Court Opinion

ID: 2549107
Source: CourtListenerOpinion
Date Created: 2013-10-30 10:19:19.375514+00
Date Added: 2024-06-11T11:37:46.501635
License: Public Domain

84 So. 3d 274 (2012)
In re AMENDMENTS TO FLORIDA SUPREME COURT APPROVED FAMILY LAW FORMS.
No. SC10-2344.
Supreme Court of Florida.
March 15, 2012.
Steven Patrick Combs, Chair, the Family Law Rules Committee, Jacksonville, FL, for Petitioner.
Joan K. Koch, Chief Legal Counsel, Florida Department of Revenue Child Support Enforcement Program, Tallahassee, FL, responding with comments.
PER CURIAM.
In our opinion in this case issued April 7, 2011, the Court adopted six new Supreme Court Approved Family Law Forms: form 12.970(a) (Petition for Temporary Custody by Extended Family); form 12.970(b) (Petition for Concurrent Custody by Extended Family); form 12.970(c) (Waiver of Service of Process and Consent for Temporary Custody by Extended Family); form 12.970(d) (Waiver of Service of Process and Consent for Concurrent Custody by Extended Family); form 12.970(e) (Order Granting Petition for Temporary Custody by Extended Family); and form 12.970(f) (Order Granting Petition for Concurrent Custody by Extended Family). See In re Amendments to the Fla. Supreme Court Approved Family Law Forms, 60 So. 3d 979 (Fla.2011).[1] The six forms were developed in response to recent legislative changes made by chapter 2010-30, Laws of Florida, which was passed by the Florida Legislature and took effect July 1, 2010. See ch.2010-30, § 9, Laws of Fla. The Court's opinion invited interested persons to provide comments on the new forms within sixty days. The Court received one comment from the Florida Department of Revenue (DOR), addressing forms 12.970(e) and 12.970(f).[2]
Forms 12.970(e) and 12.970(f) are orders granting petitions for temporary custody by an extended family member and concurrent custody by an extended family member, respectively. The comment from DOR urges the Court to revise the sections in each form pertaining to "Method of Payment" in order to make a number of clarifying changes.[3] Upon consideration of DOR's comment, and with input from the Advisory Workgroup on the Florida Supreme Court Approved Family Law Forms, we amend forms 12.970(e) and 12.970(f) as reflected in the appendix to this opinion. The forms are fully engrossed and ready for use. The forms may also be accessed and downloaded from the Florida State Court's website at www. flcourts.org/gen_public/family/forms_rules/ index.shtml. By adoption of these forms, we express no opinion as to their correctness *275 or applicability. The amendments shall become effective immediately upon release of this opinion.
It is so ordered.
CANADY, C.J., and PARIENTE, LEWIS, QUINCE, POLSTON, LABARGA, and PERRY, JJ., concur.
APPENDIX
          IN THE CIRCUIT COURT OF THE _________________________ JUDICIAL CIRCUIT
                  IN AND FOR __________________________ COUNTY, FLORIDA
                                                       Case No:  _____________________
                                                       Division: _____________________
  __________________________________,
                      Petitioner,
  and
  __________________________________,
                   Respondent/Mother
  __________________________________,
                   Respondent/Father.
                   ORDER GRANTING PETITION FOR
               TEMPORARY CUSTODY BY EXTENDED FAMILY
     This case came before this Court for a hearing on a Petition for Temporary Custody by
Extended Family. The Court, having reviewed the file and heard the testimony, makes these
findings of fact and reaches these conclusions of law:
SECTION I. FINDINGS:
  1. The Court has jurisdiction over the subject matter and the parties.
  2. The minor child(ren) at issue in this matter are:
        Name                                  Date of Birth
        ___________________________________________________________________
        ___________________________________________________________________
        ___________________________________________________________________
        ___________________________________________________________________
  3. The Petitioner, {full legal name} _____________________________________ is the
     {extended family relationship}___________________________________________ of
     the child(ren).
  4. The Mother {full legal name} _________________________________ of the child(ren):
*276
(Choose one only)
  ___ Filed a Waiver and Consent
  ___ Was served with the petition and failed to file an Answer
  ___ Is deceased as evidenced by: __________________________________________
  ___ Objected to the petition.  Based upon clear and convincing evidence, the Court
      finds that the Mother is unfit to provide for the care and control of the
      child(ren).  Specifically, the Mother has abused, abandoned, or neglected the
      child(ren) as defined in Chapter 39, Florida Statutes.   It is in the best interest of
      the child(ren) that the Petitioner have temporary custody because: {facts in
      support of finding} __________________________________________________
      __________________________________________________________________
      __________________________________________________________________
      __________________________________________________________________
      _________________________________________________________________.
  5. The Father {full legal name} _________________________________ of the child(ren):
     (Choose one only)
     ___ Filed a Waiver and Consent
     ___ Was served with the petition and failed to file an Answer
     ___ Is deceased as evidenced by:  ________________________________________________
     ___ Objected to the petition.  Based upon clear and convincing evidence, the Court
         finds that the Father is unfit to provide for the care and control of the child(ren).
         Specifically, the Father has abused, abandoned, or neglected the child(ren) as
         defined in Chapter 39, Florida Statutes.   It is in the best interest of the child(ren)
         that the Petitioner have temporary custody because: {facts in support of finding}
         _________________________________________________________________
         _________________________________________________________________
         _________________________________________________________________
         _________________________________________________________________
         _________________________________________________________________.
  6. It is in the best interest of the child(ren) for the Petitioner to have temporary custody.
SECTION II: TEMPORARY CUSTODY
1. The Petitioner, ___________________________________, is granted temporary
   custody of the minor child(ren).
2. The Petitioner shall have all the rights and responsibilities of a legal parent.
3. The Petitioner is authorized to make all reasonable and necessary decisions for the
   minor child(ren), including but not limited to:
*277
a) Consent to all necessary and reasonable medical and dental care for the child(ren),
   including nonemergency surgery and psychiatric care;
b) Secure copies of the child(ren)'s records, held by third parties, that are necessary for
   the care of the child(ren), including, but not limited to:
i. Medical, Dental, and psychiatric records;
ii. Birth certificates and other records; and
iii. Educational records.
4. Enroll the child(ren) in school and grant or withhold consent for the child(ren) to be
   tested or placed in special school programs, including exceptional education; and
5. Do all other things necessary for the care of the child(ren).
SECTION III. TEMPORARY TIME-SHARING WITH MINOR CHILD(REN)
The parent(s) shall have: (Choose one only)
        1. ___ reasonable time-sharing with the minor child(ren) as agreed to by the parties,
        subject to the following limitations: __________________________________________
        _______________________________________________________________________.
        2. ___ the following specified time-sharing schedule: {specify days and times} _______
        ______________________________________________________________________.
        Mother's Temporary Time-Sharing Schedule.
        ________________________________________________________________________
        ________________________________________________________________________
        _______________________________________________________________________.
        Father's Temporary Time-Sharing Schedule.
        _______________________________________________________________________
        _______________________________________________________________________
        _______________________________________________________________________.
        3. ___ Time-Sharing in accordance with the temporary Parenting Plan attached as
               Exhibit ___.
        4. ___ (   ) Mother (   ) Father shall have No Contact with the minor child(ren) until further
        order of the Court, due to existing conditions that are detrimental to the welfare of the
        minor child(ren): {explain} _________________________________________________
        _______________________________________________________________________
        _______________________________________________________________________.
SECTION IV. CHILD SUPPORT
   1. The Petitioner ____ did  ____ did not request the establishment of child support.
*278
   2. ___ If child support is requested, the parents have received personal or substituted
      service of process, the petition requests an order for support of the child(ren), and there
      is evidence of the parents' ability to pay the support ordered.  The(   ) Mother (   ) Father
      has the present ability to pay child support.
      (Choose one only)
      ___ The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules
      of Procedure Form 12.902(e) filed by the (   ) Mother (   ) Father are correct;
      OR
      ___ The Court makes the following findings:  The Mother's net monthly income is
      $_______________, (Child Support Guidelines ___%). The Father's net monthly income
      is $____________________, (Child Support Guidelines ____%)  Monthly child care costs
      are $_________________.  Monthly health/dental insurance costs are $_____________.
      OR
      ___ The (   ) Mother (   ) Father is currently ordered to pay child support to the other
      parent in the amount of $_____________ per ________________ as established in the
      case of {style of case and number}  ___________________________________________
      _______________________________________________________________________.
      (    ) All of the child support or (   ) a portion of the child support in the amount of
      $_________ shall be redirected to the Petitioner.
   3. Amount
      a) Father's Obligation
         The Father shall be obligated to pay child support in the amount of $___________
         for the______ children {total number of parties' minor or dependent children}
         commencing ____________________ {month, day, year} and terminating
         ______________________ {month, day, year}.
         Upon the termination of the obligation of child support for one of the parties'
         children, child support in the amount of $__________ for the remaining_______
         children {total number of remaining children} shall be paid commencing
         ________________ {month, day, year} and terminating _______________________
         {month, day, year}.
{Insert paragraph for the child support obligation, including the amount,
         commencement, and termination dates, for the remaining minor or dependent
         children, which shall be payable as the obligation for each child ceases.}
         The Father shall pay child support until all minor or dependent children: reach the
         age of 18; become emancipated, marry, join the armed services, die, or become self-supporting;
         or until further order of the court or agreement of the parties.  The child
         support obligation shall continue beyond the age of 18 and until high school
         graduation for any child who is dependent in fact, between the ages of 18 and 19,
*279
         and is still in high school, performing in good faith with a reasonable expectation of
         graduation before the age of 19.
         If the child support ordered deviates from the guidelines more than 5%, the factual
         findings which support that deviation are: __________________________________
         _____________________________________________________________________
         ____________________________________________________________________.
         Child support shall be payable (   ) at least once a month and in accordance with
         Father's employer's payroll cycle, or (    ) other {explain}_______________________
         ____________________________________________________________________.
         b) Mother's Obligation
         The Mother shall be obligated to pay child support in the amount of $____________
         for the ______ children {total number of parties' minor or dependent children}
         commencing __________________________ {month, day, year} and terminating
         ______________________ {month, day, year}.
         Upon the termination of the obligation of child support for one of the parties'
         children, child support in the amount of $___________ for the remaining ______
         children {total number of remaining children} shall be paid commencing
         _______________ {month, day, year} and terminating ________________________
         {month, day, year}.
{Insert paragraph for the child support obligation, including the amount,
         commencement, and termination dates, for the remaining minor or dependent
         children which shall be payable as the obligation for each child ceases.}
         The Mother shall pay child support until all of the minor or dependent children:
         reach the age of 18; become emancipated, marry, join the armed services, die, or
         become self-supporting; or until further order of the court or agreement of the
         parties.  The child support obligation shall continue beyond the age of 18 and until
         high school graduation for any child who is dependent in fact, between the ages of
         18 and 19, and is still in high school, performing in good faith with a reasonable
         expectation of graduation before the age of 19.
         If the child support ordered deviates from the guidelines more than 5%, the factual
         findings which support that deviation are:  __________________________________
         _____________________________________________________________________
         ____________________________________________________________________.
         Child support shall be payable (   ) at least once a month and in accordance with the
         Mother's employer's payroll cycle, or (   ) other {explain} ______________________
*280
         ____________________________________________________________________.
   4. Arrearages/Retroactive Child Support
      a) The (  ) Mother (  ) Father owes child support arrearages in the amount of
         $_________ as of {date} ________________ to the other parent. The child support
         arrearages shall be repaid in the amount of $_______ per month, payable (   ) in
         accordance with the employer's payroll cycle, and in any event at least once per
         month (   ) other {explain}_______________________________________________
         commencing {date}_____________________, until paid in full including statutory
         interest.
      b) The (   ) Mother (   ) Father owes retroactive child support in the amount of
         $_________ as of {date} ________________ to the Petitioner. The retroactive child
         support  shall be repaid in the amount of $_______ per month, payable (   ) in
         accordance with the employer's payroll cycle, and in any event at least once per
         month (   )other {explain}________________________________________________
         _____________________________________________________________________
         commencing {date} ______________________, until paid in full including statutory
         interest.
   5. Insurance
      (Choose all that apply)
      a) (   ) Mother (   ) Father shall be required to maintain  (   ) health and/or (   ) dental
         insurance for the parties' minor child(ren), so long as reasonable in cost and
         accessible to the child(ren).  The party providing insurance shall be required to
         convey insurance cards demonstrating said coverage to the Petitioner and other
         parent.
         OR
         (   ) health and/or (   ) dental insurance is either not reasonable in cost or accessible
         to the child(ren) at this time.
      b) ___ Reasonable and necessary uninsured medical/dental/prescription drug costs for
         the minor child(ren) shall be assessed as follows:
         (   ) Shared equally by both parents.
         (   ) Prorated according to the child support guidelines percentages.
         (   ) Other {explain} ______________________________________________
         As to these uninsured medical/dental/prescription drug expenses, the party who
         incurs the expense shall submit a request for reimbursement to the parent or
         parents within 30 days, and the parent or parents, within 30 days of receipt, shall
         submit the applicable reimbursement for that expense.
*281
SECTION V. METHOD OF PAYMENT
The parent(s) shall pay court-ordered child support and arrearages, if any, as follows:
    1. Place of Payment
       a) ___ Parent(s) shall pay court-ordered support directly to either the State
          Disbursement Unit or the central depository, as required by statute, along with any
          fee required by statute.
          OR
       b) ___ The Petitioner and the Parent(s) have requested and the Court finds that it is in
          the best interest of the child(ren) that support payments need not be directed
          through either the State Disbursement Unit or the central depository at this time;
          however, any party may subsequently apply, pursuant to section 61.13(1)(d)(3),
          Florida Statutes, to require payment through either the State Disbursement Unit or
          the central depository.
    2. Income Deduction
       (If applicable)
       a) ___ Immediate. ( ) Mother ( ) Father, hereinafter, Obligor(s), shall pay through
          income deduction, pursuant to a separate Income Deduction Order which shall be
          effective immediately.  Obligor is individually responsible for paying this support
          obligation until all of said support is deducted from his/her income.  Until support
          payments are deducted, the Obligor is responsible for making timely payments
          directly to the State Disbursement Unit or the Petitioner as previously set forth in
          this Order.
       b) ___ Deferred. Income deduction is ordered this day, but it shall not be effective until
          a delinquency of $_____________, or, if not specified, an amount equal to one
          month's obligation occurs.  Income deduction is not being implemented
          immediately based on the following findings:  Income deduction is not in the best
          interests of the child(ren) because: {explain}  ________________________________
          _____________________________________________________________________
          ____________________________________________________________________.
          AND
          There is proof of timely payment of a previously ordered obligation without an
          Income Deduction Order,
          AND
          ( ) there is an agreement by the Obligor(s) to advise the State Disbursement Unit of
          any change in Payor and/or health insurance OR ( ) there is a signed, written
          agreement providing an alternative arrangement between the Petitioner and the
          Obligor(s).
*282
    3. Bonus/one-time payments.
       [Choose one only]
       ( ) All ( ) __________% ( ) No income paid in the form of a bonus or other similar one-time
      payment, up to the amount of any arrearage or the remaining balance thereof
       owed pursuant to this order, shall be forwarded to the Petitioner pursuant to the
       payment method prescribed above.
    4. Other provisions relating to method of payment: _______________________________
       _______________________________________________________________________.
SECTION VI. ATTORNEY FEES, COSTS, AND SUIT MONEY
(Choose one only)
    1. ___ ( ) Petitioner's ( )Respondents' request(s) for attorney fees, costs, and suit money
       is (are) denied because ____________________________________________________
       _______________________________________________________________________.
    2. ___ The Court finds there is a need for and ability to pay attorney fees, costs, and suit
       money. ( ) Petitioner ( ) Respondent(s) is (are) ordered to pay the other party
       $________ in attorney fees, and $ ______ in costs.  The Court further finds that the
       attorney fees are awarded based on the reasonable rate of $________________ per
       hour and ________________ reasonable hours.  Other provisions relating to attorney
       fees, costs, and suit money are as follows: _____________________________________
       _______________________________________________________________________.
SECTION VII. OTHER PROVISIONS
    1. Other Provisions ________________________________________________________
       ________________________________________________________________________
       ________________________________________________________________________
       _______________________________________________________________________.
    2. The Court reserves jurisdiction to modify and enforce this Order for Temporary Custody.
*283
       DONE AND ORDERED in ______________________, Florida on {date} __________________
                                                      _____________________________
                                                      CIRCUIT JUDGE
       A copy of this Order for Temporary Custody was:  [Choose one only]
       ( ) mailed ( ) faxed and mailed ( ) hand delivered to the parties listed below on
       {date} _______________ by ________________________________{clerk of court or designee}.
       Petitioner (or his or her attorney)
       Respondents (or his or her attorney)
       State Disbursement Unit
       Other _________________________________
*284
          IN THE CIRCUIT COURT OF THE _________________________ JUDICIAL CIRCUIT
                  IN AND FOR __________________________ COUNTY, FLORIDA
                                                       Case No: ______________________
                                                       Division: ______________________
  __________________________________,
                          Petitioner,
and
  __________________________________,
                   Respondent/Father
  __________________________________,
                   Respondent/Mother.
ORDER GRANTING PETITION FOR
CONCURRENT CUSTODY BY EXTENDED FAMILY
This case came before this Court for a hearing on a Petition for Concurrent Custody by
Extended Family. The Court, having reviewed the file and heard the testimony, makes these
findings of fact and reaches these conclusions of law:
SECTION I. FINDINGS:
    1. The Court has jurisdiction over the subject matter and the parties.
    2. The minor child(ren) at issue in this matter are:
       Name                                              Date of Birth
       ___________________________________________________________________
       ___________________________________________________________________
       ___________________________________________________________________
       ___________________________________________________________________
    3. The Petitioner, {full legal name} _____________________________________ is the
       {extended family relationship}___________________________________________ of
       the child(ren).
    4. The Petitioner currently has physical custody of the child(ren) and has had physical
       custody of the child(ren) for at least 10 days in any 30-day period within the last 12
       months.
*285
    5. The Petitioner does not have signed, written documentation from the parent(s) which is
       sufficient to enable the custodian to do all the things necessary to care for the child(ren)
       which are available to custodians who have an order for temporary custody by extended
       family.
    6. The Mother {full legal name} _________________________________ of the child(ren):
       (choose one only)
       ___ Filed a Waiver and Consent
       ___ Was served with the petition and failed to file an Answer
       ___ Is deceased as evidenced by: _______________________________________
    7. The Father {full legal name} __________________________________ of the child(ren):
       (choose one only)
       ___ Filed a Waiver and Consent
       ___ Was served with the petition and failed to file an Answer
       ___ Is deceased as evidenced by: ________________________________________
    8. It is in the best interest of the child(ren) for the Petitioner to have concurrent custody.
SECTION II: CONCURRENT CUSTODY
    1. The Petitioner,___________________________________________________, is granted
       concurrent custody of the minor child(ren).
    2. The Petitioner shall have all the concurrent rights and responsibilities of a legal parent.
    3. The Petitioner is authorized to make all reasonable and necessary decisions for the
       minor child(ren), including but not limited to:
       a) Consent to all necessary and reasonable medical and dental care for the
          child(ren), including nonemergency surgery and psychiatric care;
       b) Secure copies of the child(ren)'s records, held by third parties, that are necessary
          for the care of the child(ren), including, but not limited to:
            i. Medical, Dental, and psychiatric records;
           ii. Birth certificates and other records; and
          iii. Educational records.
    4. Enroll the child(ren) in school and grant or withhold consent for the child(ren) to be
       tested or placed in special school programs, including exceptional education; and
    5. Do all other things necessary for the care of the child(ren).
*286
SECTION III. CHILD SUPPORT
    1. The Petitioner ____ did  ____ did not request the establishment of child support.
    2. ___ If child support is requested, the parents have received personal or substituted
       service of process, the petition requests an order for support of the child(ren), and there
       is evidence of the parents' ability to pay the support ordered. The ( ) Mother ( ) Father
       has the present ability to pay child support
       (Choose one only)
       ___ The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules
       of Procedure Form 12.902(e) filed by the ( ) Mother ( ) Father are correct;
       OR
       ___ The Court makes the following findings:  The Mother's net monthly income is
       $_______________, (Child Support Guidelines ___%). The Father's net monthly income
       is $____________________, (Child Support Guidelines ____%)  Monthly child care costs
       are $_________________.  Monthly health/dental insurance costs are $_____________.
       OR
       ___ The ( ) Mother ( ) Father is currently ordered to pay child support to the other
       parent in the amount of $_____________ per ________________ as established in the
       case of (style of case and number}  _________________________________________
       _______________________________________________________________________.
       ( ) All of the child support or ( ) a portion of the child support in the amount of
       $_________ shall be redirected to the Petitioner.
    3. Amount
       a) Father's Obligation
       The Father shall be obligated to pay child support in the amount of $__________ for the
       _______children {total number of parties' minor or dependent children} commencing
       _________________ {month, day, year} and terminating ________________________
       {month, day, year}.
       Upon the termination of child support for one of the parties' children, child support in
       the amount of $_____________ for the remaining _________ children {total number of
remaining children} shall be paid commencing __________________ {month, day, year}
       and terminating _________________________ {month, day, year}.
{Insert paragraph for the child support obligation, including the amount,
       commencement, and termination dates, for the remaining minor or dependent
       children, which shall be payable as the obligation for each child ceases.}
*287
       The Father shall pay child support until all of the minor or dependent children:  reach the
       age of 18, become emancipated, marry, join the armed services, die, or become self-supporting;
       or until further order of the court or agreement of the parties. The child
       support obligation shall continue beyond the age of 18 and until high school graduation
       for any child who is dependent in fact, between the ages of 18 and 19, and is still in high
       school, performing in good faith with a reasonable expectation of graduation before the
       age of 19.
       If the child support ordered deviates from the guidelines more than 5%, the factual
       findings which support that deviation are: ____________________________________
       _______________________________________________________________________________
       _______________________________________________________________________________.
       Child support shall be payable ( ) at least once a month and in accordance with the
       Father's employer's payroll cycle, or ( ) other {explain}________________________
       ________________________________________________________________________
       b) Mother's Obligation
       The Mother shall be obligated to pay child support in the amount of $____________ for
       the ________children {total number of parties' minor or dependent children}
       commencing {month, day, year} and terminating __________________ {month, day,
       year}.
       Upon the termination of the obligation of child support for one of the parties' children,
       child support in the amount of $__________ for the remaining ______ children {total
       number of remaining children} shall be paid commencing _____________________
       {month, day, year} and terminating ________________________ month, day, year}.
{Insert paragraph for the child support obligation, including the amount,
       commencement, and termination dates, for the remaining minor or dependent
       children, which shall be payable as the obligation for each child ceases.}
       The Mother shall pay child support until all of the minor or dependent children: reach
       the age of 18; become emancipated, marry, join the armed services, die, or become self-supporting;
       or until further order of the court or agreement of the parties. The child
       support obligation shall continue beyond the age of 18 and until high school graduation
       for any child who is dependent in fact, between the ages of 18 and 19, and is still in high
       school, performing in good faith with a reasonable expectation of graduation before the
       age of 19.
*288
       If the child support ordered deviates from the guidelines more than 5%, the factual
       findings which support that deviation are:______________________________________
       ________________________________________________________________________
       _______________________________________________________________________.
       Child support shall be payable ( ) at least once a month and in accordance with the
       Mother's employer's payroll cycle, or ( ) other {explain}_______________________
       _______________________________________________________________________.
    4. Arrearages/Retroactive Child Support
          a) The ( ) Mother ( ) Father owes child support arrearages in the amount of
             $_________ as of {date} ________________ to the other parent. The child
             support arrearages shall be repaid in the amount of $_______ per month,
             payable ( ) in accordance with the employer's payroll cycle, and in any event at
             least once per month ( )other {explain} ________________________________
             __________________________________________________________________
             commencing {date} ______________________, until paid in full including
             statutory interest.
          b) The ( ) Mother ( ) Father owes retroactive child support in the amount of
             $_________ as of {date} ________________ to the Petitioner. The retroactive
             child support  shall be repaid in the amount of $_______ per month, payable ( )
             in accordance with the employer's payroll cycle, and in any event at least once
             per month ( )other {explain} __________________________________________
             __________________________________________________________________
             commencing {date} ______________________, until paid in full including
             statutory interest.
    5. Insurance
       (Choose all that apply)
          a) ( ) Mother ( ) Father shall be required to maintain ( ) health and/or ( ) dental
             insurance for the parties' minor child(ren), so long as reasonable in cost and
             accessible to the child(ren). The party providing insurance shall be required to
             convey insurance cards demonstrating said coverage to the Petitioner and other
             parent.
             OR
             ( ) health and/or ( ) dental insurance is either not reasonable in cost or
             accessible to the child(ren) at this time.
          b) ___ Reasonable and necessary uninsured medical/dental/prescription drug costs
             for the minor child(ren) shall be assessed as follows:
*289
             ( ) Shared equally by both parents.
             ( ) Prorated according to the child support guidelines percentages.
             ( ) Other {explain} ______________________________________________
             As to these uninsured medical/dental/prescription drug expenses, the party who
             incurs the expense shall submit a request for reimbursement to the parent or
             parents within 30 days, and the parent or parents, within 30 days of receipt, shall
             submit the applicable reimbursement for that expense.
SECTION IV. METHOD OF PAYMENT
The parent(s) shall pay court-ordered child support and arrearages, if any, as follows:
    1. Place of Payment
          a) ___ Parents shall pay court-ordered support directly to either the State
             Disbursement Unit or the central depository, as required by statute, along
             with any applicable fee required by statute.
             OR
          b) ___ The Petitioner and the Parents have requested and the court finds that it is in
             the best interest of the child(ren) that support payments need not be directed
             through either the State Disbursement Unit or the central depository at this
             time; however, any party may subsequently apply, pursuant to section
             61.13(1)(d)(3), Florida Statutes, to require payment through either the State
             Disbursement Unit or the central depository.
    2. Income Deduction
       (If applies)
          a) ___ Immediate. ( ) Mother ( ) Father, hereinafter, Obligor(s), shall pay through
             income deduction, pursuant to a separate Income Deduction Order which shall
             be effective immediately. Obligor is individually responsible for paying this
             support obligation until all of said support is deducted from his/her income.
             Until support payments are deducted, the Obligor is responsible for making
             timely payments directly to the State Disbursement Unit or the Petitioner as
             previously set forth in this Order.
          b) ___ Deferred. Income deduction is ordered this day, but it shall not be effective
             until a delinquency of $_____________, or, if not specified, an amount equal to
             one month's obligation occurs.  Income deduction is not being implemented
             immediately based on the following findings:  Income deduction is not in the
             best interests of the child(ren) because: {explain} _________________________
*290
             _______________________________________________________________
             _______________________________________________________________.
             AND
             There is proof of timely payment of a previously ordered obligation without an
             Income Deduction Order,
             AND
             ( ) there is an agreement by the Obligor(s) to advise the State Disbursement
             Unit of any change in Payor and/or health insurance OR ( ) there is a signed,
             written agreement providing an alternative arrangement between the Petitioner
             and Obligor(s).
    3. Bonus/one-time payments.
       [Choose one only]
       ( ) All ( ) __________% ( ) No income paid in the form of a bonus or other similar one-time
       payment, up to the amount of any arrearage or the remaining balance thereof
       owed pursuant to this order, shall be forwarded to the Petitioner pursuant to the
       payment method prescribed above.
    4. Other provisions relating to method of payment: _______________________________
       ________________________________________________________________________
SECTION V. ATTORNEY FEES, COSTS, AND SUIT MONEY
(Choose one only)
    1. ___ ( ) Petitioner's ( ) Respondents' request(s) for attorney fees, costs, and suit money
       is (are) denied because ____________________________________________________
       _____________________________________________________________________.
    2. ___ The Court finds there is a need for and ability to pay attorney fees, costs, and suit
       money. ( ) Petitioner ( ) Respondent(s) is (are) ordered to pay the other party
       $________ in attorney fees, and $ ______ in costs.  The Court further finds that the
       attorney fees are awarded based on the reasonable rate of $________________ per
       hour and ________________ reasonable hours.  Other provisions relating to attorney
       fees, costs, and suit money are as follows: _____________________________________
       _______________________________________________________________________.
SECTION VI. OTHER PROVISIONS
    1. Other Provisions _________________________________________________________
       ________________________________________________________________________
       ________________________________________________________________________
       ________________________________________________________________________
*291
    2. The Court reserves jurisdiction to modify and enforce this Order for Concurrent Custody.
    3. The granting of concurrent custody does not affect the ability of the child(ren)'s parent
       or parents to obtain physical custody of the child(ren) at any time.
  DONE AND ORDERED in _____________________, Florida on {date} ____________________
                                                     _____________________________
                                                     CIRCUIT JUDGE
  A copy of this Order for Concurrent Custody was:
  [Choose one only] ( ) mailed ( ) faxed and mailed ( ) hand delivered to the parties listed
  below on {date}___________ by____________________________. {Clerk of court or designee}
  Petitioner (or his or her attorney)
  Respondents (or his or her attorney)
  State Disbursement Unit or Central Depository
  Other _________________________________
NOTES
[1]  Pursuant to our opinion in Amendments to the Florida Family Law Rules of Procedure & Family Law Forms, 810 So. 2d 1, 13-14 (Fla. 2000), this Court internally reviews and maintains the Florida Supreme Court Approved Family Law Forms.
[2]  We have jurisdiction. See art. V, § 2(a), Fla. Const.
[3]  In form 12.970(e), section V addresses "Method of Payment." In form 12.970(f), section IV addresses "Method of Payment."