# Fla. R. Juv. P. 8.870: Rule 8.870. ORDER

> Florida · Court rules · In force

URL: https://www.frixlaw.com/law-library/statutes/SRULES_FL_JUVENILE_R8_870

## Section

- **Citation:** Fla. R. Juv. P. 8.870
- **Heading:** Rule 8.870. ORDER
- **Jurisdiction:** Florida
- **Kind:** Court rules
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Florida Rules of Juvenile Procedure / Rule 8.870

## 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
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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
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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.
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A.
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)
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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……….
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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 ……….
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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:
1.
That ……….shall be released immediately to ……….
2.
It is FURTHER ADJUDGED that ………..
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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:
1.
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......
2
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:
1.
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......
2.
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: ....................
3.
That a dispositional order .....was/was not..... made in
this case.
It is recommended to the receiving court that: .....................
It is ADJUDGED:
1.
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.
2.
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;
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(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
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(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;
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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
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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:
1.
That the speedy trial rule is waived,
2.
That a hearing for the acceptance of this plan .....is/is
not..... waived,
3.
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:
1.
That the speedy trial rule is waived,
2.
That a hearing for the acceptance of this plan .....is/is
not..... waived,
3.
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
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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:
1.
That the plan is approved and the parties thereto
shall comply with its terms and conditions.
2.
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).
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FORM 8.912. PETITION TO SHOW CAUSE
PETITION BY AFFIDAVIT FOR ORDERTO SHOW CAUSE
1.
This is a proceeding for an order to show why the below-
named witness, ...................., should not be held in contempt of
court.
2.
Petitioner is .....(title)......
3.
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.
2.
Petitioner is .....(title)......
3.
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.
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Circuit Judge
B.
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:
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.....
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:……….
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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: ....................
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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
..
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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).....
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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 ....................
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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:
1.
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.
2.
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.
3.
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
1.
That this child is declared to be insolvent.
2.
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
1.
That this child is declared to be insolvent.
2.
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:
1.
That all proceedings in this case are now stayed, pending
further order of this court.
2.
That a hearing to determine the mental condition of this
child is scheduled before me at ..... m., on .....(date)......
3.
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)......
3.
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
4.
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
1.
A demand for voluntary waiver of jurisdiction was filed by
the child and parent/legal guardian on .....(date)......
2.
The court waives jurisdiction to try the child pursuant to
chapter 985, Florida Statutes.
3.
The above cause is certified for trial as if the child were
an adult.
4.
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.
5.
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.
3.
The above cause is certified for trial as if the child were
an adult.
4.
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.
5.
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:
1.
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.
2.
Whether the alleged offense was committed in an
aggressive, violent, premeditated, or willful manner.
3
der requiring the department to
prepare a study and report to the court, in writing, considering the
following relevant factors:
1.
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.
2.
Whether the alleged offense was committed in an
aggressive, violent, premeditated, or willful manner.
3.
Whether the alleged offense was against persons or
against property.
4.
The probable cause as found in the report, affidavit, or
complaint.
5.
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.
6.
The sophistication and maturity of the child.
7.
The record and previous history of the child including:
a.
Previous contact with the department, other law
enforcement agencies, and the courts;
b.
Prior periods of juvenile probation;
January 1, 2026
Florida Rules of Juvenile Procedure
Page 312 of 469
c.
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
d.
Prior commitments to institutions.
8.
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:
1.
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.
2.
Whether the alleged offense was committed in an
aggressive, violent, premeditated, or willful manner.
3.
Whether the alleged offense was against persons or
against property.
4.
The probable cause as found in the report, affidavit, or
complaint.
January 1, 2026
Florida Rules of Juvenile Procedure
Page 313 of 469
5.
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.
6.
The sophistication and maturity of the child.
7.
The record and previous history of the child including:
a.
Previous contact with the department, other law
enforcement agencies, and the courts;
b.
Prior periods of juvenile probation;
c.
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
d.
Prior commitments to institutions.
8
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
d.
Prior commitments to institutions.
8.
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:
1.
Age of child ..........
2.
Seriousness of alleged offense ....................
3.
Manner of commission of offense ....................
4
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:
1.
Age of child ..........
2.
Seriousness of alleged offense ....................
3.
Manner of commission of offense ....................
4.
Nature of offense (person or property) ....................
5.
Probable cause as found in the report, affidavit, or
complaint ....................
6.
Desirability of trial and disposition of entire offense in
one court ....................
7.
Sophistication and maturity of the child ....................
8.
Record and previous history of the child ....................
9.
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
Count
Count
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.
1.
The Child must have a curfew of ……
2.
The Child is to have no contact with .....victims/co-
defendants/known gang members......
January 1, 2026
Florida Rules of Juvenile Procedure
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3.
The Child must not use controlled substances.
4.
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.
1.
The Child must have a curfew of ……
2.
The Child is to have no contact with .....victims/co-
defendants/known gang members......
January 1, 2026
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3.
The Child must not use controlled substances.
4.
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:
1.
The child must obey all laws.
2
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:
1.
The child must obey all laws.
2.
The child must be employed full-time or attend school with no
unexcused absences, suspensions, or disciplinary referrals.
January 1, 2026
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3.
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.
4.
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.
5.
The child must keep in contact with the juvenile probation officer
in the manner prescribed by the juvenile probation officer.
6.
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
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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
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.....
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.
or
.....
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,
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.....
$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
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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:
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.....
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:
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.....
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
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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
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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
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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:
1.
The child, .....(name)....., shall immediately undergo
Human Immunodeficiency Virus testing.
2.
The testing shall be performed under the direction of the
Department of Health in accordance with section 381.004, Florida
Statutes.
3.
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......
4.
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
g
out of the .....alleged sexual offense/sexual offense......
4.
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: ....................
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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.
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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
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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
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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
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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.
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(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
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(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
1.
Right to counsel.
January 1, 2026
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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.
2.
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.
3.
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.
4
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.
3.
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.
4.
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
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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.
5.
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.
6.
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;
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Florida Rules of Juvenile Procedure
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(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
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(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.
7.
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.
8.
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
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Child
Attorney for child
Date
(print name)
(print name)
January 1, 2026
Florida Rules of Juvenile Procedure
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C.
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:
1.
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).
2
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C.
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:
1.
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).
2.
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.
3.
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:
1.
.....(Name)..... is appointed as a surrogate parent for
.....(child’s name)......
January 1, 2026
Florida Rules of Juvenile Procedure
Page 337 of 469
2.
The surrogate parent named above has the following
rights, duties, and responsibilities:
a.
to request or respond to requests for evaluations of
the child;
b.
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;
e.
to monitor the child’s educational development;
f.
to help the child access available and needed
educational services;
g.
to aid the child in securing all rights provided the
child under the IDEA;
h.
to meet the child face-to-face
i
participate in school meetings including
Individual Education Plan (IEP) meetings;
d. to express approval or disapproval of a child’s
educational placement or IEP;
e.
to monitor the child’s educational development;
f.
to help the child access available and needed
educational services;
g.
to aid the child in securing all rights provided the
child under the IDEA;
h.
to meet the child face-to-face
i.
to be afforded all of the due process rights parents
hold under the IDEA
3.
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
4.
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.
5.
Unless the court explicitly orders otherwise, the
surrogate parent does not have the right and responsibility to
register the child in school, and grant or withhold consent for
ordinary school decisions not related to IDEA (such as field trips,
sports and club activities, medical care, etc.).
6.
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.
7
grant or withhold consent for
ordinary school decisions not related to IDEA (such as field trips,
sports and club activities, medical care, etc.).
6.
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.
7.
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: ....................
..... 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:
1.
On .....(date)..... at .......... a.m./p.m. the above named
minor child(ren) was/were found within the jurisdiction of this
court.
..... The child(ren) was/were taken into custody by ...........
..... The child(ren) need(s) to be taken into protective custody.
2
RM 8.960
SHELTER PETITION
AFFIDAVIT AND PETITION FOR PLACEMENT IN SHELTER
COMES NOW, the undersigned, who being first duly sworn
says:
1.
On .....(date)..... at .......... a.m./p.m. the above named
minor child(ren) was/were found within the jurisdiction of this
court.
..... The child(ren) was/were taken into custody by ...........
..... The child(ren) need(s) to be taken into protective custody.
2.
The name, age, special needs, and residence of this/these
child(ren) is/are:
Birth
Special
Name
date
Sex
Needs
Address
....................... ...................
................
.......................
.......................
....................... ...................
................
.......................
.......................
....................... ...................
................
.......................
.......................
3.
The name, relationship to the child(ren), and address of
the child(ren)’s parents or other legal custodian(s) is/are:
Name
Relationship
Address
.....................
.....................
.....................
.....................
.....................
.....................
4.
The following individuals who were listed in #3 above
have been notified in the following manner of the date, time, and
location of this hearing:
January 1, 2026
Florida Rules of Juvenile Procedure
Page 344 of 469
Name
Manner Notified
…………………………………
………………………………….
…………………………………
………………………………….
…………………………………
………………………………….
5.
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 ...........
6
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 ...........
6.
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.
7.
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 ...........
8.
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
...........
9
.
It is not in the best interest of each child that all the
siblings be placed together in out-of-home care because ...........
8.
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
...........
9.
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:
1.
The minor child(ren), .........., was/were found
within the jurisdiction of this court and is/are of an age subject to
the jurisdiction of this court.
2.
PLACEMENT IN SHELTER.
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.
3.
PARENTS/CUSTODIANS. The parents/custodians
of the minor child(ren) are:
Name
Address
Mother:
..........
..........
Father of .....(child’s name).....:
..........
..........
Other: .....(relationship and to which child).....
..........
..........
4.
INABILITY TO NOTIFY AND/OR LOCATE
PARENTS/CUSTODIANS. The petitioner has made a good faith
effort to notify and/or locate, but was unable to notify and/or locate
.....(name(s))....., a parent or legal custodian of the minor child(ren).
5.
NOTIFICATION. Each parent/legal custodian not listed
in #4 above was:
..... duly notified that the child(ren) was/were taken into custody;
..... duly notified to be present at this hearing;
..... 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;
or
..... the court declined to accept the waiver because ..........
..... requested appointment of counsel, but the court declined
appointment because he/she did not qualify as indigent.
..... requested appointment of counsel and counsel was
appointed.
6.
PROBABLE CAUSE.
..... Based on the allegations in the Affidavit and Petition for
Placement in Shelter, there is probable cause to believe that the
child(ren) is/are dependent based on allegations of abuse,
abandonment, or neglect or substantial risk of same.
..... A finding of probable cause cannot be made at this time and
the court requires additional information to determine the risk to
the child(ren). The following information must be provided to the
court during the continuation of this hearing: .....(information to be
provided)...... This hearing is continued for 72 hours, until .....(date
and time)...... The children will remain in shelter care.
7.
NEED FOR PLACEMENT. Placement of the child(ren) in
shelter care is in the best interest of the child(ren). Continuation in
the home is contrary to the welfare of the child(ren) because the
home situation presents a substantial and immediate danger which
cannot be mitigated by the provision of preventive services and
placement is necessary to protect the child(ren) as shown by the
following facts:
....
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: ..........
8.
REASONABLE EFFORTS.
..... Reasonable efforts to prevent or eliminate the need for
removing the child(ren) from the home have been made by the
department, which provided the following services to the family:
..........
..... The following specific services, if available, could prevent or
eliminate the need for removal or continued removal of the child
from the home ..........
..... 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 ..........
9.
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: ..........
2.
The child(ren) ..... may ..... may not be returned to the
parent/custodian without further order of this court.
3.
a.
The Guardian Ad Litem Program is appointed.
b.
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.
4.
The parents, within 28 days of the date of this order,
shall provide to the department the information necessary to
accurately calculate child support under section 61.30, Florida
Statutes. The parents shall pay child support in accordance with
Florida Statutes.
5.
The legal custodian, or in the absence of the legal
custodian, the department and its agents, are hereby authorized to
provide consent for and to obtain ordinary and necessary medical
and dental treatment and examination for the above child(ren)
including blood testing deemed medically appropriate, and
necessary preventive care, including ordinary immunizations and
tuberculin testing.
6.
Visitation with the child(ren) shall be as follows:
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 ..........
7
necessary preventive care, including ordinary immunizations and
tuberculin testing.
6.
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 ..........
7.
The parents shall provide to the court and all parties
identification and location information regarding potential relative
placements.
8.
The relatives who are providing out-of-home care for the
child(ren) have the right to attend all subsequent hearings, to
submit reports to the court, and to speak to the court regarding the
child(ren), if they so desire.
9.
THE COURT ADVISED THE PARENTS:
A.
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.
B
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.
C.
TO NOTIFY THE PARTIES AND THE COURT OF
BARRIERS TO COMPLETING CASE PLAN TASKS
WITHIN A REASONABLE TIME AFTER DISCOVERING
SUCH BARRIERS.
D.
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
A.
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

[Text truncated at 120,000 characters. The full text is on the page linked above.]

## Nearby sections

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/SRULES_FL_JUVENILE_R8_870. Check the current official text before relying on it. Not legal advice.