Opinion ID: 1880836
Heading Depth: 1
Heading Rank: 77

Heading: petition to determine paternity and for related relief

Text: Petitioner, { full legal name } _______________, being sworn, certifies that the following information is true: This is an action for paternity and to determine custody, parental responsibility, and child support under chapter 742, Florida Statutes. SECTION I. 1. Petitioner is the ( ) mother ( ) father of the following minor child(ren): Name Place of Birth Birth date Sex (1) ________ ______________ _________ ________ (2) ________ ______________ _________ ________ (3) ________ ______________ _________ ________ (4) ________ ______________ _________ ________ (5) ________ ______________ _________ ________ (6) ________ ______________ _________ ________ 2. Petitioner currently lives at: { street address, city, state } ______________ _____________________ 3. Respondent currently lives at: { street address, city, state } _________________ ____________________ 4. Both parties are over the age of 18, and neither is, nor has been within a 30-day period immediately prior to this date, a person in the military service of the United States as defined by the Amended Sailors' and Soldiers' Civil Relief Act of 1940. 5. Neither Petitioner nor Respondent is mentally incapacitated. 6. A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d), is filed with this petition. 7. A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j), is filed with this petition. 8. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), is, or will be, filed. 9. Paternity Facts. [one only] ___ a. Paternity has previously been established as a matter of law. ___ b. The parties engaged in sexual intercourse with each other in the month(s) of { list month(s) and year(s) } ______, at { city and state } _______. As a result of the sexual intercourse, ( ) Petitioner ( ) Respondent conceived and gave birth to the minor child(ren) named in paragraph 1.( ) Petitioner ( ) Respondent is the natural father of the minor child(ren). The mother ( ) was ( ) was not married at the time of the conception and/or birth of the minor child(ren) named in paragraph 1. If the mother was married, the name and address of her husband at the time of conception and/or birth is: SECTION II. CHILD CUSTODY, PARENTAL RESPONSIBILITY, AND VISITATION 1. The minor child(ren) currently reside(s) with ( ) Mother ( ) Father ( ) Other: { explain } ______________ 2. Parental Responsibility. It is in the child(ren)'s best interests that parental responsibility be: [one only] ___ a. shared by both Father and Mother. ___ b. awarded solely to ( ) Father ( ) Mother. Shared parental responsibility would be detrimental to the child(ren) because: ________________________ ____________________ ____________________ ____________________ 3. Primary Residential Parent (Custody). It is in the best interests of the child(ren) that the primary residential parent be ( ) Father ( ) Mother ( ) undesignated () rotating because ___________ ____________________ ____________________ ____________________ 4. Visitation or Time Sharing. Petitioner requests that the Court order [all that apply] ___ a. no visitation. ___ b. limited visitation. ___ c. supervised visitation. ___ d. supervised or third-party exchange of child(ren). ___ e. visitation or time sharing as determined by the Court. ___ f. a visitation or time sharing schedule as follows: Explain the requested visitation or time sharing schedule: _______________ __________________ __________________ __________________ __________________ Explain why this schedule is in the best interests of the child(ren): ________________ ____________________ ____________________ ____________________ Has the above visitation or time sharing schedule been agreed to by the parties? () yes ( ) no 5. The minor child(ren) should [only one] ___ a. retain his/her (their) present name(s). ___ b. receive a change of name as follows: present name(s) be changed to (1) ___________ (1) ___________ (2) ___________ (2) ___________ (3) ___________ (3) ___________ (4) ___________ (4) ___________ (5) ___________ (5) ___________ (6) ___________ (6) ___________ SECTION III. CHILD SUPPORT [all that apply] 1. Petitioner requests that the Court award child support as determined by Florida's child support guidelines, section 61.30, Florida Statutes. A completed Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), is, or will be, filed. Such support should be ordered retroactive to [one only] ___ a. the date when the parents did not reside together in the same household with the child, not to exceed a period of 24 months before the date of filing of this petition. ___ b. the date of the filing of this petition. ___ c. other: { date } _________________. { Explain } __________________ ___ 2. Petitioner requests that the Court award a child support amount that is more than or less than Florida's child support guidelines. Petitioner understands that a Motion to Deviate from Child Support Guidelines, Florida Supreme Court Approved Family Law Form 12.943, must be completed before the Court will consider this request. ___ 3. Petitioner requests that medical/dental insurance coverage for the minor child(ren) be provided by: [one only] ___ a. Father. ___ b. Mother. ___ 4. Petitioner requests that uninsured medical/dental expenses for the child(ren) be paid by: [one only] ___ a. Father. ___ b. Mother. ___ c. Father and Mother each pay one-half. ___ d. Father and Mother each pay according to the percentages in the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e). ___ e. Other { explain }: ________ _________________ _________________ ___ 5. Petitioner requests that life insurance to secure child support be provided by: [one only] ___ a. Father. ___ b. Mother. ___ c. Both. 6. ( ) Petitioner ( ) Respondent ( ) Both has (have) incurred medical expenses in the amount of $___ on behalf of the minor child(ren), including hospital and other expenses incidental to the birth of the minor child(ren). There should be an appropriate allocation or apportionment of these expenses. 7. ( ) Petitioner ( ) Respondent ( ) Both has (have) received past public assistance for this (these) minor child(ren). PETITIONER'S REQUEST 1. Petitioner requests a hearing on this petition and understands that he or she must attend the hearing. 2. Petitioner requests that the Court enter an order that: [all that apply] ___ a. establishes paternity of the minor child(ren), ordering proper scientific testing, if necessary; ___ b. establishes parental responsibility, custody, and visitation of the minor child(ren); ___ c. awards child support, including medical/dental insurance coverage for the minor child(ren); ___ d. determines the appropriate allocation or apportionment of all expenses incidental to the birth of the child(ren), including hospital and medical expenses; ___ e. determines the appropriate allocation or apportionment of all other past, present, and future medical and dental expenses incurred or to be incurred on behalf of the minor child(ren); ___ f. changes the child(ren)'s name(s); ___ g. other relief as follows: ______ _______________ _______________ _______________; and grants such other relief as may be appropriate and in the best interests of the minor child(ren). I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment. Dated: ______ _______ Signature of Petitioner Printed Name: ________ Address: ______ City, State, Zip: _______ Telephone Number: ________ Fax Number: _________ STATE OF FLORIDA COUNTY OF _________ Sworn to or affirmed and signed before me on _________ by _________. _________ NOTARY PUBLIC or DEPUTY CLERK ______ [Print, type, or stamp commissioned name of notary or deputy clerk.] ___ Personally known ___ Produced identification Type of identification produced ______ IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fill in all blanks] I, { full legal name and trade name of nonlawyer } ______, a nonlawyer, located at { street } ______, { city } _______, { state } _________, { phone } ______ helped { name } _________, who is the petitioner, fill out this form.