Rule 8.870. ORDER

FloridaCourt rules

Ask Donna

How this section applies to your facts.

Florida Rules of Juvenile Procedure › Rule 8.870

This text was captured on Aug 14, 2026. It is a snapshot, not a live feed, so check the official code before relying on it.

Text

RULE 8.870. ORDER

(a)

Requirement to Attend School. If the court determines

that a student did miss any of the alleged days, the court shall

order the student to attend school and the parent, guardian, legal

custodian, or, if the student is in foster care, the case manager, to

ensure that the student attends school.

(b)

Other Sanctions. If the court determines that a student

did miss any of the alleged days, the court may order any of the

following:

(1)

The student to participate in alternative sanctions

to include mandatory attendance at alternative classes to be

followed by mandatory community service hours for up to six

months;

(2)

The student or the student’s parent, guardian, or

legal custodian, to participate in homemaker or parent aid services;

(3)

The student or the student’s parent, guardian, or

legal custodian to participate in and complete intensive crisis

counseling and/or community mental health services;

(4)

The student and the student’s parent, guardian, or

legal custodian to participate in services provided by voluntary or

community agencies as available;

(5)

The student or the student’s parent, guardian, or

legal custodian to participate in vocational, job training, or

employment services.

(c)

Referral to Case Staffing Committee. If the student

does not successfully complete the sanctions ordered, the case shall

be referred to the case staffing committee, with a recommendation

to file a child in need of services petition under Chapter 984, Florida

Statutes.

(d)

Participation by Parent, Guardian, Legal Custodian,

or Student. The parent, guardian, or legal custodian and the

January 1, 2026

Florida Rules of Juvenile Procedure

Page 287 of 469

student shall participate as ordered or required by the court, in any

sanction or services ordered pursuant to this rule.

ommendation

to file a child in need of services petition under Chapter 984, Florida

Statutes.

(d)

Participation by Parent, Guardian, Legal Custodian,

or Student. The parent, guardian, or legal custodian and the

January 1, 2026

Florida Rules of Juvenile Procedure

Page 287 of 469

student shall participate as ordered or required by the court, in any

sanction or services ordered pursuant to this rule.

(e)

Enforcement by Contempt. The court shall enforce

such requirements through its contempt power, pursuant to

Chapter 984, Florida Statutes.

PART VI.

FORMS FOR USE WITH RULES OF JUVENILE

PROCEDURE

The following forms are sufficient for the matters that are

covered by them. So long as the substance is expressed without

prolixity, the forms may be varied to meet the facts of a particular

case. Captions, verifications, and certificates of service, except for

the designation of the paper, are omitted from most forms. General

forms for these are provided at the beginning of the forms.

Publisher’s Note

The Florida Supreme Court’s per curiam opinion of December

24, 1980 (393 So.2d 1077) in which the forms appear provides:

“Nothing in the Forms shall be deemed to be a part of these Rules.”

Committee Note

1991 Amendment. These forms have been updated to

conform to revisions to Chapter 39, Florida Statutes, and the

Florida Rules of Juvenile Procedure. As the court has stated before,

the forms are not intended to be part of the rules and are provided

for convenience only.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 288 of 469

GENERAL FORMS

FORM 8.901. CAPTION OF PLEADINGS AND ORDERS

NAME OF COURT

In the Interest of

...................., .....a child/children.....

.....(Designation of Pleading or Order).....

FORM 8.902. VERIFICATION

STATE OF FLORIDA

COUNTY OF ....................

Before me, the undersigned authority, personally appeared

.....(name)....., who, being sworn, says the .....(document)..... is filed

in good faith and on information, knowledge, and belief is true

ERS

NAME OF COURT

In the Interest of

...................., .....a child/children.....

.....(Designation of Pleading or Order).....

FORM 8.902. VERIFICATION

STATE OF FLORIDA

COUNTY OF ....................

Before me, the undersigned authority, personally appeared

.....(name)....., who, being sworn, says the .....(document)..... is filed

in good faith and on information, knowledge, and belief is true.

Sworn to and subscribed before me on .....(date)......

(Title)

Committee Notes

1991 Adoption. The above verification should be added to

petitions and motions as required by law.

FORM 8.903. CERTIFICATE OF SERVICE

I certify that a copy of .....(document)..... has been furnished to

.....(name(s))..... by .....e-mail/U.S. mail/hand delivery/fax..... on

.....(date)......

(Title)

January 1, 2026

Florida Rules of Juvenile Procedure

Page 289 of 469

Committee Notes

1991 Adoption. The above may be added to petitions, orders,

and other forms as required.

FORM 8.904. AFFIDAVIT FOR ORDER TO TAKE INTO

CUSTODY

AFFIDAVIT

STATE OF FLORIDA

COUNTY OF ....................

Before me, the undersigned authority, personally appeared affiant,

who, being sworn, made the following allegation of facts:

.................... and requested that the court issue an order to take

into custody the below.....named/described..... children.

Name(s) ……….

Age(s) ……….Sex ……….

Date(s) of Birth ……….

Race ……….

Address ……….

Identifying Description ……….

Parent/Custodian……….

January 1, 2026

Florida Rules of Juvenile Procedure

Page 290 of 469

Address ………..

Affiant

.....Address.....

FORM 8.905. ORDER TO TAKE INTO CUSTODY

ORDER TO TAKE INTO CUSTODY

TO: ……….

A .....verified petition/affidavit..... having been filed in this case,

alleging facts which under existing law are determined to be

sufficient to authorize taking into custody the below-

.....named/identified..... .....child/children....., believed to be of an

age subject to the juvenile jurisdiction of the circuit court; therefore

You are commanded to take the following .....child/children....

A .....verified petition/affidavit..... having been filed in this case,

alleging facts which under existing law are determined to be

sufficient to authorize taking into custody the below-

.....named/identified..... .....child/children....., believed to be of an

age subject to the juvenile jurisdiction of the circuit court; therefore

You are commanded to take the following .....child/children..... into

custody:

Name(s)……….

Age(s) ………. Sex ……….

Date(s) of Birth ……….

Race ……….

Address ……….

Identifying Description ……….

January 1, 2026

Florida Rules of Juvenile Procedure

Page 291 of 469

Parent/Custodian ……….

Address . ……….

For the following reasons:……….

Upon taking the .....child/children..... into custody, you will

deliver .....him/her/them..... to: ……….to be held pending a

.....detention/shelter..... hearing or upon further order of this court.

ORDERED in the circuit court in and for .................... County,

Florida, on .....(date)......

Circuit Judge

RETURN

This order to take into custody was executed at ..... m., on

.....(date)....., by the undersigned.

(Title)

RETURN TO ISSUING COURT UPON THE CHILD’S 19TH

BIRTHDAY

FORM 8.906. RELEASE ORDER

RELEASE ORDER

The court now finding that the above-named

.....child/children....., previously .....placed in shelter

care/detained....., should be released.

It is ADJUDGED:

That ……….shall be released immediately to ……….

It is FURTHER ADJUDGED that ………..

January 1, 2026

Florida Rules of Juvenile Procedure

Page 292 of 469

ORDERED in the circuit court in and for ……….County,

Florida, on .....(date)......

Circuit Judge

FORM 8.907. TRANSFER ORDER

TRANSFER ORDER

This case being before this court for consideration of transfer

to a court having juvenile jurisdiction in another county, the court

finds:

That on .....(date)....., following a hearing on the petition

of ...................., the court .....entered an order of

adjudication/withheld adjudication/accepted a plan of proposed

treatment, training, or conduct......

7. TRANSFER ORDER

TRANSFER ORDER

This case being before this court for consideration of transfer

to a court having juvenile jurisdiction in another county, the court

finds:

That on .....(date)....., following a hearing on the petition

of ...................., the court .....entered an order of

adjudication/withheld adjudication/accepted a plan of proposed

treatment, training, or conduct......

That it would be in the best interest of the above-named

.....child/children..... that this case be transferred to the circuit

court of another county because: ....................

That a dispositional order .....was/was not..... made in

this case.

It is recommended to the receiving court that: .....................

It is ADJUDGED:

That the jurisdiction of this court in this case and of the

.....child/children..... involved is transferred to the circuit court in

and for .................... County, Florida, of the ..... Judicial Circuit, for

any and all proceedings deemed necessary.

That within 5 days from the date of this order the clerk of

this court shall forward a certified copy of:

(a)

The order of transfer, which shall include but not be

limited to:

(i)

Specific offense that the child was found to have

committed;

January 1, 2026

Florida Rules of Juvenile Procedure

Page 293 of 469

(ii)

Degree of offense;

(iii) Name of parent/custodian to be summoned;

(iv)

Address at which the child should be summoned for

disposition;

(v)

Name and address of the victim; and

(vi)

Whether the child was represented by counsel.

(b)

A certified copy of the delinquency petition;

(c)

A copy of the juvenile referral or complaint; and

anuary 1, 2026

Florida Rules of Juvenile Procedure

Page 293 of 469

(ii)

Degree of offense;

(iii) Name of parent/custodian to be summoned;

(iv)

Address at which the child should be summoned for

disposition;

(v)

Name and address of the victim; and

(vi)

Whether the child was represented by counsel.

(b)

A certified copy of the delinquency petition;

(c)

A copy of the juvenile referral or complaint; and

(d)

Any reports and all previous orders including orders

appointing counsel entered by the court in the interest of that child.

These documents shall be forwarded to the clerk of the

receiving court; state attorney of the receiving court; public

defender of the receiving court, if counsel previously has been

appointed; and ……….

ORDERED in the circuit court in and for .................... County,

Florida, on .....(date)......

Circuit Judge

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;

January 1, 2026

Florida Rules of Juvenile Procedure

Page 294 of 469

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)....

/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)..... 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.

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.,

FORM 8.909. PLAN FOR TREATMENT, TRAINING, OR

CONDUCT

PLAN FOR TREATMENT, TRAINING, OR CONDUCT

TO: ………., Circuit Judge

Instead of a plea to the petition filed on .....(date)....., alleging

the above-named .....child/children..... to be ………., the following

proposed plan for treatment, training, or conduct, formulated in

conjunction with the supervising agency, is now submitted, with

January 1, 2026

Florida Rules of Juvenile Procedure

Page 295 of 469

the request that it be accepted by the court and that prosecution of

the said petition be deferred.

This agreement is entered into with full knowledge and

disclosure of all the facts and circumstances of this case, and in

consideration thereof, and the promise of fulfillment of its terms

and conditions, each of the undersigned agrees as follows: ……….

It is further agreed:

That the speedy trial rule is waived,

That a hearing for the acceptance of this plan .....is/is

not..... waived,

That this plan, as agreed to here, shall be in effect until

...............

In witness whereof the undersigned have affixed their hands

on .....(date)......

Child

.....Parent(s) or Custodian(s).....

Attorney for

.....Child/Parent(s)/Custodian(s)....

: ……….

It is further agreed:

That the speedy trial rule is waived,

That a hearing for the acceptance of this plan .....is/is

not..... waived,

That this plan, as agreed to here, shall be in effect until

...............

In witness whereof the undersigned have affixed their hands

on .....(date)......

Child

.....Parent(s) or Custodian(s).....

Attorney for

.....Child/Parent(s)/Custodian(s).....

………., Department of Juvenile Justice, Supervising Agency,

Recommends: .....Acceptance/Rejection......

Authorized Agent

January 1, 2026

Florida Rules of Juvenile Procedure

Page 296 of 469

CONSENT IN DELINQUENCY CASES

The undersigned, being familiar with the contents of this plan

for treatment, training, or conduct and the delinquency petition on

which it is based, consents to defer prosecution of the petition.

Dated: ……….

……….

State Attorney

By:

Assistant State Attorney

ORDER

The foregoing plan for treatment, training, or conduct having

been properly submitted and having been given consideration by

the court,

It is ADJUDGED:

That the plan is approved and the parties thereto

shall comply with its terms and conditions.

That the plan is disapproved and an adjudicatory

hearing on the petition shall be scheduled.

ORDERED at ...................., .................... County, Florida, on

.....(date)......

Circuit Judge

FORM 8.911. UNIFORM CHILD CUSTODY JURISDICTION AND

ENFORCEMENT ACT AFFIDAVIT

See Fla. Sup. Ct. App. Fam. L. Form 12.902(d).

January 1, 2026

Florida Rules of Juvenile Procedure

Page 297 of 469

FORM 8.912. PETITION TO SHOW CAUSE

PETITION BY AFFIDAVIT FOR ORDERTO SHOW CAUSE

This is a proceeding for an order to show why the below-

named witness, ...................., should not be held in contempt of

court.

Petitioner is .....(title)......

A subpoena was duly served on .....(name)....., at

.....(time)..... by .....(name)..... who was then and there authorized to

serve said subpoena. A copy of the receipt evidencing service is

attached and incorporated by reference. Said .....(name)....

an order to show why the below-

named witness, ...................., should not be held in contempt of

court.

Petitioner is .....(title)......

A subpoena was duly served on .....(name)....., at

.....(time)..... by .....(name)..... who was then and there authorized to

serve said subpoena. A copy of the receipt evidencing service is

attached and incorporated by reference. Said .....(name)..... did not

appear on .....(date)....., at .....(time)..... in response to that

subpoena and to this date has not appeared.

WHEREFORE, the undersigned does respectfully request the

court to issue an order to direct .....(name)..... to appear before the

court to show cause why .....(name)..... should not be held in

contempt of court.

Petitioner

FORM 8.913. ORDER TO SHOW CAUSE

ORDER TO SHOW CAUSE

This cause came on to be heard on the petition for order to

show cause directed to .....(name)..... for failure .....(specify)..... on

.....(date)...... (See attached affidavit.)

NOW, THEREFORE, you, .....(name)....., are hereby ORDERED

to appear before this court located at ...................., on .....(date).....,

at .....(time)....., to show cause why you should not be held in

contempt of this court, for your failure to .....(specify)......

DONE AND ORDERED on .....(date)....., at ....................,

.................... County, Florida.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 298 of 469

Circuit Judge

DELINQUENCY FORMS

FORM 8.929. DETENTION ORDER

DETENTION HEARING ORDER

Pick up order for absconding from:

.....

supervised release

.....

probation

.....

commitment

.....

other: ..................

Pick up order for:

.....

violation of probation

.....

violation of probation for an underlying felony firearm offense not

involving a new law violation

.....

other: ..................

Present before the court:

.....

the child;

.....

.....(name)....., Assistant State Attorney;

.....

.....(name)....., Assistant Public Defender/defense attorney;

.....

.....(name)....., parent/legal guardian;

....

...

Pick up order for:

.....

violation of probation

.....

violation of probation for an underlying felony firearm offense not

involving a new law violation

.....

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

.....

Supervised release ..... with or ..... without an electronic monitor

.....

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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 299 of 469

.....

found.

.....

found for lesser included offense …...

.....

not found.

.....

reset within ….. hours of custody.

Risk assessment instrument (RAI) score: ..........

Score amended to: ..........

.....

Meets detention criteria.

.....

Meets detention criteria for being a Prolific Juvenile Offender.

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

985.255, Florida Statutes.

The court finds:

.....

respite care is not available for the child; and

.....

it is necessary to place the child in secure detention to protect the

victim from injury.

.....

detained by the Department of Juvenile Justice in

.....

supervised release.

….. days

.....

supervised release with electronic monitoring.

....

ure detention for domestic violence charge under section

985.255, Florida Statutes.

The court finds:

.....

respite care is not available for the child; and

.....

it is necessary to place the child in secure detention to protect the

victim from injury.

.....

detained by the Department of Juvenile Justice in

.....

supervised release.

….. days

.....

supervised release with electronic monitoring.

.....

supervised release with electronic monitoring due to being a

Prolific Juvenile Offender.

.....

secure detention.

….. days

.....

secure detention due to probable cause being found for a

designated offense and a risk to public safety and a danger

to the community.

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: ....................

Reasons for court ordering more or less restrictive placement than RAI

score:……….

January 1, 2026

Florida Rules of Juvenile Procedure

Page 300 of 469

It is FURTHER ORDERED that unless an adjudicatory hearing has begun or a

subsequent modification order is entered, the child must 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)....., must 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)....., must pay to the

Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL

32399-3100, $1 per day for each day the child is on supervised release.

....

.....(name)....., must 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)....., must pay to the

Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL

32399-3100, $1 per day for each day the child is on supervised release.

.....

The parent/guardian of the child, .....(name)....., must 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 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 the investigation of the

offense; or

.....

of indigency or significant financial hardship. The facts

supporting this finding are: ....................

.....

The parent/guardian of the child, .....(name)....., .....(address)....., is liable

for .....% of the payment. The parent/guardian of the child, .....(name).....,

.....(address)....., is 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: ....................

January 1, 2026

Florida Rules of Juvenile Procedure

Page 301 of 469

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 is not 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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 301 of 469

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 is not 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 must advise Clerk’s Office and DJJ of

any address change.

.....

Department of Juvenile Justice must transfer the child to ....................

Detention Center.

Other: ......................

DONE AND ORDERED in ................. County, Florida at ..........

a.m./p.m. on .....(date).....

Circuit Judge

Copies to: ....................

FORM 8.930. JUVENILE NOTICE TO APPEAR

JUVENILE NOTICE TO APPEAR

DATE ..........

AGENCY ………..

CASE NO. ……….

PARENT, ADULT RELATIVE, LEGAL GUARDIAN .....(name).....

January 1, 2026

Florida Rules of Juvenile Procedure

Page 302 of 469

I am the .....(relationship to child)..... of .....(child’s name).....

and promise to ensure that the child appears on .....(date)..... at

.....(time)..... at .....(location)...... I also promise immediately to notify

the office of the state attorney at .....(telephone number)..... and the

clerk of the court at .....(telephone number)..... of any change in the

child’s address.

Signature of Parent/Adult

Relative/Legal Guardian

.....(address).....

.....(telephone number)....

omise to ensure that the child appears on .....(date)..... at

.....(time)..... at .....(location)...... I also promise immediately to notify

the office of the state attorney at .....(telephone number)..... and the

clerk of the court at .....(telephone number)..... of any change in the

child’s address.

Signature of Parent/Adult

Relative/Legal Guardian

.....(address).....

.....(telephone number).....

.....(date).....

.....(address and telephone number

of child, if different).....

- - - - - - - - - - - - - - -

I, .....(child’s name)....., understand that I have been charged

with a law violation, .....(offense(s))....., and that I am being released

at this time to the custody of .....(parent, adult relative, or legal

guardian’s name)......

I promise to appear on .....(date)..... at .....(time)..... at

.....(location)....., and to appear as required for any additional

conferences or appearances scheduled by DJJ or the court. I

understand that my failure to appear shall result in a custody order

being issued and that I will be picked up and taken to detention.

Child’s Signature

Date ....................

Arresting Officer ....................

January 1, 2026

Florida Rules of Juvenile Procedure

Page 303 of 469

Releasing officer or DJJ

counselor authorizing release

DJJ Intake Telephone Number …………

ATTACH TO ARREST AFFIDAVIT

FORM 8.931. DELINQUENCY PETITION

PETITION

Your petitioner respectfully represents that ………. whose

date(s) of birth …. is/are ….. and who reside(s) at ………. ...is/ are

….. delinquent and that this court has jurisdiction of this cause

because of the following allegations of facts:……….

That the parents or custodians are:

…………………..

…………………….

Mother

Residence

…………………..

…………………….

Father

Residence

…………………..

…………………….

Custodian

Residence

WHEREFORE, your petitioner requests process may issue to

bring the above-named parties before the court on a day and time

designated to be dealt with according to law.

Dated: ...................

ause

because of the following allegations of facts:……….

That the parents or custodians are:

…………………..

…………………….

Mother

Residence

…………………..

…………………….

Father

Residence

…………………..

…………………….

Custodian

Residence

WHEREFORE, your petitioner requests process may issue to

bring the above-named parties before the court on a day and time

designated to be dealt with according to law.

Dated: ....................

Petitioner

January 1, 2026

Florida Rules of Juvenile Procedure

Page 304 of 469

FORM 8.932. APPLICATION FOR COUNSEL AND ORDER

APPLICATION FOR COUNSEL

AND ORDER

STATE OF FLORIDA

COUNTY OF ....................

Before me, the undersigned authority, personally appeared

affiant, who, being duly sworn, says:

That I understand a delinquency complaint has been

made against me and, being advised of my right to an attorney, now

request appointment of counsel.

Being without sufficient funds, property or assets of any

kind, I will be deprived of my right to representation unless I am

adjudged insolvent and counsel appointed to represent me.

That I have been informed that a lien for the value of the

legal services rendered to me by the public defender may be

imposed by law on any property I now or may hereafter have in this

state.

Dated: ....................

Affiant Child

STATEMENT OF PARENT(S)

The undersigned are informed and understand that liability for

cost of representation of this child by the public defender can be

assessed against the parent(s) by court order in an amount not to

exceed the amount provided by law.

Parent

January 1, 2026

Florida Rules of Juvenile Procedure

Page 305 of 469

Parent

ORDER

The court finds that this child is indigent, as defined by law,

and is desirous of counsel; it is, therefore,

ORDERED

That this child is declared to be insolvent.

That ...................., Public Defender for the ..... Judicial

Circuit, State of Florida, is hereby appointed as counsel to

represent this child in all matters in defense of the delinquency

complaint herein made

469

Parent

ORDER

The court finds that this child is indigent, as defined by law,

and is desirous of counsel; it is, therefore,

ORDERED

That this child is declared to be insolvent.

That ...................., Public Defender for the ..... Judicial

Circuit, State of Florida, is hereby appointed as counsel to

represent this child in all matters in defense of the delinquency

complaint herein made.

DONE AND ORDERED in the circuit court in and for

.................... County, Florida, on .....(date)......

Circuit Judge

FORM 8.933. WAIVER OF COUNSEL

WAIVER OF COUNSEL

I GIVE UP MY RIGHT TO HAVE A LAWYER

1. I understand that a lawyer is a professional person who is

trained in the law and whose job it is to help people who have legal

problems.

2. I understand that if I have a lawyer, that person will do

several things to help me, such as:

a. Explaining the charges which have been filed against me in

the petition for delinquency.

b. Giving me advice on my rights and responsibilities in this

case.

c. Advising me as to what legal defenses may be available to

me.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 306 of 469

d. Advising me as to whether or not I should challenge the

charges.

e. Helping me prepare my case for hearing if I decide to

challenge the charges.

f. Helping me get the proper witnesses to court.

g. Giving me advice and direction on what I should do

regarding my case.

3. I understand that I have a right to be represented by a

lawyer at any time and that if I cannot pay to hire a lawyer, the

judge will give one to me. In signing this paper, I understand that I

choose not to have a lawyer represent me at this time.

4. I understand that I keep the right to have a lawyer. I can

ask the judge at any time to give me a lawyer even if I have not

asked for one before.

5. A lawyer has explained to me my right to be represented in

this case, the results of not having a lawyer and other factors that

would help me to decide whether or not to have a lawyer in this

matter

e not to have a lawyer represent me at this time.

4. I understand that I keep the right to have a lawyer. I can

ask the judge at any time to give me a lawyer even if I have not

asked for one before.

5. A lawyer has explained to me my right to be represented in

this case, the results of not having a lawyer and other factors that

would help me to decide whether or not to have a lawyer in this

matter. I have had time to ask questions and have my questions

answered to my satisfaction, including questions about immigration

and other consequences.

6. I understand all of the above statements regarding my

rights to a lawyer but, I give up my right to be represented by a

lawyer at this time.

Date: ....................

Child

Age

STATEMENT OF ATTORNEY ASSIGNED TO DISCUSS THE WAIVER

WITH THE CHILD

I have read this waiver to the child. I have explained the

January 1, 2026

Florida Rules of Juvenile Procedure

Page 307 of 469

waiver fully to the child and believe that the child has waived

counsel knowingly, intelligently, and voluntarily.

Date:……….

Attorney

FORM 8.934. ORDER TO DETERMINE MENTAL CONDITION

ORDER TO DETERMINE

MENTAL CONDITION

It having been made known to the court and the court finding

that reasonable grounds exist to believe that this child may be

incompetent to proceed with an adjudicatory hearing, and that a

hearing should be scheduled to examine this child and determine

.....his/her..... mental condition, it is

ADJUDGED:

That all proceedings in this case are now stayed, pending

further order of this court.

That a hearing to determine the mental condition of this

child is scheduled before me at ..... m., on .....(date)......

That the following named persons are hereby appointed

as disinterested qualified experts to examine this child as to

competency and to testify as to the child’s mental condition at the

hearing above scheduled:

(1)

.....................................

.........................................................

Name

Address

ion of this

child is scheduled before me at ..... m., on .....(date)......

That the following named persons are hereby appointed

as disinterested qualified experts to examine this child as to

competency and to testify as to the child’s mental condition at the

hearing above scheduled:

(1)

.....................................

.........................................................

Name

Address

(2)

.....................................

.........................................................

Name

Address

January 1, 2026

Florida Rules of Juvenile Procedure

Page 308 of 469

(3)

.....................................

.........................................................

Name

Address

That this child shall be held temporarily in the custody of

...................., who shall produce the child for examination by the

above-named at a time and place to be arranged.

ORDERED at ...................., .................... County, Florida, on

.....(date)......

Circuit Judge

FORM 8.935. ORDER OF INCOMPETENCY

ORDER OF INCOMPETENCY

The above-named child being before the court for inquiry into

.....his/her..... mental condition and a determination of

.....his/her..... competency to proceed with an adjudicatory hearing,

from the evidence the court finds:

That the said child is mentally incompetent to proceed with

the adjudicatory hearing.

It is, therefore, ADJUDGED that proceedings shall be

commenced immediately for the involuntary hospitalization of this

child by ...................., as provided by law, and the said child shall

.................... pending disposition of those proceedings.

All proceedings in this case are stayed pending such action.

ORDERED at ...................., Florida, on .....(date)......

Circuit Judge

FORM 8.936. ORDER OF COMPETENCY

ORDER OF COMPETENCY

January 1, 2026

Florida Rules of Juvenile Procedure

Page 309 of 469

The above-named child being before the court for inquiry into

.....his/her..... mental condition and a determination of

.....his/her....

ings.

All proceedings in this case are stayed pending such action.

ORDERED at ...................., Florida, on .....(date)......

Circuit Judge

FORM 8.936. ORDER OF COMPETENCY

ORDER OF COMPETENCY

January 1, 2026

Florida Rules of Juvenile Procedure

Page 309 of 469

The above-named child being before the court for inquiry into

.....his/her..... mental condition and a determination of

.....his/her..... competency to proceed with an adjudicatory hearing,

from the evidence the court finds:

That the child is mentally competent to proceed with the

adjudicatory hearing.

It is, therefore, ADJUDGED that the adjudicatory hearing in

this case shall .....commence/resume..... at ..... m., on .....(date)......

ORDERED at ...................., Florida, on .....(date)......

Circuit Judge

FORM 8.937. DEMAND FOR VOLUNTARY WAIVER

DEMAND FOR VOLUNTARY WAIVER

OF JURISDICTION

The child files this demand for voluntary waiver of jurisdiction

pursuant to rule 8.105, Florida Rules of Juvenile Procedure, and

shows that the child desires the court to waive jurisdiction and

certify the case for trial in adult court as if the child were an adult

to face adult punishments or penalties.

Date: ....................

Child

Parent/Legal Guardian

FORM 8.938. ORDER OF VOLUNTARY WAIVER

VOLUNTARY WAIVER ORDER

Upon the demand for voluntary waiver filed by the child, it is

hereby ORDERED AND ADJUDGED as follows:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 310 of 469

A demand for voluntary waiver of jurisdiction was filed by

the child and parent/legal guardian on .....(date)......

The court waives jurisdiction to try the child pursuant to

chapter 985, Florida Statutes.

The above cause is certified for trial as if the child were

an adult.

A certified copy of this order shall be furnished to the

clerk of the court having jurisdiction to try the child as an adult

and to the prosecuting officer of said child.

The child shall be forthwith delivered to the sheriff of the

county in which the court that is to try the child is located

pter 985, Florida Statutes.

The above cause is certified for trial as if the child were

an adult.

A certified copy of this order shall be furnished to the

clerk of the court having jurisdiction to try the child as an adult

and to the prosecuting officer of said child.

The child shall be forthwith delivered to the sheriff of the

county in which the court that is to try the child is located. Bond is

set at $...........

DONE AND ORDERED in chambers at ................,

.....(date)......

Circuit Judge

FORM 8.939. MOTION FOR INVOLUNTARY WAIVER

MOTION FOR INVOLUNTARY WAIVER

The State of Florida, having considered the recommendation of

the intake officer, petitions the court to waive jurisdiction pursuant

to rule 8.105, Florida Rules of Juvenile Procedure, and shows:

The child was 14 or more years of age at the alleged time of

commission of the violation of law for which the child is charged.

[Add the following paragraph, if applicable]

The child has been previously adjudicated delinquent for a

violent crime against a person, to wit .....(offense)....., and is

currently charged with a second or subsequent such offense.

Wherefore, the State of Florida requests the court to conduct a

hearing on this motion for the purpose of determining whether the

January 1, 2026

Florida Rules of Juvenile Procedure

Page 311 of 469

court should waive its jurisdiction and certify the case to the

appropriate court for trial as if the child were an adult.

Petitioner

FORM 8.940. MOTION TO COMPILE REPORT

MOTION TO COMPILE REPORT

The State of Florida, having filed a petition for involuntary

waiver, moves the court for an order requiring the department to

prepare a study and report to the court, in writing, considering the

following relevant factors:

The seriousness of the alleged offense to the community

and whether the protection of the community is best served by

transferring the child for adult sanctions.

Whether the alleged offense was committed in an

aggressive, violent, premeditated, or willful manner.

der requiring the department to

prepare a study and report to the court, in writing, considering the

following relevant factors:

The seriousness of the alleged offense to the community

and whether the protection of the community is best served by

transferring the child for adult sanctions.

Whether the alleged offense was committed in an

aggressive, violent, premeditated, or willful manner.

Whether the alleged offense was against persons or

against property.

The probable cause as found in the report, affidavit, or

complaint.

The desirability of trial and disposition of the entire

offense in one court when the child’s associates in the alleged crime

are adults or children who are to be tried as adults who will be or

have been charged with a crime.

The sophistication and maturity of the child.

The record and previous history of the child including:

Previous contact with the department, other law

enforcement agencies, and the courts;

Prior periods of juvenile probation;

January 1, 2026

Florida Rules of Juvenile Procedure

Page 312 of 469

Prior adjudications that the child committed a

delinquent act or violation of law, greater weight being given if the

child previously had been found by a court to have committed a

delinquent act involving an offense classified as a felony or had

twice previously been found to have committed a delinquent act

involving an offense classified as a misdemeanor; and

Prior commitments to institutions.

The prospects for adequate protection of the public and

the likelihood of reasonable rehabilitation of the child, if found to

have committed the alleged offense, by the use of procedures,

services, and facilities currently available to the court.

WHEREFORE, the State of Florida requests an order directing

the department to prepare a study and report in writing prior to the

waiver hearing.

Petitioner

FORM 8.941

for adequate protection of the public and

the likelihood of reasonable rehabilitation of the child, if found to

have committed the alleged offense, by the use of procedures,

services, and facilities currently available to the court.

WHEREFORE, the State of Florida requests an order directing

the department to prepare a study and report in writing prior to the

waiver hearing.

Petitioner

FORM 8.941. ORDER TO COMPILE REPORT

ORDER TO COMPILE REPORT

Upon the motion of the State of Florida, the department shall

prepare a study and report to the court, in writing, considering the

following relevant factors:

The seriousness of the alleged offense to the community

and whether the protection of the community is best served by

transferring the child for adult sanctions.

Whether the alleged offense was committed in an

aggressive, violent, premeditated, or willful manner.

Whether the alleged offense was against persons or

against property.

The probable cause as found in the report, affidavit, or

complaint.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 313 of 469

The desirability of trial and disposition of the entire

offense in one court when the child’s associates in the alleged crime

are adults or children who are to be tried as adults who will be or

have been charged with a crime.

The sophistication and maturity of the child.

The record and previous history of the child including:

Previous contact with the department, other law

enforcement agencies, and the courts;

Prior periods of juvenile probation;

Prior adjudications that the child committed a

delinquent act or violation of law, greater weight being given if the

child had previously been found by a court to have committed a

delinquent act involving an offense classified as a felony or had

twice previously been found to have committed a delinquent act

involving an offense classified as a misdemeanor; and

Prior commitments to institutions.

ior adjudications that the child committed a

delinquent act or violation of law, greater weight being given if the

child had previously been found by a court to have committed a

delinquent act involving an offense classified as a felony or had

twice previously been found to have committed a delinquent act

involving an offense classified as a misdemeanor; and

Prior commitments to institutions.

The prospects for adequate protection of the public and

the likelihood of reasonable rehabilitation of the child, if found to

have committed the alleged offense, by the use of procedures,

services, and facilities currently available to the court.

DONE AND ORDERED in chambers at ...................., Florida,

.....(date)......

Circuit Judge

FORM 8.942. ORDER OF INVOLUNTARY WAIVER

ORDER OF INVOLUNTARY WAIVER

A petition was filed in this cause on .....(date)...... Prior to the

adjudicatory hearing on the petition, the State of Florida filed a

motion requesting that the court waive its jurisdiction and certify

January 1, 2026

Florida Rules of Juvenile Procedure

Page 314 of 469

the case to the appropriate court for trial as if the child were an

adult. This cause came before the court on the motion.

The following were present .....(names)..... with .....(name).....,

representing the State of Florida and .....(name)....., representing

the Department of Juvenile Justice.

The court heard the evidence presented by the State of Florida

and the child to determine whether the jurisdiction of this court

should be waived and the case certified to the appropriate court for

trial as if the child were an adult. The court finds that it is in the

public interest that the jurisdiction of this court be waived and that

the case be certified to the appropriate court having jurisdiction to

try an adult who is charged with a like offense based on the

following findings of fact:

Age of child ..........

Seriousness of alleged offense ....................

Manner of commission of offense ....................

court finds that it is in the

public interest that the jurisdiction of this court be waived and that

the case be certified to the appropriate court having jurisdiction to

try an adult who is charged with a like offense based on the

following findings of fact:

Age of child ..........

Seriousness of alleged offense ....................

Manner of commission of offense ....................

Nature of offense (person or property) ....................

Probable cause as found in the report, affidavit, or

complaint ....................

Desirability of trial and disposition of entire offense in

one court ....................

Sophistication and maturity of the child ....................

Record and previous history of the child ....................

Prospects for adequate protection of the public and

rehabilitation of child .............

IT IS ADJUDGED that the jurisdiction of this court is waived

and that this case is transferred to the .....(court)..... for trial as if

the child were an adult.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 315 of 469

The child shall be held by the sheriff of this county unless a

bond in the amount of $.......... is posted. The child shall appear

before .....(court)..... on .....(date)..... to answer the State of Florida

on the foregoing charges.

DONE AND ORDERED in chambers at ...................., Florida,

on .....(date)......

Circuit Judge

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 ….

..., ….. 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

Charge

..........

Lesser

..........

Maximum

..........

Degree

..........

Guilty

..........

Nolo contendere

..........

Nolo prose

..........

Adjudicated

..........

Adj. withheld

..........

January 1, 2026

Florida Rules of Juvenile Procedure

Page 316 of 469

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 child is committed to the Department of Juvenile Justice for

placement in:

.....

a moderate risk residential 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 a violation of section

790.22(3), Florida Statutes;

.....

the child is before the court for the disposition of a felony;

....

moderate risk residential 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 a violation of section

790.22(3), Florida Statutes;

.....

the child is before the court for the disposition of a felony;

.....

the child has previously been adjudicated or had

adjudication withheld for a felony offense;

.....

the child previously has been adjudicated or had

adjudication withheld for three or more misdemeanor

offenses within the previous 18 months;

.....

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.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 317 of 469

.....

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 must be placed in secure detention until residential 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.

....

llowed .......... days credit for time spent in secure detention

or incarceration before this date.

.....

The child must be placed in secure detention until residential 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 court orders that, following commitment, the child is to be:

.....

directly discharged on release from commitment.

.....

transitioned from a residential commitment program to a

conditional release program. Any period of conditional release may

not exceed the child’s 21st birthday or the maximum term of

imprisonment an adult could receive for each count listed above,

whichever comes first.

.....

CONDITIONS OF CONDITIONAL RELEASE: On release from the

commitment program the child must abide by the following conditions

under section 985.46(5), Florida Statutes:

The Child must participate in an educational program if of a compulsory

school-attendance age under sections 1003.21(1) and (2)(a), Florida Statutes. If

the child is of a noncompulsory school-attendance age and has not received a

high school diploma or its equivalent, then the Child must participate in an

educational program or career and technical education course of study. If the

Child has received a high school diploma or its equivalent and is not employed,

then the Child must participate in workforce development or other career or

technical education or attend a community college or a university while in the

program.

The Child must have a curfew of ……

The Child is to have no contact with .....victims/co-

defendants/known gang members......

January 1, 2026

Florida Rules of Juvenile Procedure

Page 318 of 469

The Child must not use controlled substances.

The Child must not possess any firearms

nt or other career or

technical education or attend a community college or a university while in the

program.

The Child must have a curfew of ……

The Child is to have no contact with .....victims/co-

defendants/known gang members......

January 1, 2026

Florida Rules of Juvenile Procedure

Page 318 of 469

The Child must not use controlled substances.

The Child must not possess any firearms.

Other conditions:

…… The child was committed for an offense or attempted offense involving a

firearm and under section 985.433(7)(d), Florida Statutes, the child must

be placed on conditional release for a period of 1 year following release

from a commitment program. Conditional release must include electronic

monitoring of the child by the department for the initial 6 months

following release and at times and under terms and conditions set by the

department.

.....

JUVENILE PROBATION: The child is ..... placed continued on..... 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.

.....

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.

.....

as part of a sex offender treatment program, for an indefinite

period not to exceed the child’s 21st birthday or the maximum

term of imprisonment an adult could receive for each count listed

above.

.....

Disposition on each count is .....concurrent/consecutive ......

.....

This case disposition is ..... concurrent with/consecutive to.....case

number ...........

GENERAL CONDITIONS OF JUVENILE PROBATION. The child must abide by

all of the following conditions:

The child must obey all laws.

1st birthday or the maximum

term of imprisonment an adult could receive for each count listed

above.

.....

Disposition on each count is .....concurrent/consecutive ......

.....

This case disposition is ..... concurrent with/consecutive to.....case

number ...........

GENERAL CONDITIONS OF JUVENILE PROBATION. The child must abide by

all of the following conditions:

The child must obey all laws.

The child must be employed full-time or attend school with no

unexcused absences, suspensions, or disciplinary referrals.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 319 of 469

The child must not change or leave .....his/her.... residence,

school, or place of employment without the consent of .....his/her..... parents

and juvenile probation officer.

The child must answer truthfully all questions of .....his/her.....

juvenile probation officer and carry out all instructions of the court and

juvenile probation officer.

The child must keep in contact with the juvenile probation officer

in the manner prescribed by the juvenile probation officer.

The child must not use or possess alcoholic beverages or controlled

substances.

SPECIAL CONDITIONS OF JUVENILE PROBATION. The child must abide by all

of the conditions marked below:

.....

Restitution is ordered.

.....

Parent(s) is/are responsible,

.....

Child is responsible,

.....

jointly and severally with ...........

.....

The court reserves jurisdiction to determine the amount of restitution to

be paid.

.....

$.......... to be paid to ..... (name) ….. Payments must begin .....(date).....

and continue at the rate of $ .......... each month.

.....

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.

.....

A …… word essay to be written by the child on ....

he rate of $ .......... each month.

.....

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.

.....

A …… word essay to be written by the child on ..... (subject)…..and

provided to the juvenile probation officer within 30 days.

.....

The child must 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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 320 of 469

scheduled appointment and successfully attend and complete any and

all recommended evaluations and treatment.

.....

A curfew is set for the child from .......... p.m. to .......... a.m. Sunday

through Thursday and from .......... p.m. to .......... a.m. Friday and

Saturday.

.....

The child must submit to random urinalysis as instructed by the

Department of Juvenile Justice.

.....

The child must submit to electronic monitoring by the Department of

Juvenile Justice.

.....

The child must successfully complete all special conditions of juvenile

probation ordered in this case on .....(date)......

.....

Other: ...........

.....

The child must pay court costs of $ .........., as specified below.

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 the court finds there is a violation of the conditions imposed.

DRIVER LICENSE

.....

The child’s driver license .....is suspended/is revoked/is

withheld/limitation is extended.....:

.....

for .....(months/years)......

.....

for a delinquent act involving the use or possession of a firearm,

under section 790.22, Florida Statute.

.....

First offense, .....(up to one year)......

....

ile

probation if the court finds there is a violation of the conditions imposed.

DRIVER LICENSE

.....

The child’s driver license .....is suspended/is revoked/is

withheld/limitation is extended.....:

.....

for .....(months/years)......

.....

for a delinquent act involving the use or possession of a firearm,

under section 790.22, Florida Statute.

.....

First offense, .....(up to one year)......

.....

Second or subsequent offense, .....(up to two years)......

.....

for a delinquent act involving the use or possession of a firearm

other than a violation of section 790.22, Florida Statutes, …..(up to

one year)…...

.....

for a delinquent act under Chapter 893, Florida Statutes, ..... (up

to six months)......

FIREARM CHARGES

January 1, 2026

Florida Rules of Juvenile Procedure

Page 321 of 469

.....

Having found the child committed a violation of section 790.22(3),

Florida Statutes, the child is ordered to serve:

.....

for a first violation,

.......... days (up to 5), in the Juvenile Detention Center with credit

for .......... days served before disposition and

100 hours of community service or paid work as determined by the

Department.

.....

for a second or subsequent violation,

.......... days (0 to 21), in the Juvenile Detention Center with credit

for .......... days served before disposition and

.......... hours (not less than 100 nor more than 250) of community

service or paid work as determined by the Department.

.....

The court finds that the delinquent act in count .......... involves the use

or possession of a firearm other than a violation of section 790.22(3),

Florida Statutes, and the child is not committed by this order to a

residential commitment program of the Department of Juvenile Justice.

Therefore, under section 985.433(8), Florida Statutes, the child is

ordered to serve:

30 days in secure detention with .........

that the delinquent act in count .......... involves the use

or possession of a firearm other than a violation of section 790.22(3),

Florida Statutes, and the child is not committed by this order to a

residential commitment program of the Department of Juvenile Justice.

Therefore, under section 985.433(8), Florida Statutes, the child is

ordered to serve:

30 days in secure detention with .......... days credit for time served

before disposition,

100 hours of community service or paid work as determined by the

Department of Juvenile Justice, and

Juvenile Probation under the supervision of the Department of

Juvenile Justice for .......... (a minimum of 1 year).

FINES, FEES, AND COSTS:

.....

The child must:

.....

pay, notwithstanding the child’s present ability to pay, under

sections 938.27 and 985.032, Florida Statutes,

January 1, 2026

Florida Rules of Juvenile Procedure

Page 322 of 469

.....

$50.00, per case (in disposition of every misdemeanor case),

the costs of prosecution,

.....

$100.00, per case (in disposition of every felony case), the

costs of prosecution, or

.....

$.......... to .....(agency)....., which, having claimed costs of

prosecution or investigation, as provided by law, has shown

to a preponderance its entitlement to such costs of

prosecution or investigation;

.....

pay $.........., the Crimes Compensation Trust Fund fee, under

section 938.03, Florida Statutes;

.....

pay $.........., the Teen Court cost and service charge, under section

938.19, Florida Statutes (if authorized by county ordinance);

.....

pay $ .........., the Public Defender application fee, under section

27.52, Florida Statutes;

.....

pay, notwithstanding the child’s present ability to pay, the Legal

Assistance Lien for payment of attorneys’ fees or costs, under

section 938.29, Florida Statutes,

.....

$50.00, per case (in disposition of every misdemeanor case),

.....

$100.00, per case (in disposition of every felony case), or

....

ay $ .........., the Public Defender application fee, under section

27.52, Florida Statutes;

.....

pay, notwithstanding the child’s present ability to pay, the Legal

Assistance Lien for payment of attorneys’ fees or costs, under

section 938.29, Florida Statutes,

.....

$50.00, per case (in disposition of every misdemeanor case),

.....

$100.00, per case (in disposition of every felony case), or

.....

$.........., the court having found sufficient proof of higher

fees and costs incurred to .....(agency).....;

.....

pay $.........., other costs, under section(s) .........., Florida Statutes.

.....

The child has been adjudicated delinquent and the child must 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 must 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 must pay $ .........., under section 938.10, Florida Statutes.

.....

The child has violated chapter 794, Florida Statutes (sexual battery), or

chapter 800, Florida Statutes, (lewdness; indecent exposure), and is

January 1, 2026

Florida Rules of Juvenile Procedure

Page 323 of 469

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 is unable to pay all court costs, and must perform ..........

hours of community service in place of these costs and fees.

SPECIMENS FROM THE CHILD

.....

The child has entered a plea of guilty or nolo contendere to, or has been

found by this court to have committed, a delinquent act which is a felony

or an enumerated misdemeanor, and the child must submit specimens

under section 943.325, Florida Statutes.

ORDERS TO PARENTS/GUARDIANS

.....

The parent(s) .....is/are.....

....

ty service in place of these costs and fees.

SPECIMENS FROM THE CHILD

.....

The child has entered a plea of guilty or nolo contendere to, or has been

found by this court to have committed, a delinquent act which is a felony

or an enumerated misdemeanor, and the child must submit specimens

under section 943.325, Florida Statutes.

ORDERS TO PARENTS/GUARDIANS

.....

The parent(s) .....is/are.....

..... to complete.....counseling/parenting classes/community

service/restitution.....

..... participate with the child in .....court-imposed sanction/community

work project.....

.....

Under section 985.039, Florida Statutes:

.....

the parent/legal guardian, .....(name)....., must pay to the

Department of Juvenile Justice, 2737 Centerview Drive,

Tallahassee, FL 32399-3100, $5 per day for each day the child is

placed in secure detention or placed on committed status and the

temporary legal custody of the child is placed with the department.

.....

the parent/legal guardian, .....(name).....,, must pay to the

Department of Juvenile Justice, 2737 Centerview Drive,

Tallahassee, FL 32399-3100, $1 per day for each day the child is

placed into non-secure detention, on probation, or other

supervision status with the department, or is committed to the

minimum risk nonresidential restrictiveness level commitment.

.....

the parent/legal guardian, .....(name)....., must 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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 324 of 469

.....

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: ...........

....

n the court’s finding:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 324 of 469

.....

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 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)....., is liable for

..........% of the payment. The parent/guardian, .....(name).....,

.....(address)....., is liable for ..........% of the payment.

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:

FORM 8.948. PETITION FOR REVOCATION OF JUVENILE

PROBATION

PETITION FOR REVOCATION OF

JUVENILE PROBATION

The petitioner represents to the court that ....................,

whose residence and address is .................... was adjudicated a

.................... child and placed on juvenile probation by order of this

court dated ...................., and that the child has violated the

January 1, 2026

Florida Rules of Juvenile Procedure

Page 325 of 469

conditions of the juvenile probation in a material respect by:

....................

The petitioner represents further that the parent(s) or

custodian(s) .....is/are.....:

…………………..

…………………….

Mother

Residence

…………………..

…………………….

Father

Residence

…………………..

……………………

ourt dated ...................., and that the child has violated the

January 1, 2026

Florida Rules of Juvenile Procedure

Page 325 of 469

conditions of the juvenile probation in a material respect by:

....................

The petitioner represents further that the parent(s) or

custodian(s) .....is/are.....:

…………………..

…………………….

Mother

Residence

…………………..

…………………….

Father

Residence

…………………..

…………………….

Custodian

Residence

WHEREFORE, your petitioner requests that process may issue

to bring the above-named child before this court to be dealt with

according to law.

Date: ....................

Petitioner

FORM 8.949. ORDER FOR HIV TESTING

ORDER FOR HUMAN IMMUNODEFICIENCY

VIRUS (HIV) TESTING

The court having been requested by the .....victim/ victim’s

legal guardian/minor victim’s parent..... for disclosure of the child’s

HIV test results FINDS that:

The child, .....(name)....., .....is alleged by petition for

delinquency to have committed/has been adjudicated delinquent

January 1, 2026

Florida Rules of Juvenile Procedure

Page 326 of 469

for..... a sexual offense proscribed in chapter 794 or section

800.004, Florida Statutes, involving the transmission of body fluids

from one person to another.

It is ORDERED AND ADJUDGED that:

The child, .....(name)....., shall immediately undergo

Human Immunodeficiency Virus testing.

The testing shall be performed under the direction of the

Department of Health in accordance with section 381.004, Florida

Statutes.

The results of the test performed on the child pursuant to

this order shall not be admissible in any juvenile proceeding arising

out of the .....alleged sexual offense/sexual offense......

The results of the test shall be disclosed, under the

direction of the department, to the child and to the

.....victim/victim’s legal guardian/minor victim’s parent...... The

department shall ensure that the provisions of section 381.004,

Florida Statutes, for personal counseling are available to the party

requesting the test results

out of the .....alleged sexual offense/sexual offense......

The results of the test shall be disclosed, under the

direction of the department, to the child and to the

.....victim/victim’s legal guardian/minor victim’s parent...... The

department shall ensure that the provisions of section 381.004,

Florida Statutes, for personal counseling are available to the party

requesting the test results.

DONE AND ORDERED at ...................., Florida, .....(date)......

Circuit Judge

FORM 8.950. RESTITUTION ORDER

JUDGMENT AND RESTITUTION ORDER

THIS CAUSE was heard on .....(date)....., on the state’s motion

for an order requiring the child, born .....(date)....., or .....his/her.....

parent(s), to pay restitution costs for the benefit of the victim

pursuant to sections 985.0301(5)(i), 985.437, and 775.089, Florida

Statutes.

Name of victim: ....................

Attorney or Advocate: ....................

January 1, 2026

Florida Rules of Juvenile Procedure

Page 327 of 469

Address: ....................

The court being fully advised in the premises, it is ORDERED

AND ADJUDGED:

The state’s motion is granted and the .....child/ child’s

parent(s), .....(name(s))....., shall pay restitution for the benefit of the

victim named above as follows:

..... $..... for medical and related services and devices relating to

physical, psychiatric, and psychological care, including nonmedical

care rendered in accordance with a recognized method of healing.

..... $..... for necessary physical and occupational therapy and

rehabilitation.

..... $..... to reimburse the victim for income lost as a result of the

offense.

..... $..... for necessary funeral and related services, if the offense

caused bodily injury resulting in the death of the victim.

..... $..... for damages resulting from the offense.

..... $..... for .....................

The total amount of restitution due is $......

Payment shall be made to the clerk of the circuit court.

Payment schedule:

..... Installment payments of $..... payable on a

.....weekly/monthly..... basis.

....

ral and related services, if the offense

caused bodily injury resulting in the death of the victim.

..... $..... for damages resulting from the offense.

..... $..... for .....................

The total amount of restitution due is $......

Payment shall be made to the clerk of the circuit court.

Payment schedule:

..... Installment payments of $..... payable on a

.....weekly/monthly..... basis.

..... Payment is due in full.

..... The court finds that the .....child/child’s parent(s).....

.....is/are..... unable to pay and orders the child to perform .....

hours of community service in lieu of .....partial/total.....

restitution.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 328 of 469

The court retains jurisdiction over this child beyond

.....his/her..... nineteenth birthday in order to enforce the

provisions of this order and retains jurisdiction to modify the

restitution in this case.

Other, specified conditions: ……….

IT IS FURTHER ORDERED AND ADJUDGED that the clerk of

the court shall provide the victim named above a certified copy of

this order for the victim to record this judgment as a lien, pursuant

to section 55.10, Florida Statutes.

IT IS FURTHER ORDERED AND ADJUDGED that this

judgment may be enforced by the state or the victim in order to

receive restitution in the same manner as a judgment in a civil

action. Execution shall issue for all payments required under this

order.

DONE AND ORDERED AT .....(city)....., .....(county)....., Florida,

on .....(date)......

Circuit Judge

Copies to:

State Attorney

Counsel for Child

Victim

Department of Juvenile Justice

Parent(s)

FORM 8.951. MOTION FOR JUVENILE SEXUAL OFFENDER

PLACEMENT

MOTION FOR JUVENILE SEXUAL

January 1, 2026

Florida Rules of Juvenile Procedure

Page 329 of 469

OFFENDER PLACEMENT

Comes now the .....State of Florida, by and through the

undersigned assistant state attorney/Department of Juvenile

Justice, by and through its undersigned counsel....., and moves the

court for Juvenile Sexual Offender placement

FORM 8.951. MOTION FOR JUVENILE SEXUAL OFFENDER

PLACEMENT

MOTION FOR JUVENILE SEXUAL

January 1, 2026

Florida Rules of Juvenile Procedure

Page 329 of 469

OFFENDER PLACEMENT

Comes now the .....State of Florida, by and through the

undersigned assistant state attorney/Department of Juvenile

Justice, by and through its undersigned counsel....., and moves the

court for Juvenile Sexual Offender placement. In support thereof,

movant would show:

..... that the juvenile has been found by the court, under section

985.35, Florida Statutes, to have committed a violation of chapter

794, chapter 796, chapter 800, section 827.071, or section

847.0133, Florida Statutes; or

..... that the juvenile has been found to have committed any

violation of law or delinquent act involving juvenile sexual abuse as

defined in section 985.475(1), Florida Statutes.

Placement in a juvenile sexual offender program is required for

the protection of the public and would best serve the needs of this

juvenile.

WHEREFORE, as this child meets the juvenile sexual offender

placement criteria, the .....state/ department..... respectfully

requests this court to enter an order placing the child as a juvenile

sexual offender under section 985.48, Florida Statutes.

Date: ....................

Assistant State Attorney/DJJ

Attorney

.....(address & phone no.).....

Florida Bar No.: ..........

FORM 8.952. FINDINGS FOR JUVENILE SEXUAL OFFENDER

REGISTRATION

REQUIRED FINDINGS FOR JUVENILE SEXUAL OFFENDER

REGISTRATION

January 1, 2026

Florida Rules of Juvenile Procedure

Page 330 of 469

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: ...................

ly 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.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 331 of 469

(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

so touch the perpetrator.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 331 of 469

(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.

(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

FORM 8.953. WAIVER OF RIGHTS

WAIVER OF RIGHTS

Right to counsel.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 332 of 469

I have the right to have a lawyer help me at all times while I

am in juvenile court. If I cannot afford a lawyer, the court will

appoint one to help me. The person next to me is a lawyer who can

help me.

I have talked to a lawyer about my case.

Entering a plea.

This means that I am not fighting the charge(s). It means that

I am entering a plea of guilty or no contest.

By pleading guilty, I am admitting that I did the crime(s) that

the state says I did.

By pleading no contest, I am entering a plea because it is in

my best interest, but I am not admitting that I did anything wrong.

Nature of the charge(s) against me.

I know the crime(s) I have been charged with and what they

mean.

I understand what crime(s) I am entering a plea to and which

ones (if any) the state will dismiss.

I am admitting that I did the crime(s) that

the state says I did.

By pleading no contest, I am entering a plea because it is in

my best interest, but I am not admitting that I did anything wrong.

Nature of the charge(s) against me.

I know the crime(s) I have been charged with and what they

mean.

I understand what crime(s) I am entering a plea to and which

ones (if any) the state will dismiss.

Constitutional Rights

By entering a plea, I am giving up the following constitutional

rights:

(a)

Presumption of innocence.

Right now I am considered innocent and the state has to

prove that I am guilty or that I did what they say I did beyond a

reasonable doubt. I do not have to prove that I am innocent.

(b)

Right to trial.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 333 of 469

The state would try to prove I am guilty at a trial or

adjudicatory hearing. The state may use evidence such as witness

testimony, fingerprints, videos, or photos.

(c)

Right to call and cross examine witnesses.

Witness testimony would be people who have information

about the crime that are required to come to the trial. They will

swear to tell the truth and answer questions by the prosecutor and

my lawyer. The state would ask the witnesses questions and my

lawyer and I would also be able to ask the witnesses questions.

I would also have the right to call my own witnesses at

trial to tell my side of the story and speak for me on my behalf.

(d)

Right to testify on your own behalf.

I would also have the right to tell the judge my side of the

story after discussion with my lawyer.

secutor and

my lawyer. The state would ask the witnesses questions and my

lawyer and I would also be able to ask the witnesses questions.

I would also have the right to call my own witnesses at

trial to tell my side of the story and speak for me on my behalf.

(d)

Right to testify on your own behalf.

I would also have the right to tell the judge my side of the

story after discussion with my lawyer.

(e)

Right to remain silent.

I do not have to tell my side of the story. I can sit with

my lawyer and not say anything. My decision to not talk or present

evidence will not affect how the judge decides whether I am guilty or

not guilty.

Evidence and/or Defenses.

My lawyer has informed me of the facts that the state would

have to prove before I could be found guilty and has discussed with

me any possible defenses that could be used in my case. I am

entering this plea because I think the state could prove I am guilty

if we went to trial or because it is in my best interest.

Consequences of a Plea.

My lawyer, or the court, has informed me of the possible

consequences of entering into this plea, including, but not limited

to:

(a)

loss of driver license;

January 1, 2026

Florida Rules of Juvenile Procedure

Page 334 of 469

(b)

deportation issues;

(c)

how this will affect my record and future

punishment from the court, including possible consequences in

adult court;

(d)

how this affects my ability to get a job, join the

military, or apply for college;

(e)

how this will affect my ability or my parent’s or

guardian’s ability to secure or maintain housing; and

1, 2026

Florida Rules of Juvenile Procedure

Page 334 of 469

(b)

deportation issues;

(c)

how this will affect my record and future

punishment from the court, including possible consequences in

adult court;

(d)

how this affects my ability to get a job, join the

military, or apply for college;

(e)

how this will affect my ability or my parent’s or

guardian’s ability to secure or maintain housing; and

(f)

issues relating to sex offender registration and

notification as well as Jimmy Ryce consequences.

Voluntary and Intelligent.

I am entering this plea because I want to or because I think it

is in my best interest. No one is forcing me to enter this plea. No

promises or threats have been made to get me to enter this plea.

I am not under the influence of alcohol, drugs, or medications

at this time.

Appeal.

If I went to trial and the juvenile court judge decided that I was

guilty, I could ask some other judges, called appellate judges, to

look over the trial and decide if the trial was fair and if the decision

was fair and correct.

This is called my right to appeal. However, if the judge accepts

this plea, the only issues I will be able to appeal are those that

relate to my sentence and to the judge’s authority to hear my case.

I am presently represented by …..(name)…… My lawyer has

gone over all my rights and I am satisfied with the advice and help

of my lawyer.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 335 of 469

Child

Attorney for child

Date

(print name)

January 1, 2026

Florida Rules of Juvenile Procedure

Page 336 of 469

DEPENDENCY FORMS

FORM 8.958. ORDER APPOINTING SURROGATE PARENT

ORDER APPOINTING SURROGATE PARENT

FOR DEPENDENT CHILD WHO HAS OR IS

SUSPECTED OF HAVING A DISABILITY

The court finds that:

The child has, or is suspected of having, a disability as

defined in the Individuals with Disabilities in Education Act

(“IDEA”) and F.S. 1003.01(3).

2026

Florida Rules of Juvenile Procedure

Page 336 of 469

DEPENDENCY FORMS

FORM 8.958. ORDER APPOINTING SURROGATE PARENT

ORDER APPOINTING SURROGATE PARENT

FOR DEPENDENT CHILD WHO HAS OR IS

SUSPECTED OF HAVING A DISABILITY

The court finds that:

The child has, or is suspected of having, a disability as

defined in the Individuals with Disabilities in Education Act

(“IDEA”) and F.S. 1003.01(3).

A surrogate parent is needed to act in the place of a

parent in educational decision-making and in safeguarding the

child’s rights under the IDEA.

The child is entitled, under the Individuals with

Disabilities in Education Act (“IDEA”), 20 U.S.C. §1415(b)(2); 34

C.F.R. §§300.515 and 303.406; F.S. 39.0016(3)-(4), 39.4085(17);

and Fla. Admin. Code 6A-6.0333, to the assistance of a surrogate

parent be-cause (check all that apply):

..... Parental rights have been terminated

..... Parents cannot be located

..... No parent is available to make education decisions

related to the child’s disability

..... Foster parent is unwilling or unable to make educational

decisions related to the child’s disability

..... Child resides in a group home or therapeutic foster home

..... Other: ....................

ACCORDINGLY, it is ORDERED that:

.....(Name)..... is appointed as a surrogate parent for

.....(child’s name)......

January 1, 2026

Florida Rules of Juvenile Procedure

Page 337 of 469

The surrogate parent named above has the following

rights, duties, and responsibilities:

to request or respond to requests for evaluations of

the child;

to review and keep confidential the child’s

educational records;

c. to request and participate in school meetings including

Individual Education Plan (IEP) meetings;

d. to express approval or disapproval of a child’s

educational placement or IEP;

to monitor the child’s educational development;

to help the child access available and needed

educational services;

to aid the child in securing all rights provided the

child under the IDEA;

to meet the child face-to-face

participate in school meetings including

Individual Education Plan (IEP) meetings;

d. to express approval or disapproval of a child’s

educational placement or IEP;

to monitor the child’s educational development;

to help the child access available and needed

educational services;

to aid the child in securing all rights provided the

child under the IDEA;

to meet the child face-to-face

to be afforded all of the due process rights parents

hold under the IDEA

The surrogate parent may also do the following: (check all

that apply)

..... attend appropriate court hearings to address the

educational needs of the child. The surrogate parent will be

provided notice of all dependency court hearings.

..... attend dependency staffings. The community-based care

provider will invite the surrogate parent to all permanency staffings

and any other staffings when the child’s educational needs will be

addressed. See F.A.C. 65C-28.006.

..... ....................

January 1, 2026

Florida Rules of Juvenile Procedure

Page 338 of 469

As to issues affecting the provision of a Free Appropriate

Public Education, principals, teachers, administrators, and other

employees of the .......... County Public Schools shall communicate

with the surrogate parent and accept the requests or decisions of

the surrogate parent in the same manner as if he or she were the

child’s parent.

Unless the court explicitly orders otherwise, the

surrogate parent does not have the right and responsibility to

ordinary school decisions not related to IDEA (such as field trips,

sports and club activities, medical care, etc.).

The surrogate parent must have access to and keep

confidential the child’s records including, but not limited to, records

from the school system, community-based care provider or agency,

and any mental health or medical evaluations or assessments.

grant or withhold consent for

ordinary school decisions not related to IDEA (such as field trips,

sports and club activities, medical care, etc.).

The surrogate parent must have access to and keep

confidential the child’s records including, but not limited to, records

from the school system, community-based care provider or agency,

and any mental health or medical evaluations or assessments.

By law, the surrogate parent has no liability for actions

taken in good faith on behalf of the child in protecting the special

education rights of the child.

ORDERED on .....(date)....., in .........., .......... County, Florida.

Circuit Judge

Copies to:

County Public Schools c/o Director, Exceptional Student

Education, Surrogate parent named above

(Check all that apply)

..... Attorney for DCF: .....(name).....

..... DCF caseworker: .....(name).....

January 1, 2026

Florida Rules of Juvenile Procedure

Page 339 of 469

..... Guardian ad Litem: ....(name).....

..... Attorney for mother: .....(name).....

..... Attorney for father: .....(name).....

..... Attorney for child: .....(name).....

..... Child named above .....(name).....

..... Foster parent: .....(name).....

..... Relative caregiver: .....(name).....

..... Child’s principal: .....(name)..... at ................... School

..... Other: ....................

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).....

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 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).

January 1, 2026

Florida Rules of Juvenile Procedure

Page 340 of 469

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)..... 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,

and state)....., on .....(date)......

CLERK OF COURT

BY:

DEPUTY CLERK

CITATORIO Y AVISO DE AUDIENCIA

ESTADO DE FLORIDA

PARA:

..... (nombre y dirección de la persona citada).....

..... (Nombre del peticionario)..... ha presentado en este

tribunal una petición, alegando bajo juramento que los niños

mencionados anteriormente son dependientes según las leyes del

Estado de Florida y solicitando que se emita un citatorio a su

debido tiempo que requiera que comparezca ante este tribunal para

ser tratado de acuerdo con la ley. Se adjunta copia de la petición a

este citatorio.

Deberá comparecer ante este Tribunal en ..... (lugar de la

audiencia)....., en ....

, alegando bajo juramento que los niños

mencionados anteriormente son dependientes según las leyes del

Estado de Florida y solicitando que se emita un citatorio a su

debido tiempo que requiera que comparezca ante este tribunal para

ser tratado de acuerdo con la ley. Se adjunta copia de la petición a

este citatorio.

Deberá comparecer ante este Tribunal en ..... (lugar de la

audiencia)....., en ..... (hora y fecha de la audiencia)......

January 1, 2026

Florida Rules of Juvenile Procedure

Page 341 of 469

NO COMPARECER EN LA AUDIENCIA DE TUTELA CONSTITUYE

UN CONSENTIMIENTO PARA LA ADJUDICACIÓN DE ESTE NIÑO

(O NIÑOS) COMO HIJO (O HIJOS) DEPENDIENTE(S) Y, EN

ÚLTIMA INSTANCIA, PUEDE RESULTAR EN LA PÉRDIDA DE LA

CUSTODIA DE ESTE NIÑO (O NIÑOS).

SI NO SE PRESENTA, PUEDE SER DECLARADO EN DESACATO AL

TRIBUNAL.

COMENTARIO: El siguiente párrafo debe estar en negrita, 14 pt.

fuente Times New Roman o Courier.

Si usted es una persona con una discapacidad que necesita

alguna adaptación para participar en este procedimiento, tiene

derecho, sin costo alguno para usted, a que se le provea de

cierta asistencia. Póngase en contacto con ..... (nombre,

dirección, número de teléfono)..... al menos 7 días antes de su

comparecencia programada ante el tribunal, o inmediatamente

después de recibir esta notificación si el tiempo antes de la

comparecencia programada es inferior a 7 días. Si tiene

problemas de audición o de voz, llame al 711.

Doy fe con mi firma y sello de este tribunal en..... (ciudad, condado

y estado)....., en ..... (fecha)......

SECRETARIO DEL TRIBUNAL

POR: _________________________

SECRETARIO ADJUNTO

MANDA AK AVÈTISMAN POU YON CHITA TANDE

LETA FLORID

January 1, 2026

Florida Rules of Juvenile Procedure

Page 342 of 469

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 timoun-nan(yo), swa dizan

bezwen pwoteksyon leta dapre règ lalwa nan Leta Florid, yon kopi

enfòmasyon sou akizasyon-an kwoke nan lèt sa-a

ÈTISMAN POU YON CHITA TANDE

LETA FLORID

January 1, 2026

Florida Rules of Juvenile Procedure

Page 342 of 469

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 timoun-nan(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.

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 NAN CHITA TANDE-A, POU YO KA AVÈTI-

W AK AKIZASYON OFISYÈL-LA, SA KA LAKÒZ YO DESIDE OU

KON-SANTI 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.

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 343 of 469

FORM 8.960

SHELTER PETITION

AFFIDAVIT AND PETITION FOR PLACEMENT IN SHELTER

COMES NOW, the undersigned, who being first duly sworn

says:

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.

RM 8.960

SHELTER PETITION

AFFIDAVIT AND PETITION FOR PLACEMENT IN SHELTER

COMES NOW, the undersigned, who being first duly sworn

says:

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.

The name, age, special needs, and residence of this/these

child(ren) is/are:

Birth

Special

Name

date

Sex

Needs

Address

....................... ...................

................

.......................

....................... ...................

................

.......................

....................... ...................

................

.......................

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

.....................

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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 344 of 469

Name

Manner Notified

…………………………………

………………………………….

…………………………………

………………………………….

…………………………………

………………………………….

There is probable cause that the child(ren)

..... a.

has/have been abused, abandoned, or neglected ort

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 legal custodian, or responsible adult relative

immediately known and available to provide supervision and care;

because ...........

andoned, or neglected ort

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 legal custodian, or responsible adult relative

immediately known and available to provide supervision and care;

because ...........

The provision of appropriate and available services will

not eliminate the need for placement of the child(ren) in shelter care

because:

..... 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 Families to prevent or eliminate the

need for placement in shelter care;

January 1, 2026

Florida Rules of Juvenile Procedure

Page 345 of 469

..... d.

the child(ren) cannot safely remain at home because

there are no preventive services that can ensure the safety of the

children.

The department has made reasonable efforts to keep the

siblings together after the removal from the home. The reasonable

efforts of the department were ..........

..... a.

The children are currently placed together ...........

..... b.

A foster home is not available to place the siblings

together because ...........

..... c.

It is not in the best interest of each child that all the

siblings be placed together in out-of-home care because ...........

On-going visitation or interaction between the siblings

.....(list)..... is

..... a.

recommended as follows ...........

..... b.

not recommended because visitation or interaction would

be contrary to the safety or well-being of .....(name(s))..... because

...........

It is not in the best interest of each child that all the

siblings be placed together in out-of-home care because ...........

On-going visitation or interaction between the siblings

.....(list)..... is

..... a.

recommended as follows ...........

..... b.

not recommended because visitation or interaction would

be contrary to the safety or well-being of .....(name(s))..... because

...........

The child(ren) is/are in need of and the petitioner

requests the appointment of a guardian ad litem.

10. 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.

11. The petitioner requests that the parents be ordered to

provide to the Department of Children and Families 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.

12. This affidavit and petition is filed in good faith and under

oath.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 346 of 469

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 Families;

..... at the home of a responsible adult relative, .....(name).....,

whose address is ...............;

..... other.

Moving Party

.....(attorney’s name).....

.....(address and telephone

number).....

E-mail address: ..........

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

ddress: ..........

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.

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 347 of 469

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.

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 ……….

..... Attorney for the Child

……….

..... Other:

……….

COMMENT: The name of the guardian ad litem and the attorney ad

litem, if appointed, must be listed on the order, even if he or she

was not present at the hearing

e court:

..... Petitioner ……….

..... Petitioner’s attorney ……….

..... Mother

………..

..... Father(s) ……….

..... Legal custodian(s)

……….

..... Guardian ad litem ……….

..... GAL attorney ……….

..... Attorney for the Child

……….

..... Other:

……….

COMMENT: The name of the guardian ad litem and the attorney ad

litem, if appointed, must be listed on the order, even if he or she

was not present at the hearing.

and the Court having reviewed its file and having been otherwise

duly advised in the premises finds as follows:

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.

PLACEMENT IN SHELTER.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 348 of 469

..... 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.

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).....

..........

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).

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;

..... served with a statement setting forth a summary of procedures

involved in dependency cases;

….. notified that if they are on active military duty, they may have

the right to certain protections under the Servicemember Civil Relief

Act (50 U.S.C. ss. 3901 et seq.);

....

was:

..... duly notified that the child(ren) was/were taken into custody;

..... duly notified to be present at this hearing;

..... served with a statement setting forth a summary of procedures

involved in dependency cases;

….. notified that if they are on active military duty, they may have

the right to certain protections under the Servicemember Civil Relief

Act (50 U.S.C. ss. 3901 et seq.);

..... advised of their right to counsel; and

..... was represented by counsel, .....(name).....

January 1, 2026

Florida Rules of Juvenile Procedure

Page 349 of 469

..... knowingly, voluntarily, and intelligently waived the right;

..... 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.

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.

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:

....

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: ..........

January 1, 2026

Florida Rules of Juvenile Procedure

Page 350 of 469

..... the child(ren) has/have no parent, legal custodian, or

responsible adult relative immediately known and available to

provide supervision and care, specifically: ..........

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 ..........

..... 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 ..........

....

artment 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.

..... The department has made reasonable efforts to keep siblings

together after the removal from the home. The reasonable efforts of

the department were ..........

..... It is not in the best interest of each child that all the siblings

be placed together in out-of-home care because ..........

RELATIVE PLACEMENT.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 351 of 469

..... 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. The department shall

have placement and care responsibility while the child(ren) is/are

under protective supervision in an out-of-home placement.

..... all the children shall be placed together in a foster home

if available.

....

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. The department shall

have placement and care responsibility while the child(ren) is/are

under protective supervision in an out-of-home placement.

..... all the children shall be placed together in a foster home

if available.

..... a foster home is not available for all the children because

..........

..... placement of all the children in the same foster home is not in

the best interest of the child(ren) .....(identify the child(ren)).....

because ..........

..... Other: ..........

The child(ren) ..... may ..... may not be returned to the

parent/custodian without further order of this court.

The Guardian Ad Litem Program is appointed.

An attorney shall be appointed for ..........,

January 1, 2026

Florida Rules of Juvenile Procedure

Page 352 of 469

..... the child/children has/have special needs as defined in

section 39.01305, Florida Statutes.

..... it is necessary.

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.

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.

Visitation with the child(ren) shall be as follows:

By the parents ..........

Between the sibling children ..........

Visitation or interaction between the children .....(identify

child(ren))..... is not ordered as it will be contrary to the safety or

well-being of .....(identify child(ren)) because ..........

necessary preventive care, including ordinary immunizations and

tuberculin testing.

Visitation with the child(ren) shall be as follows:

By the parents ..........

Between the sibling children ..........

Visitation or interaction between the children .....(identify

child(ren))..... is not ordered as it will be contrary to the safety or

well-being of .....(identify child(ren)) because ..........

The parents shall provide to the court and all parties

identification and location information regarding potential relative

placements.

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.

THE COURT ADVISED THE PARENTS:

TO TAKE ACTION TO COMPLY WITH THE CASE

PLAN SO PERMANENCY WITH THE CHILD MAY

January 1, 2026

Florida Rules of Juvenile Procedure

Page 353 of 469

OCCUR WITHIN THE SHORTEST PERIOD OF TIME

POSSIBLE, BUT NO LATER THAN 1 YEAR AFTER

REMOVAL OR ADJUDICATION OF THE CHILD.

TO STAY IN CONTACT WITH THEIR ATTORNEY

AND THEIR CASE MANAGER AND PROVIDE UPDATED

CONTACT INFORMATION IF THE PARENTS’ PHONE

NUMBER, ADDRESS, OR E-MAIL ADDRESS CHANGES.

TO NOTIFY THE PARTIES AND THE COURT OF

BARRIERS TO COMPLETING CASE PLAN TASKS

WITHIN A REASONABLE TIME AFTER DISCOVERING

SUCH BARRIERS.

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.

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).....

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 354 of 469

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

FORM 8.961(A).

ORDER AUTHORIZING ACCESS TO CHILD’S

MEDICAL AND EDUCATIONAL RECORDS

ORDER AUTHORIZING ACCESS TO CHILD’S MEDICAL

AND EDUCATIONAL RECORDS

THIS CAUSE came on to be heard under sec. 39.402, Florida

Statutes, concerning access to the medical and educational records

of ...................., a child.

The Court finds

As to medical records and information:

..... ...................., mother/father of ..................., the child,

consents to the entry of this order, and to the court’s providing

access to the child’s medical records to the department, its contract

agencies, and any guardian ad litem and attorney for the child, and

to provide the child’s medical information to the court.

....

The Court finds

As to medical records and information:

..... ...................., mother/father of ..................., the child,

consents to the entry of this order, and to the court’s providing

access to the child’s medical records to the department, its contract

agencies, and any guardian ad litem and attorney for the child, and

to provide the child’s medical information to the court.

..... No parent or legal guardian of the child is available or

able to consent to the entry of this order, or the parents withhold

consent to providing access to the child’s medical records and/or to

providing the requested medical information.

..... Access to the child’s medical records and information is

necessary to provide services to the child.

As to educational records and information.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 355 of 469

..... ...................., mother/father of ...................., the child,

consents to the entry of this order, and to the court’s providing

access to the child’s educational records to the department, its

contract agencies, and any guardian ad litem and attorney for the

child, and to provide the child’s educational information to the

court.

..... No parent or legal guardian of the child is available or

able to consent to the entry of this order, or the parents withhold

consent to providing access to the child’s educational records

and/or to providing the requested educational information.

..... Access to the child educational records and information

is necessary to provide services to the child.

Therefore, it is ORDERED

The department, .....(name of CBC)....., its contract agencies,

.....(name)....., guardian ad litem, and .....(name)....., attorney for

child, are authorized to access .....(child’s name).....’s medical and

educational records and information, until further order of this

court.

..... This order does not address the child’s privacy rights to

any of these records or information that may exist under Florida

law

ent, .....(name of CBC)....., its contract agencies,

.....(name)....., guardian ad litem, and .....(name)....., attorney for

child, are authorized to access .....(child’s name).....’s medical and

educational records and information, until further order of this

court.

..... This order does not address the child’s privacy rights to

any of these records or information that may exist under Florida

law. The child may assert to this court any objection under privacy

rights to the release of this information

ORDERED on .....(date)....., in .........., .......... County, Florida

Circuit Judge

Copies to:

(Check all that apply)

..... Attorney for DCF: .....(name).....

..... Caseworker: .....(name).....

..... Guardian ad litem: .....(name).....

January 1, 2026

Florida Rules of Juvenile Procedure

Page 356 of 469

..... Attorney for mother: .....(name).....

..... Attorney for father: .....(name).....

..... Attorney ad litem for child: .....(name).....

..... Child named above: .....(name).....

..... Other: ....................

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:

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))......

The natural mother of the minor child(ren) is

.....(name)....., a resident of .....(state)....., whose address is ………..

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)

/were in

the custody of .....(name(s))......

The natural mother of the minor child(ren) is

.....(name)....., a resident of .....(state)....., whose address is ………..

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.

The UCCJEA Affidavit ..... is attached ..... was filed with

the Court on .....(date)..... and is incorporated by reference.

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,

January 1, 2026

Florida Rules of Juvenile Procedure

Page 357 of 469

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.

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 .....................

The department is unable to ensure the protection of the

minor child(ren) without judicial intervention.

The mother/father/parents has/have received the

following services: .....................

A shelter hearing was held on .....(date)....., and the

child(ren) was/were placed in the custody of .....................

An arraignment hearing

..... needs to be scheduled.

..... is scheduled for .....(date and time)......

10. A guardian ad litem

..... needs to be appointed.

..... was appointed at the shelter hearing to represent

the child(ren).

following services: .....................

A shelter hearing was held on .....(date)....., and the

child(ren) was/were placed in the custody of .....................

An arraignment hearing

..... needs to be scheduled.

..... is scheduled for .....(date and time)......

10. A guardian ad litem

..... needs to be appointed.

..... was appointed at the shelter hearing to represent

the child(ren).

11. .....(name of child(ren))..... has/have special needs as

defined in Chapter 39, Florida Statutes. An attorney:

..... needs to be appointed.

..... has been appointed.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 358 of 469

12. 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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 359 of 469

An arraignment is set on this matter for .....(date)....., at

..... a.m./p.m., at .....(location).....

DIANS 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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 359 of 469

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:

Admit: This means you admit that the petition states

the truth and you do not want a trial.

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).

Deny: This means you deny the allegations of the

petition and wish the state to attempt to prove them at a trial.

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.

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

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.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 360 of 469

FORM 8.965. ARRAIGNMENT ORDER

ORDER ON ARRAIGNMENT AND

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 the mother

….. ….. (Name)….., Father of …..(child)…..

….. ….. (Name)….., Attorney for father

….. ….. (Name)….., Guardian ad litem

….. ….. (Name)….., Attorney for guardian ad litem

….. ….. (Name)….., Attorney/Attorneys for …..Child/Children…..

….. ….. (Name)….., Legal custodian

….. ….. (Name)….., Attorney for legal custodian

….. ….. (Name)….., Other ………..

COMMENT: The name of the guardian ad litem and the attorney ad

litem, if appointed, must be listed on the order, even if he or she

was not present at the hearing.

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 …..not noticed of this hearing

…..did not appear, and the court:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 361 of 469

….. entered a consent by default

…… did not enter a consent by default;

….. appeared with counsel….

ving 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 …..not noticed of this hearing

…..did not appear, and the court:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 361 of 469

….. 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.

..... has conducted an adequate diligent search and is excused

from further diligent search and

further attempts at service.

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 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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 362 of 469

..... 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.

etition for dependency, and entered a plea of:

..... Admit, ..... Deny, ..... Consent, ..... No Plea, ..... Continuance

..... The Petitioner:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 362 of 469

..... 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.

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:

The minor child(ren) shall:

..... be ..... returned to ..... remain in the care and custody of

.....(name)......

..... remain in the care and custody of the department in

shelter care pending adjudication and disposition or until further

order of this court.

The child(ren): ..... is/are ..... is/are not adjudicated

dependent at this hearing.

..... Mediation ..... A case planning conference is/are

ordered at this time and shall be conducted on .....(date)......, at

January 1, 2026

Florida Rules of Juvenile Procedure

Page 363 of 469

.......... a.m./p.m., at .....(location)...... All parties, unless otherwise

specified, shall attend.

As to the mother, .....(name)....., the court:

Accepts the plea of: ..... Admit, ..... Deny, ..... Consent, .....

Continuance.

.....Appoints ..... Does not appoint an attorney

ime and shall be conducted on .....(date)......, at

January 1, 2026

Florida Rules of Juvenile Procedure

Page 363 of 469

.......... a.m./p.m., at .....(location)...... All parties, unless otherwise

specified, shall attend.

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.

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.

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.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 364 of 469

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:

FORM 8.966

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:

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 365 of 469

..... .....(Name)....., Legal custodian

..... .....(Name)....., Attorney for legal custodian

..... .....(Name(s))....., Minor child(ren)

..... .....(Name)....., Attorney ad litem for minor child(ren)

..... .....(Name)....., Other .....................

COMMENT: The name of the guardian ad litem and the attorney ad

litem, if appointed, must be listed on the order, even if he or she

was not present at the hearing.

The court having heard testimony and argument and being

otherwise fully advised in the premises finds:

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.

The mother, .....(name).....:

..... was ..... was not noticed of this hearing;

..... did not appear, and the court:

....

gument and being

otherwise fully advised in the premises finds:

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.

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 366 of 469

..... was ..... was not determined to qualify as indigent and

..... was ..... was not appointed an attorney.

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 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.

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

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.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 367 of 469

That the Court finds that it is in the best interest of the

child(ren) to remain in out-of-home care.

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

..............................

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.

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 informed any parents present that the parent

or parents shall provide the court and all parties with identification

and location information for such relatives.

THEREFORE, based upon the foregoing findings, it is

ORDERED AND ADJUDGED that:

The minor child(ren), ......(name(s))....., is/are adjudicated

dependent

be contrary to

the best interest and welfare of the minor child(ren).

10. The Court informed any parents present that the parent

or parents shall provide the court and all parties with identification

and location information for such relatives.

THEREFORE, based upon the foregoing findings, it is

ORDERED AND ADJUDGED that:

The minor child(ren), ......(name(s))....., is/are adjudicated

dependent.

The child(ren) shall remain in the care and custody of

..... the department in shelter care

..... other .....(name).....

pending disposition.

The parents shall provide to the Court and all parties

identification and location information regarding potential relative

placements.

THE COURT ADVISED THE PARENTS:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 368 of 469

TO TAKE ACTION TO COMPLY WITH THE CASE

PLAN SO PERMANENCY WITH THE CHILD MAY

OCCUR WITHIN THE SHORTEST PERIOD OF TIME

POSSIBLE, BUT NO LATER THAN 1 YEAR AFTER

REMOVAL OR ADJUDICATION OF THE CHILD.

TO STAY IN CONTACT WITH THEIR ATTORNEY

AND THEIR CASE MANAGER AND PROVIDE UPDATED

CONTACT INFORMATION IF THE PARENTS’ PHONE

NUMBER, ADDRESS, OR E-MAIL ADDRESS CHANGES.

TO NOTIFY THE PARTIES AND THE COURT OF

BARRIERS TO COMPLETING CASE PLAN TASKS

WITHIN A REASONABLE TIME AFTER DISCOVERING

SUCH BARRIERS.

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.

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).

All prior orders not inconsistent with the present order

shall remain in full force and effect.

Disposition is scheduled for .....(date)....., at ......

a.m./p.m.

DONE AND ORDERED on .....date..... at .....(city)....., Florida

ourt 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).

All prior orders not inconsistent with the present order

shall remain in full force and effect.

Disposition is scheduled for .....(date)....., at ......

a.m./p.m.

DONE AND ORDERED on .....date..... at .....(city)....., Florida.

Circuit Judge

January 1, 2026

Florida Rules of Juvenile Procedure

Page 369 of 469

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.

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:

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 370 of 469

..... .....(Name)....., Mother

....

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

January 1, 2026

Florida Rules of Juvenile Procedure

Page 370 of 469

..... .....(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 family functioning

assessment and Case Plan filed by the department and having

heard testimony and argument and being otherwise fully advised in

the premises finds that:

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.

The minor child(ren) is/are of an age subject to the

jurisdiction of this Court.

The following parties were notified of this hearing and

provided a copy of the Case Plan and family functioning assessment

filed in this cause:

..... .....(Name)....., Petitioner

..... .....(Name)....., Attorney for the petitioner

..... .....(Name)....., Attorney for the department

..... .....(Name)....., Department caseworker

..... .....(Name)....., Mother

January 1, 2026

Florida Rules of Juvenile Procedure

Page 371 of 469

..... .....(Name)....., Attorney for mother

..... .....(Name)....., Father of .....(child).....

..... .....(Name)....., Attorney for father

..... .....(Name)....., Guardian ad litem

..... .....(Name)....., Attorney for guardian ad litem

..... .....(Name)....., Other ..........

The mother, .....(name).....:

....

me)....., Mother

January 1, 2026

Florida Rules of Juvenile Procedure

Page 371 of 469

..... .....(Name)....., Attorney for mother

..... .....(Name)....., Father of .....(child).....

..... .....(Name)....., Attorney for father

..... .....(Name)....., Guardian ad litem

..... .....(Name)....., Attorney for guardian ad litem

..... .....(Name)....., Other ..........

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.

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.

The following parents/legal custodians were notified of

their right to participate in the preparation of the case plan and to

January 1, 2026

Florida Rules of Juvenile Procedure

Page 372 of 469

receive assistance from any other person in the preparation of the

case plan: .....(names of persons notified)......

The department filed a family functioning assessment

with the court on .....(date)...... This family functioning assessment

..... is ..... is not in compliance with the statutory requirements.

The department filed a case plan with the court on

.....(date)......

The terms of the case plan ..... are ..... are not

consistent with the requirements of the law and previous orders of

this court.

The case plan ..... is ....

y functioning assessment

with the court on .....(date)...... This family functioning assessment

..... is ..... is not in compliance with the statutory requirements.

The department filed a case plan with the court on

.....(date)......

The terms of the case plan ..... are ..... are not

consistent with the requirements of the law and previous orders of

this court.

The case plan ..... is ..... is not meaningful and

designed to address the facts and circumstances on which the court

based the finding of dependency.

The case plan ..... is ..... is not in the best interest of

the minor child(ren).

The case plan’s stated goal of .......... ..... is ..... is

not a reasonable goal.

The parents ..... have ..... do not have the ability to

comply with the terms of the case plan.

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.

January 1, 2026

Florida Rules of Juvenile Procedure

Page 373 of 469

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).....

(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.

The family functioning assessment report filed by the

department is:

..... not accepted and a continuance was requested.

..... accepted by the court.

..... accepted by the court with the following

amendments: ………..

The case plan filed by the department is:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 374 of 469

..... not accepted and a continuance is granted for 30

days or less.

..... accepted by the court.

..... accepted by the court with the following

amendments: ……….

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)....

he following

amendments: ……….

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.

Other: ………..

January 1, 2026

Florida Rules of Juvenile Procedure

Page 375 of 469

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).....

Juvenile Procedure

Page 375 of 469

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)......

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.

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:

January 1, 2026

Florida Rules of Juvenile Procedure

Page 376 of 469

FORM 8.968. AFFIDAVIT OF DILIGENT SEARCH

AFFIDAVIT OF DILIGENT SEARCH

STATE OF FLORIDA

COUNTY OF ..........

BEFORE ME, the undersigned authority, personally appeared

.....(name)....., affiant, who, being first duly sworn, deposes and says

that .....he/she..... made a diligent search and inquiry to determine

the residence of .....(name)....., the .....parent/prospective parent.....

of .....(name(s) of child(ren))....., and the results are as follows:

Affiant has received the name of the

.....(parent/prospective parent)..... from .....(name)......

This text is long and has been trimmed here. Open the source document for the complete record.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.