financial hardship. The facts supporting this 
finding are: ................................ 
..... 
The cost of care/supervision fee  is WAIVED based on the court’s finding: 
..... 
that the parent/legal guardian was the victim of the delinquent act or 
violation of law for which the child is currently before the court and is 
cooperating in the investigation of the offense. 
..... 
of indigency or significant financial hardship. The facts supporting this 
finding are: ................................. 
..... 
The parent/guardian, .....(name)....., .....(address)....., shall be liable for .....% of the 
payment. The parent/guardian, .....(name)....., .....(address)....., shall be liable for .....% of 
the payment. 
The child is placed on notice that the court may modify the conditions of .....his/her.... 
juvenile probation at any time and may revoke the juvenile probation if there is a violation of the 
conditions imposed. 
The parties are advised that an appeal is allowed within 30 days of the date of this order. 
DONE AND ORDERED in .....(city)....., .......... County, Florida on .....(date)....., at ..... 
a.m./p.m. 
 
 
 
 
 
 
 
Circuit Judge 
Copies to: 
 
- 49 - 
FORM 8.952.  
FINDINGS FOR JUVENILE SEXUAL OFFENDER 
REGISTRATION  
 
REQUIRED FINDINGS FOR JUVENILE SEXUAL OFFENDER REGISTRATION 
The following findings are to be made for adjudications of delinquency made on or after 
July 1, 2007, for committing, or attempting, soliciting, or conspiring to commit any of the 
following offenses, when the offender is 14 years of age or older at the time of the offense. 
Check the appropriate charge and make the corresponding findings: 
Date of the offense: .................... 
Offender’s age at date of offense: .................... 
Victim’s age at date of offense: .................... 
..... 
F.S. 794.011: Sexual Battery:  Oral, anal, or vaginal penetration by, or union with, the 
sexual organ of another, or the anal or vaginal penetration of another by any other object. 
(Sexual offender registration is required if the offender is 14 years of age or older at the 
time of the offense.) 
..... 
F.S. 800.40(4)(b): Lewd or Lascivious Battery:  Encouraging, forcing, or enticing any 
person less than 16 years of age to engage in sadomasochistic abuse, sexual bestiality, 
prostitution, or any other act involving sexual activity. 
(Sexual offender registration is required if the offender is 14 years of age or older at the 
time of the offense and at least one of the lines below is checked “Yes.”) 
Was the victim under the age of 12 at the time of the offense?  Yes .....  No ..... 
Did the sexual activity involve force or coercion?  Yes .....  No ..... 
..... 
F.S. 800.04(5)(d): Lewd or Lascivious Molestation – Victim 12-15: Intentionally 
touching the breasts, genitals, genital area, buttocks, or the clothing covering them, of a 
person 12 years of age or older but less than 16 years of age, or forcing or enticing a 
person less than 16 years of age to so touch the perpetrator. 
(Sexual offender registration is required if the offender is 14 years of age or older at the 
time of the offense and both boxes below are checked “Yes.”) 
Did the sexual activity involve unclothed genitals?  Yes .....  No ...... 
Did the sexual activity involve force or coercion?  Yes .....  No ..... 
..... 
F.S. 800.04(5)(c): Lewd or Lascivious Molestation – Victim under 12:  Intentionally 
touching the breasts, genitals, genital area, buttocks, or the clothing covering them, of a 
person less than 12 years of age, or forcing or enticing a person less than 12 years of age 
to so touch the perpetrator. 
 
- 50 - 
(Sexual offender registration is required if the offender is 14 years of age or older at the 
time of the offense and the box below is checked “Yes.”) 
Did the sexual activity involve unclothed genitals?  Yes ......  No ...... 
(Check one only) 
SEXUAL OFFENDER REGISTRATION IS REQUIRED ...... 
SEXUAL OFFENDER REGISTRATION IS NOT REQUIRED ...... 
DONE AND ORDERED ON .....(date)..... 
 
 
 
 
 
 
 
 
 
 
Circuit Judge 
 
- 51 - 
FORM 8.959.  
SUMMONS FOR DEPENDENCY ARRAIGNMENT 
SUMMONS AND NOTICE OF HEARING 
STATE OF FLORIDA 
TO: .....(name and address of person being summoned)..... 
.....(Petitioner’s name)..... has filed in this court a petition, alleging under oath that the 
above-named child(ren) is/are dependent under the laws of the State of Florida and requesting 
that a summons issue in due course requiring that you appear before this court to be dealt with 
according to law. A copy of the petition is attached to this summons. 
You are to appear before this Court at .....(location of hearing)....., at .....(time and date of 
hearing)...... 
FAILURE TO PERSONALLY APPEAR AT THE ARRAIGNMENT HEARING 
CONSTITUTES CONSENT TO THE ADJUDICATION OF THIS CHILD (OR 
CHILDREN) AS A DEPENDENT CHILD (OR CHILDREN) AND MAY ULTIMATELY 
RESULT IN LOSS OF CUSTODY OF THIS CHILD (OR CHILDREN). 
IF YOU FAIL TO APPEAR YOU MAY BE HELD IN CONTEMPT OF COURT. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
If you are a person with a disability who needs any accommodation to participate in this 
proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please 
contact .....(name, address, telephone number)..... within two working days of your receipt 
of this summonsat least 7 days before your scheduled court appearance, or immediately 
upon receiving this notification if the time before the scheduled appearance is less than 7 
days. If you are hearing or voice impaired, call 711. 
Witness my hand and seal of this court at .....(city, county, and state)....., on .....(date)...... 
CLERK OF COURT 
BY:  
 
 
 
 
 
 
DEPUTY CLERK 
 
NOTIFICACIÓN Y CITACIÓN 
PARA LA AUDIENCIA 
ESTADO DE LA FLORIDA 
PARA:  
 
 
 
 
 
 
(Nombre y dirección de la persona a ser citada) 
CONSIDERANDO, que  
 
 
 
 
 
 
 
 
 
 
 
 
(Nombre del(a) demandante) 
ha interpuesto en este Juzgado una petición en la cual alega bajo juramente la dependencia 
 
- 52 - 
del(los) niño(s) según las leyes del Estado de la Florida, adjuntándose copia de la misma, y está 
solicitando la emisión oportuna de una citación para exigir su comparecencia ante este juzgado 
para tratar el asunto conforme a la ley. 
POR LO TANTO, se le ordena comparecer ante este Juzgado en 
 
 
 
 
 
 
 a las   
 
 
 
 
 
 
 
(lugar de la audiencia) 
 
 
 
 (hora y fecha de la audiencia) 
SI USTED NO COMPARECE PERSONALMENTE A LA AUDIENCIA INCOATORIA, 
ESTO SIGNIFICARÁ QUE USTED ACCEDE A LA ADJUDICACIÓN DE 
DEPENDENCIA DE ESTE(OS) NIÑO(S) Y FINALMENTE, PODRÁ RESULTAR EN LA 
PERDIDA DE LA TUTELA DEL(OS) NIÑO(S). 
SI USTED NO COMPARECE, SE LO PODRÁ JUZGAR EN DESACATO DEL TRIBUNAL. 
De acuerdo con la Ley de Americanos con Incapacidades de 1990 (ADA), las personas 
incapacitadas quienes, por sus incapacidades, necesitan acomodos especiales para 
participar en esto proceso deben ponerse en contacto con un coordinador de ADA en el 
.......... no mas tarde de 2 dias laborables  antes de tal proceso para recibir asistencia. El 
numero para el Servicio de Interpretación de la Florida para Personas Sordas es el 1-800-
955-8771.Si usted es una persona con una discapacidad que necesita cualquier tipo de trato 
especial para participar en este procedimiento, usted tiene derecho, sin costa alguno para 
usted, para la presetación de asistencia determinadas. Póngase en contacto con 
…..(nombre, dirección, número de teléfono)….. por lo menos 7 dias antes la aparición en la 
corte programado, o immediatamente después de reciber esta notification, si el tiempo 
antes de la comparecencia prevista es inferiof a 7 dias. Si usted está oyendo o voz alterada, 
llame al 711. 
Firmado y sigilado en este Juzgado en _____________________________ 
 
 
 
 
 
 
 
(ciudad, condado y estado) 
el___________ 
 
(fecha) 
ESCRIBANO DEL TRIBUNAL 
POR:   
 
 
 
 
ESCRIBANO DELEGADO 
 
MANDA AK AVÈTISMAN POU 
YON CHITA TANDE 
Leta Florid 
Pou: ....(non ak adrès pou moun yo voye manda-a)...... 
kÒm, tantiske, .....(non pati ki fé demann-nan).... fé yon demann devan tribinal-la, epi li sèmante 
timounnan (yo), swa dizan bezwen pwoteksyon leta dapre règ lalwa nan Leta Florid, yon kopi 
enfòmasyon sou akizasyon-an kwoke nan lèt sa-a. Yo mande pou yo sèvi-w ak yon manda 
touswit, ki pou fose-w prezante devan tribinal la pou yo ka koresponn avèk ou, dapre lalwa. 
 
- 53 - 
Alò, pou sa yo kòmande-w pou prezante devan tribinal sa-a, ki nan ....., (adrès tribinal-la) 
......, a .... (nan dat ak lè, chita tande-a) ..... 
SI OU PA PREZANTE PESONÈLMAN NAN CHITA TANDE-A, POU YO KA AVÈTI-W 
AK AKIZASYON OFISYÈL-LA, SA KA LAKÒZ YO DESIDE OU KONSANTI 
TIMOUN-NAN(YO), BEZWEN PWOTEKSYON LETA, EPI LI KA LAKÒZ OU PÈDI 
DWA-OU KÒM PARAN TIMOUN  SA-A(YO). 
SI OU PA PREZANTE, YO GEN DWA CHAJE-W, KÒMKWA OU MANKE TRIBINAL 
LA DEGA. 
An akò ak Lwa pou Ameriken ki Andikape yo de ane 1990 (ADA) a, moun ki andikape yo, 
ki poutèt andikap yo an, bezwen de aranjman spesyal pou yo ka patisipe nan deroulman 
yo, fèt pou rantre an knotak ak koòdinatè ADA a nan .......... pa pi ta ke non 2 jou travay ki 
vin anvan deroulman an pou yo ka resevwa asistans. Nimewo pou Sèvis Tradiksyon nan la 
Florid pou moun ki soud se 771.Si ou se yon moun infirm, ki beswen `ed ou ki bewsen ke o 
akomode w pou ou patispe nan pwosedi sa yo, ou genyen dwa, san ke ou pa peye, a setin 
`ed. Silvouple kontake …..(non, address, telephone)….. o moin 7 jou avan dat ou genyen 
rendevou pou ale nan tribunal, ou si le ou resevwa avi a, genyen mouins ke 7 jou avan date 
endevou tribunal la. Ou si ou pa tande pale, rele nan nimerro sa 711. 
Mwen siyen non mwen, epi mete so mwen, nan dokiman tribinal-la sa-a, kòm temwen, 
nan (vil, distrik, eta) ...., nan .....(dat)...... 
GREFYE TRIBINAL-LA 
PA:  
 
 
 
 
 
 
Asistan Grefye Tribinal-la 
 
- 54 - 
FORM 8.960. SHELTER PETITION 
AFFIDAVIT AND PETITION FOR 
PLACEMENT IN SHELTER 
COMES NOW, the undersigned, who being first duly sworn says: 
1. 
On .....(date)..... at .......... a.m./p.m. the above named minor child(ren) was/were 
found within the jurisdiction of this court. 
..... 
The child(ren) was/were taken into custody by ............................... 
..... 
The child(ren) need(s) to be taken into protective custody. 
2. 
The name, age, and residence of this/these child(ren) is/are: 
Name   
Birth date  
Sex  
Address 
....................  ............... 
..........  ..................... 
....................  ............... 
.......... ..................... 
....................  ............... 
..........  ..................... 
3. 
The name, relationship to the child(ren), and address of the child(ren)’s parents or 
other legal custodian(s) is/are: 
Name   
Relationship  Address 
..................... ..................... .................... 
.....................  ..................... .................... 
4. 
The following individuals who were listed in #3 above have been notified in the 
following manner of the date, time, and location of this hearing: 
Name   
 
 
Manner Notified 
..................................... 
..................................... 
..................................... 
..................................... 
..................................... 
..................................... 
The following individuals who were listed in #3 above have not been notified of this 
hearing: 
Name   
 
 
Reason 
..................................... 
..................................... 
..................................... 
..................................... 
..................................... 
..................................... 
5. 
There is probable cause that the child(ren)  
..... a. has/have been abused, abandoned, or neglected or is/are in imminent danger of 
illness or injury as a result of abuse, abandonment, or neglect; 
..... b. was/were with a parent or legal custodian who has materially violated a condition 
of placement imposed by the court; 
..... c. has/have no parent, legal custodian, or responsible adult relative immediately 
known and available to provide supervision and care; because .................... 
6. 
The provision of appropriate and available services will not eliminate the need for 
placement of the child(ren) in shelter care because: 
 
- 55 - 
..... a. an emergency existed in which the child(ren) could not safely remain in the home; 
..... b. the home situation presents a substantial and immediate danger to the child(ren) 
which cannot be mitigated by the provision of preventive services; 
..... c. the child(ren) could not be protected in the home despite the provision of the 
following services and efforts made by the Department of Children and Family 
Services to prevent or eliminate the need for placement in shelter care; 
..... d. The child(ren) cannot safely remain at home because there are no preventive 
services that can ensure the safety of the child(ren). 
7. 
The child(ren) is/are in need of and the petitioner requests the appointment of a 
guardian ad litem. 
8. 
The petitioner requests that the parents, if able, be ordered to pay fees for the care, 
support, and maintenance of the child(ren) as established by the department under chapter 39, 
Florida Statutes. 
9. 
The petitioner requests that the parents be ordered to provide to the Department of 
Children and Family Services and the Department of Revenue financial information necessary to 
accurately calculate child support under section 61.30, Florida Statutes, within 28 days of this 
order. 
10. 
This affidavit and petition is filed in good faith and under oath. 
WHEREFORE, the affiant requests that this court order that this/these child(ren) be 
placed in the custody of the department until further order of this court and that the place of such 
custody shall be:  
..... 
at the discretion of the Department of Children and Family Services; 
..... 
at the home of a responsible adult relative, .................................................., whose 
address is ...................................................................................... 
..... 
other ............................................................................................................. 
 
 
 
 
 
 
Moving Party 
  
 
 
 
 
.....attorney’s name..... 
.....address and telephone number..... 
.....Florida Bar number..... 
Verification 
NOTICE TO PARENTS/GUARDIANS/LEGAL CUSTODIANS 
A date and time for an arraignment hearing is normally set at this shelter hearing. If one 
is not set or if there are questions, you should contact the Juvenile Court Clerk’s office at 
................. A copy of the Petition for Dependency will be given to you or to your  attorney, if 
you have one. A copy will also be available in the clerk’s office. You have a right to have an 
attorney represent you at this hearing and during the dependency proceedings and an attorney 
will be appointed for you if you request an attorney and the court finds that you are unable to 
afford an attorney. 
 
- 56 - 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
 
If you are a person with a disability who needs any accommodation to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, telephone number)..... within two working days of your 
receipt of this summonsat least 7 days before your scheduled court appearance, or 
immediately upon receiving this notification if the time before the scheduled appearance is 
less than 7 days. If you are hearing or voice impaired, call 711. 
 
- 57 - 
FORM 8.961. 
 
SHELTER ORDER 
ORDER FOR PLACEMENT IN SHELTER 
THIS CAUSE came on to be heard under chapter 39, Florida Statutes, on the sworn 
AFFIDAVIT AND PETITION FOR PLACEMENT IN SHELTER CARE filed by 
.....(petitioner’s name)....., on .....(date)...... The following persons appeared before the court: 
..... 
Petitioner ................................................................ 
..... 
Petitioner’s attorney ............................................... 
..... 
Mother .................................................................... 
..... 
Father(s) ................................................................. 
..... 
Legal custodian(s) .................................................. 
..... 
Guardian ad litem ................................................... 
..... 
GAL attorney ......................................................... 
..... 
Other: ..................................................................... 
and the Court having reviewed its file and having been otherwise duly advised in the premises 
finds as follows: 
1. 
The minor child(ren), ............................................, was/were found within the 
jurisdiction of this court and is/are of an age subject to the jurisdiction of this court. 
2. 
PLACEMENT IN SHELTER. 
 
..... 
The minor child(ren) was/were placed in shelter on .....(date)..... at .......... 
a.m./p.m. by .....(name)....., a duly authorized agent of the department. 
..... 
The minor child(ren) need(s) to be placed in shelter at the request of the petitioner 
for the reasons stated in this order. 
3. 
PARENTS/CUSTODIANS. The parents/custodians of the minor child(ren) are: 
Name   
 
Address 
Mother: 
........................ 
........................ 
Father of .....(child’s name)..... 
........................ 
........................ 
Other: .....(relationship and to which child)..... 
........................ 
........................ 
4. 
INABILITY TO NOTIFY AND/OR LOCATE PARENTS/CUSTODIANS. The 
petitioner has made a good faith effort to notify and/or locate, but was unable to notify and/or 
locate .....(name(s))....., a parent or legal custodian of the minor child(ren). 
5. 
NOTIFICATION. Each parent/legal custodian not listed in #4 above was: 
..... 
duly notified that the child(ren) was/were taken into custody; 
..... 
duly notified to be present at this hearing; 
 
- 58 - 
..... 
served with a statement setting forth a summary of procedures involved in 
dependency cases; 
..... 
advised of their right to counsel; and 
..... 
was represented by counsel, .....(name)...... 
..... 
knowingly, voluntarily, and intelligently waived the right; or 
..... 
the court declined to accept the waiver because ............................... 
..... 
requested appointment of counsel, but the court declined appointment 
because he/she did not qualify as indigent. 
..... 
requested appointment of counsel and counsel was appointed. 
6. 
PROBABLE CAUSE. 
..... 
Based on the allegations in the Affidavit and Petition for Placement in Shelter, 
there is probable cause to believe that the child(ren) is/are dependent based on 
allegations of abuse, abandonment, or neglect or substantial risk of same. 
..... 
A finding of probable cause cannot be made at this time and the court requires 
additional information to determine the risk to the child(ren). The following 
information must be provided to the court during the continuation of this hearing: 
.....(information to be provided)...... This hearing is continued for 72 hours, until 
.....(date and time)...... The children will remain in shelter care. 
7. 
NEED FOR PLACEMENT. Placement of the child(ren) in shelter care is in the 
best interest of the child(ren). Continuation in the home is contrary to the welfare of the 
child(ren) because the home situation presents a substantial and immediate danger which cannot 
be mitigated by the provision of preventive services and placement is necessary to protect the 
child(ren) as shown by the following facts: 
..... 
the child(ren) was/were abused, abandoned, or neglected, or is/are  suffering from 
or in imminent danger of injury or illness as a result of abuse, abandonment, or 
neglect, specifically:............................................... 
..... 
the custodian has materially violated a condition of placement imposed by  
the 
court, specifically: ..................................................... 
..... 
the child(ren) has/have no parent, legal custodian, or responsible adult relative 
immediately known and available to provide supervision and care, specifically: 
............................................................................................ 
8. 
REASONABLE EFFORTS. 
..... 
Reasonable efforts to prevent or eliminate the need for removing the child(ren) 
from the home have been made by the department, which provided the following 
services to the family:............................................. 
..... 
The following specific services, if available, could prevent or eliminate the need 
for 
removal 
or 
continued 
removal 
of 
the 
child 
from 
the 
home 
............................................................................................ 
 
- 59 - 
 
..... 
The date these services are expected to be available is ................................ 
..... 
The department is deemed to have made reasonable efforts to prevent or eliminate 
the need for removal from the home because: 
..... 
The first contact with the department occurred during an emergency. 
..... 
The appraisal of the home situation by the department indicates a 
substantial and immediate danger to the child(ren) which cannot be 
mitigated by the provision of preventive services. 
..... 
The child(ren) cannot safely remain at home because no services exist that 
can ensure the safety of the child(ren). Services are not available because 
.................................................... 
..... 
Even with appropriate services, the child(ren)’s safety cannot be ensured. 
9. 
RELATIVE PLACEMENT 
..... 
The court asked any parents present whether the parents have relatives that might 
be considered as a placement for the child(ren). 
..... 
The court advised any parents present that the parents have a continuing duty to 
inform the department of any relative who should be considered for placement of 
the child.  
..... 
By this order, the court notifies the relatives who are providing out-of-home care 
for the child(ren) of the right to attend all subsequent hearings, to submit reports 
to the court, and to speak to the court regarding the child(ren), if they so desire. 
It is, therefore, ORDERED AND ADJUDGED, as follows: 
1. 
The child(ren) shall remain/be placed in the shelter custody of: 
..... 
the department, with the department having the discretion to shelter the child(ren) 
with a relative or other responsible adult on completion of a positive homestudy, 
abuse registry, and criminal background checks. 
..... 
Other: ..................................................................... 
2. 
The child(ren) ..... may ..... may not be returned to the parent/custodian without 
further order of this court. 
3. 
The Guardian Ad Litem Program is appointed. 
 
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4. 
The parents, within 28 days of the date of this order, shall provide to the 
department the information necessary to accurately calculate child support under section 61.30, 
Florida Statutes. The parents shall pay child support in accordance with Florida Statutes.  
5. 
The legal custodian, or in the absence of the legal custodian, the department and 
its agents, are hereby authorized to provide consent for and to obtain ordinary and necessary 
medical and dental treatment and examination for the above child(ren) including blood testing 
deemed medically appropriate, and necessary preventive care, including ordinary immunizations 
and tuberculin testing. 
6. 
Visitation with the child(ren) shall be as follows: 
............................................................................................................................ 
7. 
The parents shall provide to the court and all parties identification and location 
information regarding potential relative placements. 
8. 
The relatives who are providing out-of-home care for the child(ren) have the right 
to attend all subsequent hearings, to submit reports to the court, and to speak to the court 
regarding the child(ren), if they so desire  
9. 
IF THE PARENTS FAIL TO SUBSTANTIALLY COMPLY WITH THE 
CASE PLAN, THEIR PARENTAL RIGHTS MAY BE TERMINATED AND THE 
CHILD(REN)’S OUT-OF-HOME PLACEMENT MAY BECOME PERMANENT. 
10. 
Special conditions: .............................................. 
11. 
This court retains jurisdiction over this matter to enter any other and further 
orders as may be deemed to be in the best interest and welfare of this/these child(ren). 
12. 
If a Petition for Dependency is subsequently filed in this cause, the Arraignment 
Hearing is scheduled for .....(date)....., at .......... a.m./p.m. at .....(location of arraignment)...... 
The parents have a right to be represented by an attorney at the arraignment hearing and 
during the dependency proceedings. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
If you are a person with a disability who needs any accommodation in order to participate 
in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
ORDERED in ....................... County, Florida on ..... (date)....., at .......... a.m./p.m. 
 
 
 
 
 
 
 
Circuit Judge 
 
- 61 - 
FORM 8.963.  
INJUNCTION ORDER 
ORDER ON VERIFIED MOTION FOR 
CHAPTER 39 INJUNCTION 
THIS CAUSE came before this court on .....(date)....., pursuant to section 39.504, Florida 
Statutes. Present before the court were .....(name(s)).....; and the court having reviewed the 
verified motion, heard testimony and argument, and being otherwise fully advised in the 
premises finds: 
1. 
That this court has jurisdiction to issue an injunction in this cause. 
2. 
The minor children subject to this request are: 
Name   
 
 
 
Birth date 
................................................ 
................ 
................................................ 
................ 
................................................ 
................ 
................................................ 
................ 
3. 
.... 
…..(Name and address of person(s) against whom injunction is 
requested)..... was noticed of the hearing on this motion on  .....date...... 
..... 
This injunction is being issued without notice because .....(child(ren)’s 
name(s))..... is/are in imminent danger, in that .....(explain why there 
would be immediate and irreparable harm if the other party is given 
notice)..... 
4. 
 Reasonable cause for the issuance of an injunction ..... does ..... does not exist 
based on the following: ............................................................................................. 
5. 
..... (Name and address of person against whom injunction is requested)..... can be 
identified by the following: 
Race: ..... 
Gender: Male ..... Female ..... 
Date of Birth: ............... 
Height: ..... Weight: ..... Eye Color: ..... 
Hair Color: ............... 
Distinguishing marks and/or scars: ........................... 
Vehicle (make/model/year): ....................................... 
Color: ......................................................................... 
Tag Number: .............................................................. 
THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND 
ADJUDGED that: 
1. 
This court ..... grants ..... denies the motion for injunction. 
2. 
Until .....(   ) .....(date)...../(   ) modified or dissolved by this court....., Respondent, 
.....(name) and address)..... shall: 
 
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..... 
Refrain from further child abuse of the minor child(ren) or exposure of the 
child(ren) to acts of domestic violence. 
..... 
Participate in a specialized treatment program including ............................. 
..... 
Have limited contact with the children as follows: 
..... 
Supervised visitation with the child(ren). The visitation shall be supervised 
at all times by the Department or an adult approved by the Department or 
the court. The visitation shall occur on a schedule agreed by the parties 
and at the Department’s office, a supervised visitation center, or another 
place agreed by the parties. 
The frequency of the visitation shall be ............................................  
..... 
No contact with the child(ren) at home, school, work, or whereverthe 
child(ren) may be found except as otherwise provided by this order. 
..... 
Other conditions ..................... 
..... 
Pay $..... ( ) weekly ( ) biweekly ( ) monthly temporary support for  the 
( 
) 
child(ren) ( ) family members. 
..... 
Pay the costs of medical, psychiatric and psychological treatment for ( ) the 
child(ren) ( ) family members incurred as a result of the offenses described in the 
verified motion. 
..... 
Vacate the home in which .....(child(ren)’s name(s))..... resides(s) and not return 
until further order of the court. 
.....  
OTHER CONDITIONS: ........... 
3. 
Due to any domestic violence, the court hereby  
..... 
Awards the exclusive use and possession of the dwelling, .....(address)..... to the 
caregiver .....(name)..... or excludes Respondent from the residence of the 
caregiver. 
..... 
Awards temporary custody of the child(ren) to the caregiver, ....(name)...... 
4. 
This court retains jurisdiction over this cause to enter any further orders that may 
be deemed necessary for the best interest and welfare of the minor child(ren). 
5. 
All prior orders not inconsistent with the present Order shall remain in full force 
and effect. 
DONE AND ORDERED on .....(date)...... 
 
 
 
 
 
 
 
 
- 63 - 
 
 
Circuit Judge 
Copies furnished to: 
COMMENT: If injunction is issued ex parte, include the following: 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above styled cause on 
.....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)..... or as soon 
thereafter as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans With Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact the Office of the Court 
Administrator no later than 7 days before the proceeding at .....(telephonenumber)......If 
you are a person with a disability who needs any accommodation in order to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, and telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
 
- 64 - 
FORM 8.964.  
DEPENDENCY PETITION 
PETITION FOR DEPENDENCY 
COMES NOW, Petitioner, .....(name)....., by and through undersigned counsel, and 
petitions this court to adjudicate the above-named minor child(ren) to be dependent within the 
meaning and intent of chapter 39, Florida Statutes. As grounds, petitioner alleges the following: 
1. 
This court has jurisdiction over the minor child(ren), .....(name(s))....., a 
.....(gender)..... child, whose date(s) of birth is/are .........., and who, at the time the dependency 
arose, was/were in the custody of .....(name(s))...... 
2. 
The natural mother of the minor child(ren) is .....(name)....., a resident of 
.....(state)....., whose address is ..................... 
3. 
The father of the minor child(ren), .....(name(s))..... is .....(name)....., whose 
address is ...................................... ................................. The father ..... is ..... is not married to the 
mother, and ..... is ..... is not listed on the child(ren)’s birth certificate(s). The mother filed a 
Sworn Statement About Identity or Location of Father with this court on .....(date)....., which 
named ............................... as the father. 
4. 
The UCCJEA Affidavit ..... is attached ..... was filed with the Court on 
.....(date)..... and is incorporated by reference. 
5. 
The child(ren) is/are dependent within the meaning and intent of chapter 39, 
Florida Statutes, in that the mother/father/parents/legal custodian/caregiver(s) abused, 
abandoned, or neglected the minor child(ren) on or about .....(date)....., by: .................... and that 
these activities and environments cause the child(ren)’s physical, mental, or emotional health to 
be in danger of being significantly impaired. 
OR 
5. 
The above named child(ren) is/are presently under substantial risk or imminent 
threat of harm or abuse or neglect, within the meaning and intent of chapter 39, Florida Statutes, 
which is likely to cause the child(ren)’s physical health to be significantly impaired because 
..................... 
6. 
The department is unable to ensure the protection of the minor child(ren) without 
judicial intervention.  
7. 
The mother/father/parents has/have received the following services: ..................... 
8. 
A shelter hearing was held on .....(date)....., and the child(ren) was/were placed in 
the custody of ..................... 
9. 
An arraignment hearing 
 
..... 
needs to be scheduled. 
..... 
is scheduled for .....(date and time)...... 
 
- 65 - 
10. 
A guardian ad litem  
..... 
needs to be appointed. 
..... 
was appointed at the shelter hearing to represent the child(ren). 
11. 
Under chapter 39, Florida Statutes, the clerk of the court is required to issue a 
summons to the following parents or custodians: 
The natural mother, .....(name)....., whose address is ..................... 
The natural father, .....(name)....., whose address is ..................... 
.....(Additional fathers and their addresses)...... 
WHEREFORE, the petitioner asks that process may issue in due course to bring the 
above-named parties before the court to be dealt with according to the law, to adjudicate the 
named minor child(ren) named to be dependent. 
 
 
 
 
 
 
 
.....(Petitioner’s name)..... 
 
 
 
 
 
 
 
 
....(Attorney’s name)..... 
.....(address and telephone number)..... 
.....Florida Bar number..... 
Verification 
Certificate of service 
NOTICE OF RIGHTS 
PLEASE READ THIS PETITION BEFORE ENTERING THE COURTROOM. 
YOU HAVE A RIGHT TO HAVE COUNSEL PRESENT AT THIS HEARING. 
BY COPY OF THIS PETITION, THE PARENTS, CAREGIVERS, AND/OR LEGAL 
CUSTODIANS ARE NOTIFIED OF THEIR RIGHT TO HAVE LEGAL COUNSEL 
PRESENT FOR ANY PROCEEDING RESULTING FROM THIS 
PETITION OR TO REQUEST THE COURT TO HAVE COUNSEL APPOINTED, IF 
INDIGENT. 
Further, these persons are informed of the following: 
An arraignment is set on this matter for .....(date)....., at ..... a.m./p.m., at 
.....(location)...... The purpose of the arraignment is to advise as to the allegations contained 
in the Petition For Dependency. When your case is called, the Judge will ask you to enter a 
plea to this petition. The plea entered may be one of the following: 
 
- 66 - 
1. 
Admit: This means you admit that the petition states the truth and you do 
not want a trial. 
2. 
Consent: This means you neither admit nor deny the petition, but do not 
want a trial.  
(If you enter either of the above two pleas, the court will set a disposition date for 
the matter. At disposition, the court will decide where the child will stay and under what 
conditions). 
3. 
Deny: This means you deny the allegations of the petition and wish the state 
to attempt to prove them at a trial. 
4. 
Continue: This means you wish time to confer with an attorney, before 
entering a plea. If you enter this plea, the court will schedule another hearing in 
approximately 2 weeks. At that time, another arraignment hearing will be held, and you 
(or your attorney) must enter one of the above three pleas. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans With Disabilities Act persons needing a special 
accommodation to participate in this proceeding should contact the office of the Court 
Administrator as soon as possible, but no later than 7 days before the proceeding at 
.....(phone number)...... .If you are a person with a disability who needs any accommodation 
in order to participate in this proceeding, you are entitled, at no cost to you, to the 
provision of certain assistance. Please contact .....(name, address, and telephone number)..... 
at least 7 days before your scheduled court appearance, or immediately upon receiving this 
notification if the time before the scheduled appearance is less than 7 days. If you are 
hearing or voice impaired, call 711. 
 
- 67 - 
FORM 8.965.  
ARRAIGNMENT ORDER 
NOTICE OF NEXT HEARING 
 
THIS CAUSE came to be heard on .....(date)....., under chapter 39, Florida 
Statutes, on the Petition For Dependency filed by .....(name)....., for arraignment of 
.....(name(s))...... The following persons appeared before the Court: 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of .....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name)....., Other .................................................. 
The court having considered the Petition for Dependency and having heard testimony and 
argument, and having been otherwise duly advised in the premises finds: 
1. 
This court has jurisdiction over the subject matter of this action; and 
2. 
The mother, .....(name).....: 
.....was ..... was not noticed of this hearing; 
..... 
did not appear, and the court: 
..... 
entered a consent by default 
..... 
did not enter a consent by default; 
..... appeared with counsel ...... appeared without counsel and: 
.... 
was ..... was not advised of her right to legal counsel; knowingly, 
intelligently, and voluntarily, ….. waived ….. did not waive her right to 
legal counsel; and 
..... 
was ..... was not determined to qualify as indigent and ..... was ..... was not 
appointed an attorney. 
..... was served with a petition for dependency and entered a plea of: ..... Admit, ..... Deny, 
..... Consent, ..... No Plea, ..... Continuance 
..... The Petitioner 
..... 
will continue a diligent search and will attempt service. 
 
- 68 - 
..... 
has conducted an adequate diligent search and is excused from further diligent 
search and further attempts at service. 
3. 
The father, .....(name).....: 
..... was ..... was not noticed of this hearing; 
..... did not appear, and the court: 
..... entered a consent by default 
..... did not enter a consent by default; 
..... appeared with counsel ..... appeared without counsel and: 
..... was ..... was not advised of his right to legal counsel; 
..... knowingly, intelligently, and voluntarily ….. waived ..... did not waive his 
right to legal counsel; and 
..... was ..... was not determined qualify as indigent and ..... was ..... was not 
appointed an attorney. 
..... was served with a petition for dependency, and entered a plea of: ..... Admit, ..... 
Deny, ..... Consent, ..... No Plea, ..... Continuance  
..... The Petitioner  
..... will continue a diligent search and will attempt service. 
..... has conducted an adequate diligent search and is excused from further diligent search 
and further attempts at service. 
4. 
That the child(ren)’s current placement in shelter care: 
..... 
is no longer appropriate, and the child(ren) shall be returned to ....................... 
..... 
is appropriate, in that the child(ren) is/are in a setting which is as family-like as 
possible, consistent with the child(ren)’s best interest and special needs and, that 
returning the child(ren) to the home would be contrary to the best interest of the 
minor child(ren);  and, that every reasonable effort has been made to eliminate the 
need for placement of the child(ren) in shelter care, but present circumstances of 
the child(ren) and the family are such that shelter care is the only way to ensure 
the child(ren)’s health, safety, and well-being. 
5. 
Additional findings: .................... 
THEREFORE, based on the foregoing findings of fact, it is hereby ORDERED and 
ADJUDGED that: 
1. 
The minor child(ren) shall  
..... 
be ..... returned to ..... remain in the care and custody of .....(name)...... 
 
- 69 - 
..... 
remain in the care and custody of the department in shelter care pending 
adjudication and disposition or until further order of this court. 
2. 
The child(ren): ..... is/are ..... is/are not adjudicated dependent at this hearing. 
3. 
..... Mediation ..... A case planning conference is/are ordered at this time and shall 
be conducted on .....(date)......, at .......... a.m./p.m., at .....(location)...... All parties, unless 
otherwise specified, shall attend. 
4. 
As to the mother, .....(name)....., the court: 
Accepts the plea of: ..... Admit, ..... Deny,..... Consent, ..... Continuance. 
..... Appoints ..... Does not appoint an attorney. 
Sets a hearing for ..... re-arraignment ...... adjudicatory trial ..... disposition and  
case 
plan hearing ..... trial status on .....(date)..... at ..... a.m./p.m. 
5. 
As to the father, .....(name)....., the court: 
Accepts the plea of: ..... Admit, ..... Deny, ..... Consent, ..... Continuance. 
..... Appoints ..... Does not appoint an attorney. 
Sets a hearing for ..... re-arraignment ...... adjudicatory trial ..... disposition and case plan 
hearing ..... trial status on .....(date)..... at ..... a.m./p.m. 
6. 
All prior orders not inconsistent with the present order shall remain in full force 
and effect. 
DONE AND ORDERED on .....(date)...... 
 
 
 
 
 
 
Circuit Judge 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above-styled cause on 
.....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)..... or as soon 
thereafter as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans with Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact 
the Office of the Court Administrator no later than 7 days before the proceeding at 
.....(telephone number)...... If you are a person with a disability who needs any 
accommodation in order to participate in this proceeding, you are entitled, at no cost to 
you, to the provision of certain assistance. Please contact .....(name, address, and telephone 
 
- 70 - 
number)..... at least 7 days before your scheduled court appearance, or immediately upon 
receiving this notification if the time before the scheduled appearance is less than 7 days. If 
you are hearing or voice impaired, call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
Copies furnished to: 
 
- 71 - 
FORM 8.966.  
ADJUDICATION ORDER — DEPENDENCY 
ORDER OF ADJUDICATION 
THIS CAUSE came before this court on .....(date)....., under chapter 39, Florida Statutes, 
for adjudication of the Petition for Dependency filed by .....(petitioner’s name)....... Present 
before the court were 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of .....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name(s))....., Minor child(ren) 
..... 
.....(Name)....., Attorney ad litem for minor child(ren) 
..... 
.....(Name)....., Other ..................... 
The court having heard testimony and argument and being otherwise fully advised in the 
premises finds: 
1. 
That the minor child(ren) who is/are the subject matter of these proceedings, 
is/are dependent within the meaning and intent of chapter 39, Florida Statutes, and is/are (a) 
resident(s) of the State of Florida. 
2. 
The mother, .....(name).....: 
..... was ..... was not noticed of this hearing; 
..... did not appear, and the court: 
..... entered a Consent for failure to appear after proper notice. 
..... did not enter a Consent for failure to appear after proper notice. 
..... appeared with counsel; 
..... appeared without counsel and: 
..... was ..... was not advised of her right to legal counsel, 
..... knowingly, intelligently, and voluntarily waived ..... did not waive her right to legal 
counsel and 
 
- 72 - 
..... was ..... was not determined to qualify as indigent and ..... was ..... was  
not appointed 
an attorney. 
3. 
The father, .....(name).....: 
..... was ..... was not noticed of this hearing; 
..... did not appear, and the court: 
..... entered a Consent for failure to appear after proper notice. 
..... did not enter a Consent for failure to appear after proper notice. 
..... appeared with counsel; 
..... appeared without counsel and: 
..... was ..... was not advised of his right to legal counsel, 
..... knowingly, intelligently, and voluntarily waived ..... did not waive his  right to legal 
counsel and 
..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed 
an attorney. 
 4. 
That the child(ren) is/are dependent within the meaning and intent of chapter 39, 
Florida Statutes, in that the mother, ....(name)....., abused, neglected, or abandoned the minor 
child(ren) by ………………… These facts were proven by ..... preponderance of the evidence 
...... clear and convincing evidence. 
 5. 
That the child(ren) is/are dependent within the meaning and intent of chapter 39, 
Florida Statutes, in that the father, .....(name)....., abused, neglected, or abandoned the minor 
child(ren) by .................... These facts were proven by ..... preponderance of the evidence ...... 
clear and convincing evidence. 
COMMENT: Use 6, 7, and 8 only if the child is in out-of-home placement. 
6. 
That the Court finds that it is in the best interest of the child(ren) to remain in out-
of-home care. 
7. 
That every reasonable effort was made to eliminate the need for placement of the 
child(ren) in out-of-home care but the present circumstances of the child(ren) and the ..... mother 
..... father are such that out-of-home care is the only way to ensure the health, safety, and well 
being of the child(ren), in that .............................. 
8. 
That the child(ren)’s placement in .....(type of placement)..... is in a setting which 
is as family like and as close to the home as possible, consistent with the child(ren)’s best 
interests and special needs.  
 
- 73 - 
9. 
That returning the minor child(ren) to the custody of .....(person who had previous 
legal custody)..... would be contrary to the best interest and welfare of the minor child(ren). 
10. 
The Court inquired of any parents present whether they have relatives who might 
be considered for placement of the child(ren). 
THEREFORE, based upon the foregoing findings, it is ORDERED AND ADJUDGED 
that: 
1. 
The minor child(ren), ......(name(s))....., is/are adjudicated dependent. 
2. 
The child(ren) shall remain in the care and custody of 
..... 
the department in shelter care 
..... 
other .....(name).....  
pending disposition. 
3. 
The parents shall provide to the Court and all parties identification and location 
information regarding potential relative placements. 
4. 
THE COURT ADVISED THE PARENTS THAT IF THE PARENTS FAIL 
TO SUBSTANTIALLY COMPLY WITH THE CASE PLAN THEIR PARENTAL 
RIGHTS MAY BE TERMINATED AND THE CHILD(REN)’S OUT-OF-HOME 
PLACEMENT MAY BECOME PERMANENT. 
5. 
This court shall retain jurisdiction over this cause to enter any such further orders 
that may be deemed necessary for the best interest and welfare of the minor child(ren). 
6. 
All prior orders not inconsistent with the present order shall remain in full force 
and effect.  
7. 
Disposition is scheduled for .....(date)....., at ...... a.m./p.m. 
DONE AND ORDERED on .....date..... at .....(city)....., Florida. 
 
 
 
 
 
Circuit Judge 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above styled cause on 
.....(date)..... at .....a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter 
as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans With Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact the Office of the Court 
 
- 74 - 
Administrator no later than 7 days before the proceeding at .....(telephone number)...... If 
you are a person with a disability who needs any accommodation in order to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, and telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
Copies furnished to: 
 
- 75 - 
FORM 8.967.  
ORDER OF DISPOSITION, ACCEPTANCE OF CASE PLAN, AND 
NOTICE OF HEARING 
ORDER OF DISPOSITION, ACCEPTANCE OF CASE PLAN, 
AND NOTICE OF HEARING 
THIS CAUSE came before this court on .....(date)....., under chapter 39, Florida Statutes, 
for disposition of the Petition for Dependency and acceptance of the Case Plan filed by the 
Department of Children and Family Services. 
The following persons appeared before the court: 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of ....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name)....., Other: .............................................. 
The court having considered the Predisposition Study and Case Plan filed by the 
department and having heard testimony and argument and being otherwise fully advised in the 
premises finds that:  
1. 
The minor child(ren) who is/are the subject matter of these proceedings, was/were 
adjudicated dependent within the meaning and intent of chapter 39, Florida 
Statutes, continue to be dependent, and is/are residents of the State of Florida. 
2. 
The minor child(ren) is/are of an age subject to the jurisdiction of this Court. 
3. 
The following parties were notified of this hearing and provided a copy of the 
Case Plan and Predisposition Report filed in this cause: 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of ....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Other: .............................................. 
 
- 76 - 
4. 
The mother, .....(name).....: 
..... did not appear and ..... was .... was not represented by legal counsel; 
..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised   
      
of her right to legal counsel; 
.... knowingly, intelligently, and voluntarily waived ..... did not waive her right to legal 
counsel; and 
..... was ..... was not determined to qualify as indigent and ..... was ..... was not       
appointed an attorney. 
5. 
The father, .....(name).....: 
..... did not appear and ..... was .... was not represented by legal counsel; 
..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of his 
right to legal counsel; 
..... knowingly, intelligently, and voluntarily waived ..... did not waive his  
      
right to legal counsel; and 
..... was ..... was not determined to qualify as indigent and ..... was ..... was not  
 
      
appointed an attorney. 
6. 
The following parents/legal custodians were notified of their right to participate in 
the preparation of the case plan and to receive assistance from any other person in 
the preparation of the case plan: .....(names of persons notified)...... 
7. 
The department filed a predisposition study with the court on .....(date)...... This 
predisposition study ..... is ..... is not in compliance with the statutory 
requirements. 
8. 
The department filed a case plan with the court on .....(date)...... 
a. 
The terms of the case plan ..... are ..... are not consistent with the requirements of 
the law and previous orders of this court. 
b. 
The case plan ..... is ..... is not meaningful and designed to address the facts and 
circumstances on which the court based the finding of dependency. 
c. 
The case plan ..... is ..... is not in the best interest of the minor child(ren). 
d. 
The case plan’s stated goal of ......................... ..... is ..... is not a reasonable goal. 
 
 
- 77 - 
e. 
The parents ..... have ..... do not have the ability to comply with the terms of the 
case plan. 
9. 
There is a need for temporary child support from .....(noncustodial parent(s))..... 
and that he/she/they ..... has/have ..... do/does not have the ability to pay child 
support. 
COMMENT: Use 10, 11 & 12 if child(ren) is/are not placed in the home of a parent. 
10. 
It is in the best interest of the minor child(ren) to be placed in the care and 
custody of .....(placement ordered)...... 
11. 
Placement of the minor child(ren) in the care and custody of  .....(placement 
ordered)..... is in a setting which is as family like and as close to the home as 
possible, consistent with the child(ren)’s best interests and special needs. 
12. 
Return of the minor child(ren) to the custody of .....(person from whom child(ren) 
was/were originally removed).... would be contrary to the best interest and 
welfare of the minor child(ren). The child(ren) cannot safely ..... remain ..... return 
home with services and removal of the child(ren) is necessary to protect the 
child(ren), in that .................................................... 
13. 
Prevention or reunification services ..... were not ..... were indicated and are as 
listed: ......(services indicated)...... Further efforts could not have shortened 
separation of this family because:................................................ 
COMMENT: Use 14 if the goal of the case plan is reunification. 
14. 
Reasonable efforts to prevent or eliminate the need for removal of the child(ren) 
have been made by the department, which provided the following services: 
................................................................. 
COMMENT: Use 15 if child(ren) remain(s) or is/are returned to the parent(s). 
15. 
The child(ren) can safely ..... remain with ..... be returned to .....(parent(s)’s 
name(s))..... as long as he/she/they comply(ies) with the following: 
.................................................................................... 
THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND 
ADJUDGED that: 
1. 
The minor child(ren), .....(name(s))..... be placed in the custody of .....(name)....., 
under supervision of the department. 
2. 
The predisposition study report filed by the department is: 
..... not accepted and a continuance was requested. 
 
- 78 - 
..... accepted by the court. 
..... accepted by the court with the following amendments: 
................................................... 
3. 
The case plan filed by the department is: 
..... not accepted and a continuance is granted for 30 days or less. 
..... accepted by the court. 
..... accepted by the court with the following amendments: .................................................. 
4. 
All parties are ordered to comply with the provisions of the case plan and any 
amendments made to it. 
COMMENT: Use 5, 6 & 7 if child(ren) is/are placed outside the home. 
..... 5. The mother, .....(name)....., shall pay child support in the amount of $........... by the 
.....(day)..... of each month to .....(where money is to be paid)....., beginning on .....(date)..... and 
continuing until such time as payments begin to be deducted by income deduction order. All 
child support payments shall be paid to the Clerk of the Circuit Court designated to receive child 
support payments. 
..... 6. The father, .....(name)....., shall pay child support in the amount of $........... by the 
.....(day)..... of each month to .....(where money is to be paid)......, beginning on .....(date)..... and 
continuing until such time as payments begin to be deducted by income deduction order. All 
child support payments shall be paid to the Clerk of the Circuit Court designated to receive child 
support payments. 
..... 7. The legal custodian shall have the right to authorize for the child(ren) any emergency 
medical treatment and any ordinary and necessary medical and dental examinations and 
treatment, including blood testing, preventive care including ordinary immunizations, tuberculin 
testing, and well-child care, but not including nonemergency surgery, general anesthesia, 
provision of psychotropic medications, or other extraordinary procedures for which a separate 
order or informed consent as provided by law is required.  
8. 
Other: .................................................................. 
9. 
All prior orders not inconsistent with the present order shall remain in full force 
and effect. 
10. 
This court shall retain jurisdiction over this cause to enter any such further orders 
that may be deemed necessary for the best interest and welfare of the minor child(ren). 
11. 
This matter is scheduled for Judicial Review on .....(date)..... at .....(time)...... 
DONE AND ORDERED in ...................., Florida, on .....(date)...... 
 
- 79 - 
 
 
 
 
 
 
Circuit Judge 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above-styled cause on 
.....(date)..... at ..... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter 
as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans with Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact the Office of the Court 
Administrator no later than 7 days before the proceeding at .....(telephone number)...... If 
you are a person with a disability who needs any accommodation in order to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, and telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
Copies furnished to: 
 
- 80 - 
FORM 8.970.  
ORDER ON JUDICIAL REVIEW 
ORDER ON JUDICIAL REVIEW AND NOTICE OF NEXT HEARING 
THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed 
by ….. the Department of Children and Family Services in this cause under chapter 39, Florida 
Statutes. 
The following persons appeared before the court: 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of .....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name)....., The child 
..... 
.....(Name)....., Attorney/Attorney ad litem for the child 
..... 
.....(Name)....., Other: .............................................. 
and the court having considered:  
..... 
Judicial Review Social Study Report filed by the Department; 
..... 
Statement/homestudy filed by the Department; 
..... 
Report of the Guardian Ad Litem; 
..... 
Case plan filed by the Department; 
..... 
Statement by the Child’s Caretaker; 
..... 
Whether or not the child is a citizen and, if the child is not a citizen, the steps that 
have been taken to address the citizenship or residency status of the child; 
..... 
Other: ..................................................................... 
AND THE COURT having heard testimony and argument, and having been otherwise duly 
advised in the premises finds: 
1. 
That the minor child(ren) who is/are the subject matter of these proceedings 
was/were adjudicated dependent, continue to be dependent, is/are of an age subject to the 
jurisdiction of the court, and is/are resident(s) of the state of Florida. 
2. 
The following parties were notified of this hearing and provided a copy of the 
documents filed for this hearing: 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
 
- 81 - 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of .....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name)....., Other: .............................................. 
3. 
The mother, .....(name).....: 
..... 
did not appear and ..... was ..... was not represented by legal counsel; 
..... 
appeared ..... with ..... without legal counsel and ..... was ..... was not advised of 
her right to legal counsel; 
knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to 
legal counsel; and 
..... was ..... was not determined to qualify as indigent and  
..... was ..... was not appointed an attorney. 
4. 
The father, .....(name).....: 
..... 
did not appear and ..... was ....was not represented by legal counsel; 
..... 
appeared ..... with ..... without legal counsel and ..... was ..... was not advised of 
his right to legal counsel; 
knowingly, intelligently, and voluntarily ..... waived ..... did not waive his right to 
legal counsel; and 
..... was ..... was not determined to qualify as indigent and 
..... was ..... was not appointed an attorney. 
COMMENT: Repeat above for each father. 
5. 
The department filed a judicial review report with the court on .....(date)...... This 
judicial review report ..... is ..... is not in compliance with the statutory requirements. 
6. 
The following parents/legal custodians were notified of their right to participate in 
the preparation of the case plan and to receive assistance from any other person in the 
preparation of the case plan: .....(names of those notified)...... 
 
- 82 - 
7. 
The mother has complied with the following tasks in the case plan: .....(list tasks 
complied with)...... 
8. 
The mother has not complied with the following tasks in the case plan: .....(list 
tasks not complied with)...... 
9. 
The father, .....(father’s name)....., has complied with the following tasks in the 
case plan: .....(list tasks complied with)...... 
10. 
The father, .....(father’s name)....., has not complied with the following tasks in the 
case plan: .....(list tasks not complied with)...... 
11. 
The mother ..... has ..... has not complied with court ordered visitation as follows: 
.....(explanation of visitation compliance)...... 
12. 
The father, .....(father’s name)....., ..... has ..... has not complied with court ordered 
visitation as follows: .....(explanation of visitation compliance)...... 
13. 
The department ..... has ..... has not complied with court ordered visitation as 
follows: .....(explanation of visitation compliance)...... 
14. 
The mother ..... has ..... has not complied with court ordered financial support for 
the child as follows: .....(explanation of financial compliance)...... 
15. 
The father, .....(father’s name)....., ..... has ..... has not complied with court ordered 
financial support for the child as follows: .....(explanation of financial compliance)...... 
16. 
The mother ..... has ..... has not complied with court ordered meetings with the 
department as follows: .....(explanation of meetings compliance)...... 
17. 
The father, .....(father’s name)....., ..... has ..... has not complied with court ordered 
meetings with the department as follows: .....(explanation of meetings compliance)...... 
18. 
The department ..... has ..... has not complied with court ordered meetings with the 
parents as follows: .....(explanation of meetings compliance)...... 
COMMENT: Use 19, 20, 21, 22, & 23 if child(ren) is/are not placed in the home of a parent. 
..... 19.  
It is in the best interest of the minor child(ren) to be placed in the care and 
custody of .....(placement ordered)...... 
..... 20.  
Placement of the minor child(ren) in the care and custody of .....(placement 
ordered)..... is in a setting which is as family like and as close to the home as possible, consistent 
with the child(ren)’s best interests and special needs. 
..... 21.  
Return of the minor child(ren) to the custody of .....(person(s) from whom 
child(ren) was/were originally removed)..... would be contrary to the best interest and welfare of 
the minor child(ren). The child(ren) cannot safely .....remain .....return home with services and 
 
- 83 - 
removal of the child(ren) is necessary to protect the child(ren). 
..... 22.  
Prevention or reunification services .....were not .....were indicated and are  
as 
follows: .....(services indicated)...... Further efforts could not have shortened separation of this 
family because .......... 
..... 23.  
The likelihood of the children’s reunification with the parent or legal custodian 
within 12 months is ................................................................ 
COMMENT: Use 24 if child(ren) remain(s) or is/are returned to the parent(s). 
..... 24.  
The child(ren) can safely ..... remain with ..... be returned to .....(parent(’s)(s’) 
name(s))..... as long as he/she/they comply(ies) with the following: ............................................. 
The safety, well-being, and physical, mental, and emotional health of the child(ren) are not 
endangered by allowing the child(ren) to ..... remain ..... return home. 
THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED 
that: 
1. 
The minor child(ren), .....(name(s))....., be placed in the custody of .....(name)....., 
under supervision of the department. 
2. 
The judicial review report filed by the department is: 
..... 
not accepted and a continuance was requested. 
..... 
accepted by the court. 
..... 3. The court finds that it is not likely that the child(ren) will be reunified with the parent or 
legal custodian within 12 months after the child was removed from the home. The department 
shall file a motion within 10 days of receipt of this written order to amend the case plan to 
incorporate concurrent planning into the case plan. 
4. 
The court inquired of any parents present whether they have relatives who might 
be considered for placement of the children. 
5. 
Other: ..................................................................... 
6. 
All prior orders not inconsistent with the present order shall remain in full force 
and effect. 
7. 
This court shall retain jurisdiction over this cause to enter any such further orders 
as may be deemed necessary for the best interest and welfare of the minor child(ren). 
8. 
This matter is scheduled for Judicial Review on .....(date)..... at .....(time)...... 
DONE AND ORDERED in ...................., Florida, on .....(date)...... 
 
 
 
 
 
 
 
 
 
- 84 - 
Circuit Judge 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above-styled cause on 
.....(date)..... at ..... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter 
as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans With Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact the Office of the Court 
Administrator no later than 7 days before the proceeding at .....(telephone number)...... If 
you are a person with a disability who needs any accommodation in order to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, and telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
Copies furnished to:  
 
- 85 - 
FORM 8.973.  
ORDER ON JUDICIAL REVIEW FOR CHILD AGE 17 OR OLDER 
ORDER ON JUDICIAL REVIEW FOR CHILD 
OVER AGE 17 AND NOTICE OF NEXT HEARING 
THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed 
by the Department of Children and Family Services in this cause under chapter 39, Florida 
Statutes. 
The following persons appeared before the court: 
..... 
.....(Name)....., Child 
.....  
.....(Name)....., Attorney/Attorney ad Litem for the Child 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
..... 
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of .....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name)....., Other: .................... 
and the court having considered: 
..... 
Judicial Review Social Study Report filed by the Department; 
..... 
If the child has reached the age of 17, written verification that the child: 
..... 
Has been provided with a current Medicaid card and has been provided all 
necessary information concerning the Medicaid program; 
..... 
Has been provided with a certified copy of his or her birth certificate; 
..... 
Has a valid Florida driver’s license or has been provided with a Florida 
identification card; 
..... 
Has been provided information relating to Social Security Insurance benefits, if 
the child is believed to be eligible; 
..... 
Has received a full accounting if there is a Master Trust for the child; 
..... 
Has been provided with information and training related to budgeting, 
interviewing, and parenting skills; 
..... 
Has been provided with information related to the Road-to-Independence 
Scholarship, including applications forms; 
..... 
Has been informed that if he or she is eligible for the Road-to-Independence 
Scholarship program, he or she may reside with the licensed foster family or 
group care provider with whom the child was residing at the time of attaining his 
or her 18th birthday or may reside in another licensed foster home or with a group 
care provider arranged by the department; 
..... 
Has an open bank account and has been provided with banking skills; 
 
- 86 - 
..... 
Has been provided with information on public assistance and how to apply; 
..... 
Has been provided a clear understanding of where he or she will be living on his 
or her 18th birthday, how living expenses will be paid, and what educational 
program the child will be enrolled in; 
..... 
Has been provided with notice of his or her right to petition for the court’s 
continuing jurisdiction for one year after his or her 18th birthday, and with 
information on how to obtain access to the court; and 
..... 
Has been encouraged to attend all judicial review hearings occurring after his or 
her 17th birthday. 
..... 
Statement/homestudy filed by the Department; 
..... 
Report of the Guardian Ad Litem; 
..... 
A case plan, dated .........., filed by the Department that includes information related to 
independent living services that have been provided since the child’s 13th birthday or 
since the date the child came into foster care, whichever came later; 
..... 
Statement by the child’s caretaker; 
..... 
Whether or not the child is a citizen and, if the child is not a citizen, the steps that  have 
been taken to address the citizenship or residency status of the child; 
..... 
Other: .................... 
AND THE COURT having heard testimony and argument, and having been otherwise duly 
advised in the premises finds: 
1. 
That the minor child(ren) who is/are the subject matter of these proceedings 
was/were adjudicated dependent, continue to be dependent, is/are of an age subject to the 
jurisdiction of the court, and is/are resident(s) of the state of Florida. 
2. 
The following parties were notified of this hearing and provided a copy of the 
documents filed for this hearing: 
..... 
.....(Name)....., Child 
..... 
.....(Name)....., Attorney/Attorney ad Litem for the Child 
.....  
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
.....  
.....(Name)....., Attorney for the department 
.....  
.....(Name)....., Department caseworker 
.....  
.....(Name)....., Mother 
.....  
.....(Name)....., Attorney for mother 
.....  
.....(Name)....., Father of .....(child)..... 
.....  
.....(Name)....., Attorney for father 
.....  
.....(Name)....., Guardian ad litem 
.....  
.....(Name)....., Attorney for guardian ad litem 
.....  
.....(Name)....., Legal custodian 
.....  
.....(Name)....., Attorney for legal custodian 
.....  
.....(Name)....., Other: .................... 
3. 
The child has been given the opportunity to address the court with any 
information relevant to the child’s best interests. 
 
- 87 - 
4. 
The mother, .....(name).....: 
..... did not appear and ..... was ..... was not represented by legal counsel; 
..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised          
      
of her right to legal counsel; 
knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to  
legal 
counsel; and 
.....was ..... was not determined to qualify as indigent and 
..... was ..... was not appointed an attorney. 
5. 
The father, .....(name).....: 
..... did not appear and ..... was ....was not represented by legal counsel; 
..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised       
      
of his right to legal counsel; 
knowingly, intelligently, and voluntarily ..... waived ..... did not waive his right to  legal 
counsel; and 
..... was ..... was not determined to qualify as indigent and 
..... was ..... was not appointed an attorney. 
COMMENT: Repeat above for each father. 
6. 
The department filed a judicial review report with the court on .....(date)...... This 
judicial review report ..... is ..... is not in compliance with the statutory requirements. 
7. 
The following parents/legal custodians were notified of their right to participate in 
the preparation of the case plan and to receive assistance from any other person in the 
preparation of the case plan: .....(names of those notified)...... 
8. 
The mother has complied with the following tasks in the case plan: .....(list tasks 
complied with)......  
9. 
The mother has not complied with the following tasks in the case plan: .....(list 
tasks not complied with)...... 
10. 
The father, .....(father’s name)....., has complied with the following tasks in the 
case plan: .....(list tasks complied with)...... 
11. 
The father, .....(father’s name)....., has not complied with the following tasks in the 
case plan: .....(list tasks not complied with)...... 
 
- 88 - 
12. 
The mother ..... has ..... has not complied with court ordered visitation as follows: 
.....(explanation of visitation compliance)...... 
13. 
The father, .....(father’s name)....., ..... has ..... has not complied with court ordered 
visitation as follows:.....(explanation of visitation compliance)...... 
14. 
The department ..... has ..... has not complied with court ordered visitation as 
follows: .....(explanation of visitation compliance)...... 
15. 
The mother ..... has ..... has not complied with court ordered financial support for 
the child as follows: ....(explanation of financial compliance)...... 
16. 
The father, .....(father’s name)....., ..... has ..... has not complied with court ordered 
financial support for the child as follows: .....(explanation of financial compliance)...... 
17. 
The mother ..... has ..... has not complied with court ordered meetings with the 
department as follows: .....(explanation of meetings compliance)...... 
18. 
The father, .....(father’s name)....., ..... has ..... has not complied with court ordered 
meetings with the department as follows: .....(explanation of meetings compliance)...... 
19. 
The department ..... has ..... has not complied with court ordered meetings with the 
parents as follows: .....(explanation of meetings compliance)...... 
COMMENT: Use 20, 21, 22 & 23 if child(ren) is/are not placed in the home of a parent. 
..... 
20. 
It is in the best interest of the minor child(ren) to be placed in the care and 
custody of .....(placement ordered)...... 
..... 
21. 
Placement of the minor child(ren) in the care and custody of .....(placement 
ordered)..... is in a setting which is as family like and as close to the home as possible, consistent 
with the child(ren)’s best interests and special needs. 
..... 
22. 
Return of the minor child(ren) to the custody of .....(person(s) from whom 
child(ren) was/were originally removed)..... would be contrary to the best interest  and welfare of 
the minor child(ren). The child(ren) cannot safely ..... remain .....  return home with services 
and removal of the child(ren) is necessary to protect the  
child(ren). 
..... 
23. 
Prevention or reunification services ..... were not ..... were indicated and are as 
follows: .....(services indicated)...... Further efforts could not have shortened separation of this 
family because .........  
COMMENT: Use 24 if child(ren) remain(s) or is/are returned to the parent(s). 
..... 
24. 
The child(ren) can safely ..... remain with ..... be returned to .....(parent(’s)(s’) 
name(s))..... as long as he/she/they comply(ies) with the following: ..................... The safety, 
well-being, and physical, mental, and emotional health of the child(ren) are not endangered by 
allowing the child(ren) to ..... remain ..... return home. 
 
- 89 - 
….. 
25 
The child’s petition and application for special immigrant juvenile status or other 
immigration decision remains pending. 
….. 
26. 
The department ….. has ….. has not complied with its obligation as specified in 
the written case plan or in the provision of independent living services as required by Florida 
Statutes. 
THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED 
that: 
1. 
The minor child(ren), .....(name(s))....., be placed in the custody of .....(name)....., 
under supervision of the department. 
2. 
The judicial review report filed by the department is:  
..... 
not accepted and a continuance was requested. 
..... 
accepted by the court. 
3. 
Other: ................... 
4. 
All prior orders not inconsistent with the present order shall remain in full force 
and effect. 
5. 
This court shall retain jurisdiction over this cause to enter any such further orders 
as may be deemed necessary for the best interest and welfare of the minor child(ren). 
..... 
6. 
This court shall retain jurisdiction until the final decision is rendered by the 
federal immigration authorities, or upon the immigrant child’s 22nd birthday, whichever 
shall first occur. 
..... 
7. 
This court shall retain jurisdiction until the child’s 19th birthday for the purpose 
of determining whether appropriate aftercare support, Road-to-Independence 
Scholarship, transitional support, mental health, and developmental disability services 
have been provided to the youth. 
8. 
This matter is scheduled for Judicial Review on .....(date)..... at ....(time)...... 
DONE AND ORDERED in ...................., Florida, on .....(date)...... 
 
 
 
 
 
 
Circuit Judge 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above-styled cause on 
.....(date)..... at ..... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter 
as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
 
- 90 - 
font. 
In accordance with the Americans With Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact the Office of the Court 
Administrator no later than 7 days before the proceeding at .....(telephone number)...... If 
you are a person with a disability who needs any accommodation in order to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, and telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
Copies furnished to: .................................................. 
 
- 91 - 
FORM 8.975.  
DEPENDENCY ORDER WITHHOLDING ADJUDICATION 
ORDER OF ADJUDICATION 
THIS CAUSE came before this court on .....(date)....., under chapter 39, Florida Statutes, 
for adjudication of the Petition for Dependency filed by .....(petitioner’s name)...... Present before 
the court were 
..... 
.....(Name)....., Petitioner 
..... 
.....(Name)....., Attorney for the petitioner 
.....  
.....(Name)....., Attorney for the department 
..... 
.....(Name)....., Department caseworker 
..... 
.....(Name)....., Mother 
..... 
.....(Name)....., Attorney for mother 
..... 
.....(Name)....., Father of .....(child)..... 
..... 
.....(Name)....., Attorney for father 
..... 
.....(Name)....., Guardian ad litem 
..... 
.....(Name)....., Attorney for guardian ad litem 
..... 
.....(Name)....., Legal custodian 
..... 
.....(Name)....., Attorney for legal custodian 
..... 
.....(Name)....., Other .................... 
The court having heard testimony and argument and being otherwise fully advised in the 
premises finds: 
1. 
That the minor child(ren) who is/are the subject matter of these proceedings, 
is/are dependent within the meaning and intent of chapter 39, Florida Statutes, and is/are (a) 
resident(s) of the State of Florida. 
2. 
The mother, .....(name).....: 
..... was ..... was not noticed of this hearing; 
..... did not appear, and the court: 
..... entered a Consent for failure to appear after proper notice. 
..... did not enter a Consent for failure to appear after proper notice. 
..... appeared with counsel; 
..... appeared without counsel and: 
..... was ..... was not advised of her right to legal counsel, 
..... knowingly, intelligently, and voluntarily waived ..... did not waive  her right to 
legal counsel and 
..... was ..... was not determined to qualify as indigent and 
 
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..... was ..... was not appointed an attorney. 
3. 
The father, .....(name).....: 
..... was ..... was not noticed of this hearing; 
..... did not appear, and the court: 
..... entered a Consent for failure to appear after proper notice. 
..... did not enter a Consent for failure to appear after proper notice. 
..... appeared with counsel; 
..... appeared without counsel and: 
..... 
was ..... was not advised of his right to legal counsel, 
..... 
knowingly, intelligently, and voluntarily waived ..... did not waive 
his right to legal counsel and 
..... was ..... was not determined to qualify as indigent and 
..... was ..... was not appointed an attorney. 
..... 4. That the child(ren) is/are dependent within the meaning and intent of chapter 39, Florida 
Statutes, in that the mother, ....(name)....., abused, neglected or abandoned the minor child(ren) 
by .................... These facts were proven by ..... preponderance of the evidence ...... clear and 
convincing evidence. 
..... 5. That the child(ren) is/are dependent within the meaning and intent of chapter 39, Florida 
Statutes, in that the father, .....(name)....., abused, neglected or abandoned the minor child(ren) by 
..................... These facts were proven by ..... preponderance of the evidence ...... clear and 
convincing evidence. 
..... 6. That the parties have filed a mediation agreement in which the parent(s) consent(s) to the 
adjudication of dependency of the child(ren) in conjunction with a withhold of adjudication, 
which the court accepts. 
7. 
Under section 39.507(5), Florida Statutes, the Court finds that the child(ren) 
named in the petition are dependent, but finds that no action other than supervision in the 
child(ren)’s home is required. 
THEREFORE, based upon the foregoing findings, it is ORDERED AND ADJUDGED 
that: 
 
1. 
Under section 39.507(5), Florida Statutes, the Court hereby withholds 
adjudication of dependency of the minor child(ren). The child(ren) shall be 
 
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.....returned/continued..... in (child(ren)’s home) under the supervision of the department. If this 
court later finds that the parents have not complied with the conditions of supervision imposed, 
the court may, after a hearing to establish the noncompliance, but without further evidence of the 
state of dependency, enter an order of adjudication. 
2. 
This court shall retain jurisdiction over this cause to enter any such further orders 
that may be deemed necessary for the best interest and welfare of the minor child(ren). 
3. 
All prior orders not inconsistent with the present order shall remain in full force 
and effect. 
4. 
Disposition is scheduled for .....(date)....., at ...... a.m./p.m. 
DONE AND ORDERED on .....date......  
 
 
 
 
 
 
Circuit Judge 
NOTICE OF HEARING 
The Juvenile Court hereby gives notice of hearing in the above styled cause on 
.....(date)..... at ..... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter 
as counsel can be heard. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
In accordance with the Americans With Disabilities Act, persons needing a special 
accommodation to participate in this proceeding should contact the Office of the Court 
Administrator no later than 7 days before the proceeding at .....(telephone number)...... If 
you are a person with a disability who needs any accommodation in order to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, and telephone number)..... at least 7 days before your 
scheduled court appearance, or immediately upon receiving this notification if the time 
before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, 
call 711. 
PLEASE BE GOVERNED ACCORDINGLY. 
Copies furnished to: 
 
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FORM 8.979.  
SUMMONS FOR ADVISORY HEARING 
SUMMONS AND NOTICE OF ADVISORY HEARING FOR 
TERMINATION OF PARENTAL RIGHTS AND GUARDIANSHIP 
STATE OF FLORIDA 
TO: .....(name and address of person being summoned)..... 
A Petition for Termination of Parental Rights under oath has been filed in this  court 
regarding the above-referenced child(ren), a copy of which is attached. You are to appear before 
.....(judge)....., at .....(time and location of hearing)....., for a TERMINATION OF PARENTAL 
RIGHTS ADVISORY HEARING. You must appear on the date and at the time specified. 
FAILURE TO PERSONALLY APPEAR AT THIS ADVISORY HEARING 
CONSTITUTES CONSENT TO THE TERMINATION OF PARENTAL RIGHTS TO 
THIS CHILD (THESE CHILDREN). IF YOU FAIL TO APPEAR ON THE DATE AND 
TIME SPECIFIED YOU MAY LOSE ALL LEGAL RIGHTS TO THE CHILD (OR 
CHILDREN) NAMED IN THE PETITION ATTACHED TO THIS NOTICE. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
If you are a person with a disability who needs any accommodation to participate in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact .....(name, address, telephone number)..... within two working days of your 
receipt of this summons.at least 7 days before your scheduled court appearance, or 
immediately upon receiving this notification if the time before the scheduled appearance is 
less than 7 days. If you are hearing or voice impaired, call 711. 
Witness my hand and seal of this court at .....(city, county, state)..... on .....(date)...... 
CLERK OF COURT 
BY:  
 
 
 
 
 
DEPUTY CLERK 
AVISO Y CITACIÓN PARA LA AUDIENCIA 
INFORMATIVA SOBRE LA 
TERMINACIÓN DE LOS DERECHOS 
PATERNALES Y DE LA TUTELA 
ESTADO DE LA FLORIDA 
PARA: 
 
 
 
 
 
 
 
 
 
(Nombre y dirección de la persona a ser citada) 
CONSIDERANDO que se ha interpuesto en este Juzgado una solicitud bajo juramento para la 
terminación de los derechos paternales con respecto al(os) niño(s) en referencia, adjuntándose 
copia de la misma. Mediante la presente se le ordena comparecer ante el 
___________________a las____________________________ para una AUDIENCIA        
(Juez)          (hora y lugar de la audiencia) 
 
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 INFORMATIVA SOBRE LA TERMINACIÓN DE LOS DERECHOS PATERNALES. Usted 
deberá comparecer en le fecha y hora indicadas. 
SI USTED NO COMPARECE PERSONALMENTE A LA AUDIENCIA INFORMATIVA, 
ESTO SIGNIFICARÁ QUE USTED ACCEDE A LA TERMINACIÓN DE SUS 
DERECHOS PATERNALES CON RESPECTO A ESTE(OS) NIÑO(S). SI USTED NO 
COMPARECE EN LA FECHA Y HORA INDICADAS, USTED PODRÁ PERDER 
TODOS SUS DERECHOS LEGALES CON RESPECTO AL/LOS NIÑO(S) 
MENCIONADO(S) EN LA PETICIÓN ADJUNTA A ESTE AVISO.  
De acuerdo con la Ley de Americanos con Incapacidades de 1990 (ADA), las 
personas incapacitadas quienes, por sus incapacidades, necesitan acomodos especiales para 
participar en esto proceso deben ponerse en contacto con un coordinador de ADA en el 
.......... no mas tarde de 2 dias laborables antes de tal proceso para recibir asistencia. El 
numero para el Servicio de Interpretación de la Florida para Personas Sordas es el 771. Si 
usted es una persona con una discapacidad que necesita cualquier tipo de trato especial 
para participar en este procedimiento, usted tiene derecho, sin costa alguno para usted, 
para la presetación de asistencia determinadas. Póngase en contacto con …..(nombre, 
dirección, número de teléfono)….. por lo menos 7 dias antes la aparición en la corte 
programado, o immediatamente después de reciber esta notification, si el tiempo antes de 
la comparecencia prevista es inferiof a 7 dias. Si usted está oyendo o voz alterada, llame al 
711. 
Firmado y sigilado en este Juzgado __________ 
_______________________ el________________ 
(ciudad, condado, estado)              (fecha) 
ESCRIBANO DEL TRIBUNAL 
POR:   
 
 
 
 
ESCRIBANO DELEGADO 
MANDA AK AVÈTISMAN POU ENFOME-W 
SOU YON CHITA TANDE, POU YO ANILE DWA-W 
KÒM PARAN AK KÒM GADYEN 
Leta Florid 
POU: .....(non ak adrès moun yo voye manda-a)....... 
KÒM, tandiske, gen yon demann sèmante pou anile dwa paran-yo, ki prezante devan tribinal-la, 
konsènan timoun ki nonmen nan lèt sa-a, piwo-a, yon kopi dokiman-an kwoke nan dosye-a., yo 
bay lòd pou prezante devan ..... (Jij-la) ...., a..... (nan.lè ak adrès chita tande-a)......, NAN YON 
CHITA TANDE POU YO ENFÒME-W, YO GEN LENTANSYON POU ANILE DWA-OU 
KÒM PARAN. Ou fèt pou prezante nan dat ak lè ki endike-a.  
SI OU PA PREZANTE PÈSONÈLMAN NAN CHITA TANDE-A, POU YO ENFÒME-W, 
YO GEN LENTANSYON POU ANILE DWA-OU KÒM PARAN, SA KA LAKÒZ YO 
DESIDE OU KONSANTI TIMOUN SA-A (YO), BEZWEN PWOTEKSYON LETA EPI 
 
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SA KA LAKÒZ OU PÈDI DWA-OU KÒM PARAN TIMOUN SAA(YO), KI GEN NON 
YO MAKE NAN KOPI DEMANN-NAN, KI KWOKE NAN AVÈTISMAN-AN  
An akò ak Lwa pou Ameriken ki Andikape yo de ane 1990 (ADA) a, moun ki 
andikape yo, ki poutèt andikap yo an, bezwen de aranjman spesyal pou yo ka patisipe nan 
deroulman yo, fèt pou rantre an knotak ak koòdinatè ADA a nan .......... pa pi ta ke non 2 
jou travay ki vin anvan deroulman an pou yo ka resevwa asistans. Nimewo pou Sèvis 
Tradiksyon nan la Florid pou moun ki soud se 771. Si ou se yon moun infirm, ki beswen `ed 
ou ki bewsen ke o akomode w pou ou patispe nan pwosedi sa yo, ou genyen dwa, san ke ou 
pa peye, a setin `ed. Silvouple kontake …..(non, address, telephone)….. o moin 7 jou avan 
dat ou genyen rendevou pou ale nan tribunal, ou si le ou resevwa avi a, genyen mouins ke 7 
jou avan date endevou tribunal la. Ou si ou pa tande pale, rele nan nimerro sa 711. 
Mwen siyen non mwen e mete so mwen nan dokiman tribinal-la kòm temwen nan (vil, distrik, 
eta) ....., nan ... (dat)....... 
GREFYE TRIBINAL-LA 
PA:  
 
 
 
 
 
 
ASISTAN GREFYE TRIBINAL-LA 
 
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FORM 8.982  
NOTICE OF ACTION FOR ADVISORY HEARING 
.....(Child(ren)’s initials and date(s) of birth)..... 
NOTICE OF ACTION AND OF ADVISORY HEARING FOR 
TERMINATION OF PARENTAL RIGHTS AND 
GUARDIANSHIP 
STATE OF FLORIDA 
TO: .....(name and address of person being summoned).... 
A Petition for Termination of Parental Rights under oath has been filed in this court 
regarding the above-referenced child(ren). You are to appear before .....(judge)....., at .....(time 
and address of hearing)....., for a TERMINATION OF PARENTAL RIGHTS ADVISORY 
HEARING. You must appear on the date and at the time specified. 
FAILURE TO PERSONALLY APPEAR AT THIS ADVISORY HEARING 
CONSTITUTES CONSENT TO THE TERMINATION OF PARENTAL RIGHTS TO 
THIS CHILD (THESE CHILDREN). IF YOU FAIL TO APPEAR ON THE DATE AND 
TIME SPECIFIED YOU MAY LOSE ALL LEGAL RIGHTS TO THE CHILD (OR 
CHILDREN) WHOSE INITIALS APPEAR ABOVE. 
COMMENT:  The following paragraph must be in bold, 14 pt. Times New Roman or Courier 
font. 
If you are a person with a disability who needs any accomodation to particiapte in 
this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. 
Please contact ......(name, address, telephone number)..... within two working days of your 
receipt of this summonsat least 7 days before your scheduled court appearance, or 
immediately upon receiving this notification if the time before the scheduled appearance is 
less than 7 days. If you are hearing or voice impaired, call 711. 
Witness my hand and seal of this court at .....(city, county, state)..... on .....(date)...... 
CLERK OF COURT 
BY:  
 
 
 
 
 
DEPUTY CLERK 
AVISO Y CITACION PARA LA AUDIENCIA 
INFORMATIVA SOBRE LA TERMINACION 
DE LOS DERECHOS PATERNALES Y DE LA 
TUTELA 
ESTADO DE LA FLORIDA 
PARA: (Nombre y direccion de la persona a ser citada) 
CONSIDERANDO que se ha interpuesto en este Juzgado una solicitud bajo juramento 
para la terminacion de los derechos paternales con respecto al(os) nino(s) en referencia, 
adjuntandose copia de la misma. Mediante la presente se le ordena comparecer ante el  
 
 
 
  a las  
 
 
 
 
 
 
- 98 - 
(Juez)   
 
 
 
(hora y lugar de la audiencia) 
para una AUDIENCIA INFORMATIVA SOBRE LA TERMINACION DE LOS 
DERECHOS PATERNALES. Usted debera comparecer en le fecha y hora indicadas. 
SI USTED NO COMPARECE PERSONALMENTE A LA AUDIENCIA 
INFORMATIVA, ESTO SIGNIFICARA QUE USTED ACCEDE A LA TERMINACION 
DE SUS DERECHOS PATERNALES CON RESPECTO A ESTE(OS) NINO(S). SI 
USTED NO COMPARECE EN LA FECHA Y HORA INDICADAS, USTED PODRA 
PERDER TODOS SUS DERECHOS LEGALES CON RESPECTO AL/LOS NINO(S) 
MENCIONADO(S) EN LA PETICION ADJUNTA A ESTE AVISO.  
De acuerdo con la Ley de Americanos con Incapacidades de 1990 (ADA), las 
personas incapacitadas quienes, por sus incapacidades, necesitan acomodos especiales para 
participar en esto proceso deben ponerse en contacto con un coordinador de ADA en el no 
mas tarde de 2 dias laborables antes de tal proceso para recibir asistencia. El numero para 
el Servicio de Interpretacion de la Florida para Personas Sordas es el 771. Si usted es una 
persona con una discapacidad que necesita cualquier tipo de trato especial para participar 
en este procedimiento, usted tiene derecho, sin costa alguno para usted, para la presetación 
de asistencia determinadas. Póngase en contacto con …..(nombre, dirección, número de 
teléfono)….. por lo menos 7 dias antes la aparición en la corte programado, o 
immediatamente después de reciber esta notification, si el tiempo antes de la 
comparecencia prevista es inferiof a 7 dias. Si usted está oyendo o voz alterada, llame al 
711. 
Firmado y sigilado en este Juzgado   
 
 
 
  
 
 
 
 el  
 
 
 
 
(ciudad, condado, estado)  
 
(fecha) 
ESCRIBANO DEL TRIBUNAL 
POR:   
 
 
 
 
ESCRIBANO DELEGADO 
MANDA AK AVTISMAN POU ENFOME-W 
SOU YON CHITA TANDE, POU YO ANILE 
DWA-W KM PARAN AK KM GADYEN. 
LETA FLORID 
POU: .....(non ak adrs moun yo voye manda-a)..... 
KOM, tandiske, gen yon demann smante pou anile dwa paran-yo, ki prezante devan 
tribinal-la, konsnan timoun ki nonmen nan lt sa-a, piwo-a, yon kopi dokiman-an kwoke nan 
dosye-a., yo bay ld pou prezante devan .....(Jij-la)....., a..... (nan.l ak adrs chita tande-a)....., NAN 
YON CHITA TANDE POU YO ENFME-W, YO GEN LENTANSYON POU ANILE DWA-
OU KM PARAN. Ou ft pou prezante nan dat ak l ki endike-a. 
SI OU PA PREZANTE PSONLMAN NAN CHITA TANDE-A, POU YO ENFME-
W, YO GEN LENTANSYON POU ANILE DWA-OU KM PARAN, SA KA LAKZ YO 
DESIDE OU KONSANTI TIMOUN SA-A (YO), BEZWEN PWOTEKSYON LETA EPI 
 
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SA KA LAKZ OU PDI DWA-OU KM PARAN TIMOUN SA-A(YO), KI GEN NON YO 
MAKE NAN KOPI DEMANN-NAN, KI KWOKE NAN AVTISMAN-AN 
An ako ak Lwa pou Ameriken ki Andikape yo de ane 1990 (ADA) a, moun ki 
andikape yo, ki poutet andikap yo an, bezwen de aranjman spesyal pou yo ka patisipe nan 
deroulman yo, fet pou rantre an knotak ak koodinate ADA a nan .......... pa pi ta ke non 2 
jou travay ki vin anvan deroulman an pou yo ka resevwa asistans. Nimewo pou Sevis 
Tradiksyon nan la Florid pou moun ki soud se 771. Si ou se yon moun infirm, ki beswen `ed 
ou ki bewsen ke o akomode w pou ou patispe nan pwosedi sa yo, ou genyen dwa, san ke ou 
pa peye, a setin `ed. Silvouple kontake …..(non, address, telephone)….. o moin 7 jou avan 
dat ou genyen rendevou pou ale nan tribunal, ou si le ou resevwa avi a, genyen mouins ke 7 
jou avan date endevou tribunal la. Ou si ou pa tande pale, rele nan nimerro sa 711. 
Mwen siyen non mwen e mete so mwen nan dokiman tribinal-la km temwen nan …..(vil, 
distrik, eta)….., nan .....(dat)...... 
GREFYE TRIBINAL-LA 
PA:  
 
 
 
 
 
ASISTAN GREFYE TRIBINALA-L