ORDER

(a) Requirement to Attend School. If the court determines that a student did miss any of the alleged days, the court shall order the student to attend school and the parent, guardian, legal custodian, or, if the student is in foster care, the case manager, to ensure that the student attends school. (b) Other Sanctions. If the court determines that a student did miss any of the alleged days, the court may order any of the following: (1) The student to participate in alternative sanctions to include mandatory attendance at alternative classes to be followed by mandatory community service hours for up to six months; (2) The student or the student’s parent, guardian, or legal custodian, to participate in homemaker or parent aid services; (3) The student or the student’s parent, guardian, or legal custodian to participate in and complete intensive crisis counseling and/or community mental health services; (4) The student and the student’s parent, guardian, or legal custodian to participate in services provided by voluntary or community agencies as available; (5) The student or the student’s parent, guardian, or legal custodian to participate in vocational, job training, or employment services. (c) Referral to Case Staffing Committee. If the student does not successfully complete the sanctions ordered, the case shall be referred to the case staffing committee, with a recommendation to file a child in need of services petition under Chapter 984, Florida Statutes. (d) Participation by Parent, Guardian, Legal Custodian, or Student. The parent, guardian, or legal custodian and the January 1, 2026 Florida Rules of Juvenile Procedure Page 286 of 469 student shall participate as ordered or required by the court, in any sanction or services ordered pursuant to this rule. (e) Enforcement by Contempt. The court shall enforce such requirements through its contempt power, pursuant to Chapter 984, Florida Statutes. PART VI. FORMS FOR USE WITH RULES OF JUVENILE PROCEDURE The following forms are sufficient for the matters that are covered by them. So long as the substance is expressed without prolixity, the forms may be varied to meet the facts of a particular case. Captions, verifications, and certificates of service, except for the designation of the paper, are omitted from most forms. General forms for these are provided at the beginning of the forms. Publisher’s Note The Florida Supreme Court’s per curiam opinion of December 24, 1980 (393 So.2d 1077) in which the forms appear provides: “Nothing in the Forms shall be deemed to be a part of these Rules.” Committee Note 1991 Amendment. These forms have been updated to conform to revisions to Chapter 39, Florida Statutes, and the Florida Rules of Juvenile Procedure. As the court has stated before, the forms are not intended to be part of the rules and are provided for convenience only. January 1, 2026 Florida Rules of Juvenile Procedure Page 287 of 469 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. 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)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 288 of 469 (Title) Committee Notes 1991 Adoption. The above may be added to petitions, orders, and other forms as required. FORM 8.904. AFFIDAVIT FOR ORDER TO TAKE INTO CUSTODY AFFIDAVIT STATE OF FLORIDA COUNTY OF .................... Before me, the undersigned authority, personally appeared affiant, who, being sworn, made the following allegation of facts: .................... and requested that the court issue an order to take into custody the below.....named/described..... children. Name(s) ………. Age(s) ……….Sex ………. Date(s) of Birth ………. Race ………. Address ………. Identifying Description ………. Parent/Custodian………. January 1, 2026 Florida Rules of Juvenile Procedure Page 289 of 469 Address ……….. Affiant .....Address..... FORM 8.905. ORDER TO TAKE INTO CUSTODY ORDER TO TAKE INTO CUSTODY TO: ………. A .....verified petition/affidavit..... having been filed in this case, alleging facts which under existing law are determined to be sufficient to authorize taking into custody the below- .....named/identified..... .....child/children....., believed to be of an age subject to the juvenile jurisdiction of the circuit court; therefore You are commanded to take the following .....child/children..... into custody: Name(s)………. Age(s) ………. Sex ………. Date(s) of Birth ………. Race ………. Address ………. Identifying Description ………. January 1, 2026 Florida Rules of Juvenile Procedure Page 290 of 469 Parent/Custodian ………. Address . ………. For the following reasons:………. Upon taking the .....child/children..... into custody, you will deliver .....him/her/them..... to: ……….to be held pending a .....detention/shelter..... hearing or upon further order of this court. ORDERED in the circuit court in and for .................... County, Florida, on .....(date)...... Circuit Judge RETURN This order to take into custody was executed at ..... m., on .....(date)....., by the undersigned. RETURN TO ISSUING COURT UPON THE CHILD’S 19TH (Title) FORM 8.906. RELEASE ORDER BIRTHDAY 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 ……….. January 1, 2026 Florida Rules of Juvenile Procedure Page 291 of 469 ORDERED in the circuit court in and for ……….County, Florida, on .....(date)...... FORM 8.907. TRANSFER ORDER TRANSFER ORDER Circuit Judge 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; January 1, 2026 Florida Rules of Juvenile Procedure Page 292 of 469 (ii) Degree of offense; (iii) Name of parent/custodian to be summoned; (iv) Address at which the child should be summoned for disposition; (v) Name and address of the victim; and (vi) Whether the child was represented by counsel. (b) A certified copy of the delinquency petition; (c) A copy of the juvenile referral or complaint; and (d) Any reports and all previous orders including orders appointing counsel entered by the court in the interest of that child. These documents shall be forwarded to the clerk of the receiving court; state attorney of the receiving court; public defender of the receiving court, if counsel previously has been appointed; and ………. ORDERED in the circuit court in and for .................... County, Florida, on .....(date)...... Circuit Judge FORM 8.908. SUMMONS SUMMONS STATE OF FLORIDA TO ...................., .....a child/children..... and .................., .....parent(s)/custodian.....: A petition under oath has been filed in this court alleging the above-named .....child/children..... to be .................... under the laws of the State of Florida, a copy of which was attached hereto; January 1, 2026 Florida Rules of Juvenile Procedure Page 293 of 469 You are to appear before the Honorable ...................., Circuit Judge, at .....m., on .....(date)....., at the county courthouse of .................... County, at ...................., Florida for the hearing of this petition. The .....parent(s)/custodian..... .....is/are..... required to produce the .....child/children..... at that time and place unless the .....child/children..... .....is/are..... in detention or shelter care at that time. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. You may be held in contempt of court if you fail to appear. WITNESS my hand and seal of this court at .................... County, Florida, on .....(date)...... ………., Clerk of Circuit Court ……….County, Florida By: D.C., FORM 8.909. PLAN FOR TREATMENT, TRAINING, OR CONDUCT PLAN FOR TREATMENT, TRAINING, OR CONDUCT TO: ………., Circuit Judge Instead of a plea to the petition filed on .....(date)....., alleging the above-named .....child/children..... to be ………., the following proposed plan for treatment, training, or conduct, formulated in conjunction with the supervising agency, is now submitted, with January 1, 2026 Florida Rules of Juvenile Procedure Page 294 of 469 the request that it be accepted by the court and that prosecution of the said petition be deferred. This agreement is entered into with full knowledge and disclosure of all the facts and circumstances of this case, and in consideration thereof, and the promise of fulfillment of its terms and conditions, each of the undersigned agrees as follows: ………. It is further agreed: 1. 2. That the speedy trial rule is waived, 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 January 1, 2026 Florida Rules of Juvenile Procedure Page 295 of 469 CONSENT IN DELINQUENCY CASES The undersigned, being familiar with the contents of this plan for treatment, training, or conduct and the delinquency petition on which it is based, consents to defer prosecution of the petition. Dated: ………. ………. State Attorney By: Assistant State Attorney ORDER The foregoing plan for treatment, training, or conduct having been properly submitted and having been given consideration by the court, It is ADJUDGED: 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). January 1, 2026 Florida Rules of Juvenile Procedure Page 296 of 469 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)..... 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. FORM 8.913. ORDER TO SHOW CAUSE Petitioner ORDER TO SHOW CAUSE This cause came on to be heard on the petition for order to show cause directed to .....(name)..... for failure .....(specify)..... on .....(date)...... (See attached affidavit.) NOW, THEREFORE, you, .....(name)....., are hereby ORDERED to appear before this court located at ...................., on .....(date)....., at .....(time)....., to show cause why you should not be held in contempt of this court, for your failure to .....(specify)...... DONE AND ORDERED on .....(date)....., at ...................., .................... County, Florida. January 1, 2026 Florida Rules of Juvenile Procedure Page 297 of 469 Circuit Judge B. DELINQUENCY FORMS FORM 8.929. DETENTION ORDER DETENTION HEARING ORDER supervised release Pick up order for absconding from: ..... ..... 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; .....(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: Domestic relations: Domestic violence: ..... Yes ..... Yes ..... Yes ..... No ..... No ..... No ..... Unknown ..... Unknown ..... Unknown The court finds that the child was taken into custody at ..... a.m./p.m., on .....(date)...... Probable cause that the child committed delinquent acts was: January 1, 2026 Florida Rules of Juvenile Procedure Page 298 of 469 found. found for lesser included offense …... ..... ..... ..... not found. ..... reset within ….. hours of custody. Risk assessment instrument (RAI) score: .......... Score amended to: .......... ..... Meets detention criteria. ..... Meets detention criteria for being a Prolific Juvenile Offender. IT IS ORDERED that the above-named child be: ..... ..... held in secure detention for domestic violence charge under section released to the custody of .....(name)...... 985.255, Florida Statutes. The court finds: ..... ..... respite care is not available for the child; and it is necessary to place the child in secure detention to protect the victim from injury. ..... detained by the Department of Juvenile Justice in ..... ..... ..... ..... ..... supervised release. ….. days supervised release with electronic monitoring. supervised release with electronic monitoring due to being a Prolific Juvenile Offender. secure detention. ….. days secure detention due to probable cause being found for a designated offense and a risk to public safety and a danger to the community. with the following special conditions: ..... attend school regularly. ..... attend evaluation as follows: ..... physical. ..... psychological. ..... ADM. ..... other ..................... ..... no (..... harmful) contact with .....(name)...... ..... drug testing. ..... no drug and alcohol use. ..... other: .................... Reasons for court ordering more or less restrictive placement than RAI score:………. January 1, 2026 Florida Rules of Juvenile Procedure Page 299 of 469 It is FURTHER ORDERED that unless an adjudicatory hearing has begun or a subsequent modification order is entered, the child must be released no later than 5:00 p.m. on .....(date)..... to .....(name(s))....., who is/are ..... the parent(s) ..... a relative ..... foster care ..... ………. program ..... .....him/her..... self ..... other ..................... IT IS FURTHER ORDERED under section 985.039, Florida Statutes ..... The parent/guardian of the child, .....(name)....., must pay to the Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $5 per day for each day the juvenile is in secure detention. ..... The parent/guardian of the child, .....(name)....., must pay to the Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $1 per day for each day the child is on supervised release. ..... The parent/guardian of the child, .....(name)....., must pay to the Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, a REDUCED rate of $..... per day for each day the child is in detention status. This reduced fee is based on the court’s finding ..... that the parent/guardian was the victim of the delinquent act or violation of law for which the child is currently detained and is cooperating in the investigation of the offense; or ..... of indigency or significant financial hardship. The facts supporting this finding are: .................... ..... The parent/guardian of the child, .....(name)....., .....(address)....., is liable for .....% of the payment. The parent/guardian of the child, .....(name)....., .....(address)....., is liable for .....% of the payment. ..... The .....supervision fee/cost of care..... is WAIVED based on the court’s finding ..... that the parent/guardian was the victim of the delinquent act or violation of law for which the child is currently detained and is cooperating in the investigation of the offense; or ..... of indigency or significant financial hardship. The facts supporting this finding are: .................... January 1, 2026 Florida Rules of Juvenile Procedure Page 300 of 469 If the child’s case is dismissed or if the child is found not guilty of the charges or court order, then the parent/guardian is not liable for fees under this order. Unless modified by subsequent notice, the NEXT COURT APPEARANCE: ..... will be at .....(time)..... on .....(date)..... at .....(location)....... ..... is to be set. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. Note: The child’s parent/legal guardian must advise Clerk’s Office and DJJ of any address change. ..... Department of Juvenile Justice must transfer the child to .................... Detention Center. Other: ...................... DONE AND ORDERED in ................. County, Florida at .......... a.m./p.m. on .....(date)..... Circuit Judge Copies to: .................... FORM 8.930. JUVENILE NOTICE TO APPEAR JUVENILE NOTICE TO APPEAR DATE .......... AGENCY ……….. CASE NO. ………. PARENT, ADULT RELATIVE, LEGAL GUARDIAN .....(name)..... January 1, 2026 Florida Rules of Juvenile Procedure Page 301 of 469 I am the .....(relationship to child)..... of .....(child’s name)..... and promise to ensure that the child appears on .....(date)..... at .....(time)..... at .....(location)...... I also promise immediately to notify the office of the state attorney at .....(telephone number)..... and the clerk of the court at .....(telephone number)..... of any change in the child’s address. Signature of Parent/Adult Relative/Legal Guardian .....(address)..... .....(telephone number)..... .....(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. Date .................... Arresting Officer .................... Child’s Signature January 1, 2026 Florida Rules of Juvenile Procedure Page 302 of 469 Releasing officer or DJJ counselor authorizing release DJJ Intake Telephone Number ………… ATTACH TO ARREST AFFIDAVIT FORM 8.931. DELINQUENCY PETITION PETITION Your petitioner respectfully represents that ………. whose date(s) of birth …. is/are ….. and who reside(s) at ………. ...is/ are ….. delinquent and that this court has jurisdiction of this cause because of the following allegations of facts:………. That the parents or custodians are: ………………….. ……………………. Mother Residence ………………….. ……………………. Father Residence ………………….. ……………………. Custodian Residence WHEREFORE, your petitioner requests process may issue to bring the above-named parties before the court on a day and time designated to be dealt with according to law. Dated: .................... January 1, 2026 Florida Rules of Juvenile Procedure Page 303 of 469 Petitioner 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 304 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. 2. That this child is declared to be insolvent. That ...................., Public Defender for the ..... Judicial Circuit, State of Florida, is hereby appointed as counsel to represent this child in all matters in defense of the delinquency complaint herein made. DONE AND ORDERED in the circuit court in and for .................... County, Florida, on .....(date)...... FORM 8.933. WAIVER OF COUNSEL Circuit Judge 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 305 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. 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 306 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 (2) ..................................... ......................................................... Name Address January 1, 2026 Florida Rules of Juvenile Procedure Page 307 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 308 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)...... FORM 8.937. DEMAND FOR VOLUNTARY WAIVER Circuit Judge 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 309 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. Bond is set at $........... DONE AND ORDERED in chambers at ................, .....(date)...... FORM 8.939. MOTION FOR INVOLUNTARY WAIVER MOTION FOR INVOLUNTARY WAIVER Circuit Judge 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 310 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. Whether the alleged offense was against persons or against property. 4. complaint. The probable cause as found in the report, affidavit, or 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. 7. The sophistication and maturity of the child. 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 311 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. 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. complaint. The probable cause as found in the report, affidavit, or January 1, 2026 Florida Rules of Juvenile Procedure Page 312 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. 7. The sophistication and maturity of the child. 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. 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 313 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. 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 314 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)...... FORM 8.947. DISPOSITION ORDER — DELINQUENCY DISPOSITION ORDER Circuit Judge A petition was filed on .....(date)....., alleging .....(name)....., ….. age, to be a delinquent child. The court finds that it has jurisdiction of the proceedings. Present before the court were: .....the child; ..... .....(name)....., Assistant State Attorney; ..... .....(name)....., Assistant Public Defender/defense attorney; ..... .....(name)....., guardian; ..... .....(name)....., DJJ juvenile probation officer. At the hearing on .....(date)....., after ….. entry of a plea/an adjudicatory hearing…..the child was found to have committed the delinquent acts listed below: Charge Lesser Maximum Degree Guilty Nolo contendere Nolo prose Adjudicated Adj. withheld Count .......... .......... .......... .......... .......... .......... .......... .......... .......... Count .......... .......... .......... .......... .......... .......... .......... .......... .......... Count .......... .......... .......... .......... .......... .......... .......... .......... .......... Count .......... .......... .......... .......... .......... .......... .......... .......... .......... January 1, 2026 Florida Rules of Juvenile Procedure Page 315 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; ..... 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 316 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. ..... 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. 2. The Child must have a curfew of …… The Child is to have no contact with .....victims/co- defendants/known gang members...... January 1, 2026 Florida Rules of Juvenile Procedure Page 317 of 469 3. 4. The Child must not use controlled substances. The Child must not possess any firearms. Other conditions: …… The child was committed for an offense or attempted offense involving a firearm and under section 985.433(7)(d), Florida Statutes, the child must be placed on conditional release for a period of 1 year following release from a commitment program. Conditional release must include electronic monitoring of the child by the department for the initial 6 months following release and at times and under terms and conditions set by the department. ..... JUVENILE PROBATION: The child is ..... placed continued on..... juvenile probation under supervision of .....the Department of Juvenile Justice/.....(name)..... and ..... the court having withheld adjudication of delinquency, for an indefinite period not to exceed the child’s 19th birthday. ..... the court having adjudicated the child delinquent, for an indefinite period not to exceed the child’s 19th birthday or the maximum term of imprisonment an adult could receive for each count listed above, except for a second degree misdemeanor, six months, whichever comes first. ..... as part of a sex offender treatment program, for an indefinite period not to exceed the child’s 21st birthday or the maximum term of imprisonment an adult could receive for each count listed above. ..... Disposition on each count is .....concurrent/consecutive ...... ..... This case disposition is ..... concurrent with/consecutive to.....case number ........... GENERAL CONDITIONS OF JUVENILE PROBATION. The child must abide by all of the following conditions: 1. 2. The child must obey all laws. The child must be employed full-time or attend school with no unexcused absences, suspensions, or disciplinary referrals. January 1, 2026 Florida Rules of Juvenile Procedure Page 318 of 469 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 ..... (subject)…..and provided to the juvenile probation officer within 30 days. ..... The child must have no ………. contact with victim(s), ..... (name(s)) ...... ..... A ..... mental health/substance abuse .....evaluation to be completed by the child within ….. days. The child will attend and participate in every January 1, 2026 Florida Rules of Juvenile Procedure Page 319 of 469 scheduled appointment and successfully attend and complete any and all recommended evaluations and treatment. ..... A curfew is set for the child from .......... p.m. to .......... a.m. Sunday through Thursday and from .......... p.m. to .......... a.m. Friday and Saturday. ..... The child must submit to random urinalysis as instructed by the Department of Juvenile Justice. ..... The child must submit to electronic monitoring by the Department of Juvenile Justice. ..... The child must successfully complete all special conditions of juvenile probation ordered in this case on .....(date)...... ..... Other: ........... ..... The child must pay court costs of $ .........., as specified below. The child is placed on notice that the court may modify the conditions of .....his/her..... juvenile probation at any time and may revoke the juvenile probation if the court finds there is a violation of the conditions imposed. DRIVER LICENSE ..... The child’s driver license .....is suspended/is revoked/is withheld/limitation is extended.....: ..... for .....(months/years)...... ..... for a delinquent act involving the use or possession of a firearm, under section 790.22, Florida Statute. ..... First offense, .....(up to one year)...... ..... Second or subsequent offense, .....(up to two years)...... ..... for a delinquent act involving the use or possession of a firearm other than a violation of section 790.22, Florida Statutes, …..(up to one year)…... ..... for a delinquent act under Chapter 893, Florida Statutes, ..... (up to six months)...... FIREARM CHARGES January 1, 2026 Florida Rules of Juvenile Procedure Page 320 of 469 ..... Having found the child committed a violation of section 790.22(3), Florida Statutes, the child is ordered to serve: ..... for a first violation, .......... days (up to 5), in the Juvenile Detention Center with credit for .......... days served before disposition and 100 hours of community service or paid work as determined by the Department. 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 .......... days credit for time served before disposition, 100 hours of community service or paid work as determined by the Department of Juvenile Justice, and Juvenile Probation under the supervision of the Department of Juvenile Justice for .......... (a minimum of 1 year). FINES, FEES, AND COSTS: ..... The child must: ..... pay, notwithstanding the child’s present ability to pay, under sections 938.27 and 985.032, Florida Statutes, January 1, 2026 Florida Rules of Juvenile Procedure Page 321 of 469 ..... $50.00, per case (in disposition of every misdemeanor case), the costs of prosecution, ..... $100.00, per case (in disposition of every felony case), the costs of prosecution, or ..... $.......... to .....(agency)....., which, having claimed costs of prosecution or investigation, as provided by law, has shown to a preponderance its entitlement to such costs of prosecution or investigation; ..... pay $.........., the Crimes Compensation Trust Fund fee, under section 938.03, Florida Statutes; ..... pay $.........., the Teen Court cost and service charge, under section 938.19, Florida Statutes (if authorized by county ordinance); ..... pay $ .........., the Public Defender application fee, under section 27.52, Florida Statutes; ..... pay, notwithstanding the child’s present ability to pay, the Legal Assistance Lien for payment of attorneys’ fees or costs, under section 938.29, Florida Statutes, ..... $50.00, per case (in disposition of every misdemeanor case), ..... $100.00, per case (in disposition of every felony case), or ..... $.........., the court having found sufficient proof of higher fees and costs incurred to .....(agency).....; ..... pay $.........., other costs, under section(s) .........., Florida Statutes. ..... The child has been adjudicated delinquent and the child must pay $.........., an additional cost, under section 939.185, Florida Statutes, if authorized by county ordinance. ..... The child has been adjudicated delinquent and assessed a fine and the child must pay $.......... to the Crime Prevention Trust Fund, under section 775.083(2), Florida Statutes. ..... The child has committed an enumerated crime against a minor and the child must pay $ .........., under section 938.10, Florida Statutes. ..... The child has violated chapter 794, Florida Statutes (sexual battery), or chapter 800, Florida Statutes, (lewdness; indecent exposure), and is January 1, 2026 Florida Rules of Juvenile Procedure Page 322 of 469 ordered to make restitution to the Crimes Compensation Trust Fund under section 960.28(5), Florida Statutes, for the cost of the forensic physical examination. ..... The child is unable to pay all court costs, and must perform .......... hours of community service in place of these costs and fees. SPECIMENS FROM THE CHILD ..... The child has entered a plea of guilty or nolo contendere to, or has been found by this court to have committed, a delinquent act which is a felony or an enumerated misdemeanor, and the child must submit specimens under section 943.325, Florida Statutes. ORDERS TO PARENTS/GUARDIANS ..... The parent(s) .....is/are..... ..... to complete.....counseling/parenting classes/community service/restitution..... ..... participate with the child in .....court-imposed sanction/community work project..... ..... Under section 985.039, Florida Statutes: ..... ..... ..... the parent/legal guardian, .....(name)....., must pay to the Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $5 per day for each day the child is placed in secure detention or placed on committed status and the temporary legal custody of the child is placed with the department. the parent/legal guardian, .....(name).....,, must pay to the Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, $1 per day for each day the child is placed into non-secure detention, on probation, or other supervision status with the department, or is committed to the minimum risk nonresidential restrictiveness level commitment. the parent/legal guardian, .....(name)....., must pay to the Department of Juvenile Justice, 2737 Centerview Drive, Tallahassee, FL 32399-3100, a REDUCED fee of $..... per day for each day the child is in the custody of or supervised by the department. This reduced fee is based on the court’s finding: January 1, 2026 Florida Rules of Juvenile Procedure Page 323 of 469 ..... that the parent/legal guardian was the victim of the delinquent act or violation of law for which the child is currently before the court and is cooperating in the investigation of the offense. ..... of indigency or significant financial hardship. The facts supporting this finding are: ........... ..... The cost of care/supervision fee is WAIVED based on the court’s finding: ..... that the parent/legal guardian was the victim of the delinquent act or violation of law for which the child is currently before the court and is cooperating in the investigation of the offense. ..... of indigency or significant financial hardship. The facts supporting this finding are: ........... ..... The parent/guardian, .....(name)....., .....(address)....., is liable for ..........% of the payment. The parent/guardian, .....(name)....., .....(address)....., is liable for ..........% of the payment. The parties are advised that an appeal is allowed within 30 days of the date of this order. DONE AND ORDERED in ..... (city) ....., .......... County, Florida on .....(date) ....., at .......... a.m./p.m. Copies to: Circuit Judge FORM 8.948. PETITION FOR REVOCATION OF JUVENILE PROBATION PETITION FOR REVOCATION OF JUVENILE PROBATION The petitioner represents to the court that ...................., whose residence and address is .................... was adjudicated a .................... child and placed on juvenile probation by order of this court dated ...................., and that the child has violated the January 1, 2026 Florida Rules of Juvenile Procedure Page 324 of 469 conditions of the juvenile probation in a material respect by: .................... The petitioner represents further that the parent(s) or custodian(s) .....is/are.....: ………………….. ……………………. Mother Residence ………………….. ……………………. Father Residence ………………….. ……………………. Custodian Residence WHEREFORE, your petitioner requests that process may issue to bring the above-named child before this court to be dealt with according to law. Date: .................... FORM 8.949. ORDER FOR HIV TESTING Petitioner ORDER FOR HUMAN IMMUNODEFICIENCY VIRUS (HIV) TESTING The court having been requested by the .....victim/ victim’s legal guardian/minor victim’s parent..... for disclosure of the child’s HIV test results FINDS that: The child, .....(name)....., .....is alleged by petition for delinquency to have committed/has been adjudicated delinquent January 1, 2026 Florida Rules of Juvenile Procedure Page 325 of 469 for..... a sexual offense proscribed in chapter 794 or section 800.004, Florida Statutes, involving the transmission of body fluids from one person to another. It is ORDERED AND ADJUDGED that: 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. DONE AND ORDERED at ...................., Florida, .....(date)...... FORM 8.950. RESTITUTION ORDER Circuit Judge JUDGMENT AND RESTITUTION ORDER THIS CAUSE was heard on .....(date)....., on the state’s motion for an order requiring the child, born .....(date)....., or .....his/her..... parent(s), to pay restitution costs for the benefit of the victim pursuant to sections 985.0301(5)(i), 985.437, and 775.089, Florida Statutes. Name of victim: .................... Attorney or Advocate: .................... January 1, 2026 Florida Rules of Juvenile Procedure Page 326 of 469 Address: .................... The court being fully advised in the premises, it is ORDERED AND ADJUDGED: The state’s motion is granted and the .....child/ child’s parent(s), .....(name(s))....., shall pay restitution for the benefit of the victim named above as follows: ..... $..... for medical and related services and devices relating to physical, psychiatric, and psychological care, including nonmedical care rendered in accordance with a recognized method of healing. ..... $..... for necessary physical and occupational therapy and rehabilitation. ..... $..... to reimburse the victim for income lost as a result of the offense. ..... $..... for necessary funeral and related services, if the offense caused bodily injury resulting in the death of the victim. ..... $..... for damages resulting from the offense. ..... $..... for ..................... The total amount of restitution due is $...... Payment shall be made to the clerk of the circuit court. Payment schedule: ..... Installment payments of $..... payable on a .....weekly/monthly..... basis. ..... Payment is due in full. ..... The court finds that the .....child/child’s parent(s)..... .....is/are..... unable to pay and orders the child to perform ..... hours of community service in lieu of .....partial/total..... restitution. January 1, 2026 Florida Rules of Juvenile Procedure Page 327 of 469 The court retains jurisdiction over this child beyond .....his/her..... nineteenth birthday in order to enforce the provisions of this order and retains jurisdiction to modify the restitution in this case. Other, specified conditions: ………. IT IS FURTHER ORDERED AND ADJUDGED that the clerk of the court shall provide the victim named above a certified copy of this order for the victim to record this judgment as a lien, pursuant to section 55.10, Florida Statutes. IT IS FURTHER ORDERED AND ADJUDGED that this judgment may be enforced by the state or the victim in order to receive restitution in the same manner as a judgment in a civil action. Execution shall issue for all payments required under this order. DONE AND ORDERED AT .....(city)....., .....(county)....., Florida, on .....(date)...... Circuit Judge Copies to: State Attorney Counsel for Child Victim Department of Juvenile Justice Parent(s) FORM 8.951. MOTION FOR JUVENILE SEXUAL OFFENDER PLACEMENT MOTION FOR JUVENILE SEXUAL January 1, 2026 Florida Rules of Juvenile Procedure Page 328 of 469 OFFENDER PLACEMENT Comes now the .....State of Florida, by and through the undersigned assistant state attorney/Department of Juvenile Justice, by and through its undersigned counsel....., and moves the court for Juvenile Sexual Offender placement. In support thereof, movant would show: ..... that the juvenile has been found by the court, under section 985.35, Florida Statutes, to have committed a violation of chapter 794, chapter 796, chapter 800, section 827.071, or section 847.0133, Florida Statutes; or ..... that the juvenile has been found to have committed any violation of law or delinquent act involving juvenile sexual abuse as defined in section 985.475(1), Florida Statutes. Placement in a juvenile sexual offender program is required for the protection of the public and would best serve the needs of this juvenile. WHEREFORE, as this child meets the juvenile sexual offender placement criteria, the .....state/ department..... respectfully requests this court to enter an order placing the child as a juvenile sexual offender under section 985.48, Florida Statutes. Date: .................... Assistant State Attorney/DJJ Attorney .....(address & phone no.)..... Florida Bar No.: .......... FORM 8.952. FINDINGS FOR JUVENILE SEXUAL OFFENDER REGISTRATION REQUIRED FINDINGS FOR JUVENILE SEXUAL OFFENDER REGISTRATION January 1, 2026 Florida Rules of Juvenile Procedure Page 329 of 469 The following findings are to be made for adjudications of delinquency made on or after July 1, 2007, for committing, or attempting, soliciting, or conspiring to commit any of the following offenses, when the offender is 14 years of age or older at the time of the offense. Check the appropriate charge and make the corresponding findings: Date of the offense: .................... Offender’s age at date of offense: .................... Victim’s age at date of offense: .................... ..... 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 engage in sadomasochistic abuse, sexual bestiality, prostitution, or any other act involving sexual activity. less than 16 years of age to (Sexual offender registration is required if the offender is 14 years of age or older at the time of the offense and at least one of the lines below is checked “Yes.”) Was the victim under the age of 12 at the time of the offense? Yes ..... No ..... Did the sexual activity involve force or coercion? Yes ..... No ..... ..... F.S. 800.04(5)(d): Lewd or Lascivious Molestation – Victim 12-15: Intentionally touching the breasts, genitals, genital area, buttocks, or the clothing covering them, of a person 12 years of age or older but less than 16 years of age, or forcing or enticing a person less than 16 years of age to so touch the perpetrator. January 1, 2026 Florida Rules of Juvenile Procedure Page 330 of 469 (Sexual offender registration is required if the offender is 14 years of age or older at the time of the offense and both boxes below are checked “Yes.”) Did the sexual activity involve unclothed genitals? Yes ..... No ...... Did the sexual activity involve force or coercion? Yes ..... No ..... ..... F.S. 800.04(5)(c): Lewd or Lascivious Molestation – Victim under 12: Intentionally touching the breasts, genitals, genital area, buttocks, or the clothing covering them, of a person less than 12 years of age, or forcing or enticing a person less than 12 years of age to so touch the perpetrator. (Sexual offender registration is required if the offender is 14 years of age or older at the time of the offense and the box below is checked “Yes.”) Did the sexual activity involve unclothed genitals? Yes ..... No ...... (Check one only) SEXUAL OFFENDER REGISTRATION IS REQUIRED ...... SEXUAL OFFENDER REGISTRATION IS NOT REQUIRED ...... DONE AND ORDERED ON .....(date)..... Circuit Judge FORM 8.953. WAIVER OF RIGHTS WAIVER OF RIGHTS 1. Right to counsel. January 1, 2026 Florida Rules of Juvenile Procedure Page 331 of 469 I have the right to have a lawyer help me at all times while I am in juvenile court. If I cannot afford a lawyer, the court will appoint one to help me. The person next to me is a lawyer who can help me. I have talked to a lawyer about my case. 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. Constitutional Rights By entering a plea, I am giving up the following constitutional rights: (a) Presumption of innocence. Right now I am considered innocent and the state has to prove that I am guilty or that I did what they say I did beyond a reasonable doubt. I do not have to prove that I am innocent. (b) Right to trial. January 1, 2026 Florida Rules of Juvenile Procedure Page 332 of 469 The state would try to prove I am guilty at a trial or adjudicatory hearing. The state may use evidence such as witness testimony, fingerprints, videos, or photos. (c) Right to call and cross examine witnesses. Witness testimony would be people who have information about the crime that are required to come to the trial. They will swear to tell the truth and answer questions by the prosecutor and my lawyer. The state would ask the witnesses questions and my lawyer and I would also be able to ask the witnesses questions. I would also have the right to call my own witnesses at trial to tell my side of the story and speak for me on my behalf. (d) Right to testify on your own behalf. I would also have the right to tell the judge my side of the story after discussion with my lawyer. (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; January 1, 2026 Florida Rules of Juvenile Procedure Page 333 of 469 (b) deportation issues; (c) how this will affect my record and future punishment from the court, including possible consequences in adult court; (d) how this affects my ability to get a job, join the military, or apply for college; (e) how this will affect my ability or my parent’s or guardian’s ability to secure or maintain housing; and (f) issues relating to sex offender registration and notification as well as Jimmy Ryce consequences. 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 Florida Rules of Juvenile Procedure Page 334 of 469 Child (print name) Attorney for child (print name) Date January 1, 2026 Florida Rules of Juvenile Procedure Page 335 of 469 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 336 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. educational services; to help the child access available and needed g. child under the IDEA; to aid the child in securing all rights provided the h. to meet the child face-to-face i. hold under the IDEA to be afforded all of the due process rights parents 3. that apply) The surrogate parent may also do the following: (check all ..... 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 337 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. 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 338 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)...... 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 339 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 ..... (hora y fecha de la audiencia)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 340 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 341 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 342 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. 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 343 of 469 Name Manner Notified ………………………………… …………………………………. ………………………………… …………………………………. ………………………………… …………………………………. 5. There is probable cause that the child(ren) has/have been abused, abandoned, or neglected ort ..... a. is/are in imminent danger of illness or injury as a result of abuse, abandonment, or neglect; ..... b. materially violated a condition of placement imposed by the court; was/were with a parent or legal custodian who has has/have no legal custodian, or responsible adult relative ..... c. 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. safely remain in the home; an emergency existed in which the child(ren) could not ..... b. the home situation presents a substantial and immediate danger to the child(ren) which cannot be mitigated by the provision of preventive services; the child(ren) could not be protected in the home despite ..... c. 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 344 of 469 the child(ren) cannot safely remain at home because ..... d. 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. together because ........... A foster home is not available to place the siblings It is not in the best interest of each child that all the ..... c. 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 ........... not recommended because visitation or interaction would ..... b. 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 345 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. 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 346 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. 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 347 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 Mother: .......... Father of .....(child’s name).....: Address .......... .......... .......... 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.); ..... advised of their right to counsel; and ..... was represented by counsel, .....(name)..... January 1, 2026 Florida Rules of Juvenile Procedure Page 348 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: ..... 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 349 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 .......... ..... 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 350 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. ..... 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 351 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. 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 352 of 469 OCCUR WITHIN THE SHORTEST PERIOD OF TIME POSSIBLE, BUT NO LATER THAN 1 YEAR AFTER REMOVAL OR ADJUDICATION OF THE CHILD. TO STAY IN CONTACT WITH THEIR ATTORNEY B AND THEIR CASE MANAGER AND PROVIDE UPDATED CONTACT INFORMATION IF THE PARENTS’ PHONE NUMBER, ADDRESS, OR E-MAIL ADDRESS CHANGES. TO NOTIFY THE PARTIES AND THE COURT OF C. 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)...... 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 353 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, and to provide the child’s medical information to the court. ..... No parent or legal guardian of the child is available or able to consent to the entry of this order, or the parents withhold consent to providing access to the child’s medical records and/or to providing the requested medical information. ..... Access to the child’s medical records and information is necessary to provide services to the child. B. As to educational records and information. January 1, 2026 Florida Rules of Juvenile Procedure Page 354 of 469 ..... ...................., mother/father of ...................., the child, consents to the entry of this order, and to the court’s providing access to the child’s educational records to the department, its contract agencies, and any guardian ad litem and attorney for the child, and to provide the child’s educational information to the court. ..... No parent or legal guardian of the child is available or able to consent to the entry of this order, or the parents withhold consent to providing access to the child’s educational records and/or to providing the requested educational information. ..... Access to the child educational records and information is necessary to provide services to the child. Therefore, it is ORDERED The department, .....(name of CBC)....., its contract agencies, .....(name)....., guardian ad litem, and .....(name)....., attorney for child, are authorized to access .....(child’s name).....’s medical and educational records and information, until further order of this court. ..... This order does not address the child’s privacy rights to any of these records or information that may exist under Florida law. The child may assert to this court any objection under privacy rights to the release of this information ORDERED on .....(date)....., in .........., .......... County, Florida Circuit Judge Copies to: (Check all that apply) ..... Attorney for DCF: .....(name)..... ..... Caseworker: .....(name)..... ..... Guardian ad litem: .....(name)..... January 1, 2026 Florida Rules of Juvenile Procedure Page 355 of 469 ..... Attorney for mother: .....(name)..... ..... Attorney for father: .....(name)..... ..... Attorney ad litem for child: .....(name)..... ..... Child named above: .....(name)..... ..... Other: .................... ..... Other: .................... FORM 8.964. DEPENDENCY PETITION PETITION FOR DEPENDENCY COMES NOW, Petitioner, .....(name)....., by and through undersigned counsel, and petitions this court to adjudicate the above-named minor child(ren) to be dependent within the meaning and intent of chapter 39, Florida Statutes. As grounds, petitioner alleges the following: 1. This court has jurisdiction over the minor child(ren), .....(name(s))....., a .....(gender)..... child, whose date(s) of birth is/are .........., and who, at the time the dependency arose, was/were in the custody of .....(name(s))...... 2. The natural mother of the minor child(ren) is .....(name)....., a resident of .....(state)....., whose address is ……….. 3. The father of the minor child(ren), .....(name(s))..... is .....(name)....., whose address is ……….. The father ..... is ..... is not married to the mother, and ..... is ..... is not listed on the child(ren)’s birth certificate(s). The mother filed a Sworn Statement About Identity or Location of Father with this court on .....(date)....., which named ………. as the father. 4. The UCCJEA Affidavit ..... is attached ..... was filed with the Court on .....(date)..... and is incorporated by reference. 5. The child(ren) is/are dependent within the meaning and intent of chapter 39, Florida Statutes, in that the mother/father/parents/legal custodian/caregiver(s) abused, January 1, 2026 Florida Rules of Juvenile Procedure Page 356 of 469 abandoned, or neglected the minor child(ren) on or about .....(date)....., by: .................... and that these activities and environments cause the child(ren)’s physical, mental, or emotional health to be in danger of being significantly impaired. OR 5. The above named child(ren) is/are presently under substantial risk or imminent threat of harm or abuse or neglect, within the meaning and intent of chapter 39, Florida Statutes, which is likely to cause the child(ren)’s physical health to be significantly impaired because ..................... 6. The department is unable to ensure the protection of the minor child(ren) without judicial intervention. 7. The mother/father/parents has/have received the following services: ..................... 8. A shelter hearing was held on .....(date)....., and the child(ren) was/were placed in the custody of ..................... 9. An arraignment hearing ..... needs to be scheduled. ..... is scheduled for .....(date and time)...... 10. A guardian ad litem ..... needs to be appointed. ..... was appointed at the shelter hearing to represent the child(ren). 11. .....(name of child(ren))..... has/have special needs as defined in Chapter 39, Florida Statutes. An attorney: ..... needs to be appointed. ..... has been appointed. January 1, 2026 Florida Rules of Juvenile Procedure Page 357 of 469 12. Under chapter 39, Florida Statutes, the clerk of the court is required to issue a summons to the following parents or custodians: The natural mother, .....(name)....., whose address is ..................... The natural father, .....(name)....., whose address is ..................... .....(Additional fathers and their addresses)...... WHEREFORE, the petitioner asks that process may issue in due course to bring the above-named parties before the court to be dealt with according to the law, to adjudicate the named minor child(ren) named to be dependent. ….(Petitioner’s name)…… …… (Attorney’s name)….. ….. (address and telephone number) Florida Bar Number:………. Verification Certificate of service PLEASE READ THIS PETITION BEFORE ENTERING THE COURTROOM. NOTICE OF RIGHTS YOU HAVE A RIGHT TO HAVE COUNSEL PRESENT AT THIS HEARING. BY COPY OF THIS PETITION, THE PARENTS, CAREGIVERS, AND/OR LEGAL CUSTODIANS ARE NOTIFIED OF THEIR RIGHT TO HAVE LEGAL COUNSEL PRESENT FOR ANY PROCEEDING RESULTING FROM THIS PETITION OR TO REQUEST THE COURT TO HAVE COUNSEL APPOINTED, IF INDIGENT. Further, these persons are informed of the following: January 1, 2026 Florida Rules of Juvenile Procedure Page 358 of 469 An arraignment is set on this matter for .....(date)....., at ..... a.m./p.m., at .....(location)...... The purpose of the arraignment is to advise as to the allegations contained in the Petition For Dependency. When your case is called, the Judge will ask you to enter a plea to this petition. The plea entered may be one of the following: 1. Admit: This means you admit that the petition states the truth and you do not want a trial. 2. Consent: This means you neither admit nor deny the petition, but do not want a trial. (If you enter either of the above two pleas, the court will set a disposition date for the matter. At disposition, the court will decide where the child will stay and under what conditions). 3. Deny: This means you deny the allegations of the petition and wish the state to attempt to prove them at a trial. 4. Continue: This means you wish time to confer with an attorney, before entering a plea. If you enter this plea, the court will schedule another hearing in approximately 2 weeks. At that time, another arraignment hearing will be held, and you (or your attorney) must enter one of the above three pleas. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. January 1, 2026 Florida Rules of Juvenile Procedure Page 359 of 469 FORM 8.965. ARRAIGNMENT ORDER ORDER ON ARRAIGNMENT AND NOTICE OF NEXT HEARING THIS CAUSE came to be heard on .....(date)....., under chapter 39, Florida Statutes, on the Petition For Dependency filed by .....(name)....., for arraignment of .....(name(s))...... The following persons appeared before the Court: ….. ….. (Name)….., Petitioner ….. ….. (Name)….., Attorney for the petitioner ….. ….. (Name)….., Attorney for the department ….. ….. (Name)….., Department caseworker ….. ….. (Name)….., Mother ….. ….. (Name)….., Attorney for the mother ….. ….. (Name)….., Father of …..(child)….. ….. ….. (Name)….., Attorney for father ….. ….. (Name)….., Guardian ad litem ….. ….. (Name)….., Attorney for guardian ad litem ….. ….. (Name)….., Attorney/Attorneys for …..Child/Children….. ….. ….. (Name)….., Legal custodian ….. ….. (Name)….., Attorney for legal custodian ….. ….. (Name)….., Other ……….. COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present at the hearing. The court having considered the Petition for Dependency and having heard testimony and argument, and having been otherwise duly advised in the premises finds: 1. This court has jurisdiction over the subject matter of this action; and 2. The mother, …… (name)…..: ….. was …..not noticed of this hearing …..did not appear, and the court: January 1, 2026 Florida Rules of Juvenile Procedure Page 360 of 469 ….. entered a consent by default …… did not enter a consent by default; ….. appeared with counsel….. appeared without counsel and: ….. was….. was not advised of her right to legal counsel; knowingly, intelligently, and voluntarily, …..waived ……did not waive her right to legal counsel; and and….. was ….. was not ……was ….. was not determined to qualify as indigent appointed an attorney. ..... was served with a petition for dependency, and entered a ..... Consent, ..... No Plea, plea of: ..... Admit, ..... Deny, ..... Continuance ..... The Petitioner: ….. will continue a diligent search and will attempt service. ..... has conducted an adequate diligent search and is excused further attempts at service. from further diligent search and 3. The father, .....(name).....: ..... was ..... was not noticed of this hearing; ..... did not appear, and the court: ..... entered a consent by default ..... did not enter a consent by default; ….. appeared with counsel….. appeared without counsel and: ….. was….. was not advised of his right to legal counsel; ….. knowingly, intelligently, and voluntarily, …..waived ……did not waive his right to legal counsel; and ……was ….. was not determined to qualify as indigent and….. was ….. was not was served with a petition for dependency, and entered a plea of: ..... Admit, ..... Deny, ..... Consent, ..... No Plea, ..... Continuance appointed an attorney...... ..... The Petitioner: January 1, 2026 Florida Rules of Juvenile Procedure Page 361 of 469 ..... will continue a diligent search and will attempt service. ..... has conducted an adequate diligent search and is excused from further diligent search and further attempts at service. 4. That the child(ren)’s current placement in shelter care: ..... is no longer appropriate, and the child(ren) shall be returned to ………. ..... is appropriate, in that the child(ren) is/are in a setting which is as family-like as possible, consistent with the child(ren)’s best interest and special needs; and, that returning the child(ren) to the home would be contrary to the best interest of the minor child(ren); and, that every reasonable effort has been made to eliminate the need for placement of the child(ren) in shelter care, but present circumstances of the child(ren) and the family are such that shelter care is the only way to ensure the child(ren)’s health, safety, and well-being. 5. Additional findings: ………. THEREFORE, based on the foregoing findings of fact, it is hereby ORDERED and ADJUDGED that: 1. The minor child(ren) shall: ..... be ..... returned to ..... remain in the care and custody of .....(name)...... ..... remain in the care and custody of the department in shelter care pending adjudication and disposition or until further order of this court. 2. The child(ren): ..... is/are ..... is/are not adjudicated dependent at this hearing. 3. ..... Mediation ..... A case planning conference is/are ordered at this time and shall be conducted on .....(date)......, at January 1, 2026 Florida Rules of Juvenile Procedure Page 362 of 469 .......... a.m./p.m., at .....(location)...... All parties, unless otherwise specified, shall attend. 4. As to the mother, .....(name)....., the court: Accepts the plea of: ..... Admit, ..... Deny, ..... Consent, ..... Continuance. .....Appoints ..... Does not appoint an attorney. Sets a hearing for ..... re-arraignment ...... adjudicatory trial ..... disposition and case plan hearing ..... trial status on .....(date)..... at ..... a.m./p.m. 5. As to the father, .....(name)....., the court: Accepts the plea of: ..... Admit, ..... Deny, ..... Consent, ..... Continuance. ..... Appoints ..... Does not appoint an attorney. Sets a hearing for ..... re-arraignment ...... adjudicatory trial ..... disposition and case plan hearing ..... trial status on .....(date)..... at ..... a.m./p.m. 6. All prior orders not inconsistent with the present order shall remain in full force and effect. DONE AND ORDERED on .....(date)...... Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on .....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)..... or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. January 1, 2026 Florida Rules of Juvenile Procedure Page 363 of 469 If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: FORM 8.966. ADJUDICATION ORDER — DEPENDENCY ORDER OF ADJUDICATION THIS CAUSE came before this court on .....(date)....., under chapter 39, Florida Statutes, for adjudication of the Petition for Dependency filed by .....(petitioner’s name)....... Present before the court were: ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem January 1, 2026 Florida Rules of Juvenile Procedure Page 364 of 469 ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian ..... .....(Name(s))....., Minor child(ren) ..... .....(Name)....., Attorney ad litem for minor child(ren) ..... .....(Name)....., Other ..................... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present at the hearing. The court having heard testimony and argument and being otherwise fully advised in the premises finds: 1. That the minor child(ren) who is/are the subject matter of these proceedings, is/are dependent within the meaning and intent of chapter 39, Florida Statutes, and is/are (a) resident(s) of the State of Florida. 2. The mother, .....(name).....: ..... was ..... was not noticed of this hearing; ..... did not appear, and the court: ..... entered a Consent for failure to appear after proper notice. ..... did not enter a Consent for failure to appear after proper notice. ..... appeared with counsel; ..... appeared without counsel and: ..... was ..... was not advised of her right to legal counsel, ..... knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel and January 1, 2026 Florida Rules of Juvenile Procedure Page 365 of 469 ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 3. The father, .....(name).....: ..... was ..... was not noticed of this hearing; ..... did not appear, and the court: ..... entered a Consent for failure to appear after proper notice. ..... did not enter a Consent for failure to appear after proper notice. ..... appeared with counsel; ..... appeared without counsel and: ..... was ..... was not advised of her right to legal counsel, ..... knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. ……4. That the child(ren) is/are dependent within the meaning and intent of chapter 39, Florida Statutes, in that the mother, ....(name)....., abused, neglected, or abandoned the minor child(ren) by ................................. These facts were proven by ..... preponderance of the evidence ...... clear and convincing evidence. ……5. That the child(ren) is/are dependent within the meaning and intent of chapter 39, Florida Statutes, in that the father, .....(name)....., abused, neglected, or abandoned the minor child(ren) by ............................... These facts were proven by ..... preponderance of the evidence ...... clear and convincing evidence. COMMENT: Use 6, 7, and 8 only if the child is in out-of-home placement. January 1, 2026 Florida Rules of Juvenile Procedure Page 366 of 469 6. That the Court finds that it is in the best interest of the child(ren) to remain in out-of-home care. 7. That every reasonable effort was made to eliminate the need for placement of the child(ren) in out-of-home care but the present circumstances of the child(ren) and the ..... mother ..... father are such that out-of-home care is the only way to ensure the health, safety, and well being of the child(ren), in that .............................. 8. That the child(ren)’s placement in .....(type of placement)..... is in a setting which is as family like and as close to the home as possible, consistent with the child(ren)’s best interests and special needs. 9. That returning the minor child(ren) to the custody of .....(person who had previous legal custody)..... would be contrary to the best interest and welfare of the minor child(ren). 10. The Court informed any parents present that the parent or parents shall provide the court and all parties with identification and location information for such relatives. THEREFORE, based upon the foregoing findings, it is ORDERED AND ADJUDGED that: 1. dependent. The minor child(ren), ......(name(s))....., is/are adjudicated 2. The child(ren) shall remain in the care and custody of ..... the department in shelter care ..... other .....(name)..... pending disposition. 3. The parents shall provide to the Court and all parties identification and location information regarding potential relative placements. 4. THE COURT ADVISED THE PARENTS: January 1, 2026 Florida Rules of Juvenile Procedure Page 367 of 469 A. TO TAKE ACTION TO COMPLY WITH THE CASE PLAN SO PERMANENCY WITH THE CHILD MAY OCCUR WITHIN THE SHORTEST PERIOD OF TIME POSSIBLE, BUT NO LATER THAN 1 YEAR AFTER REMOVAL OR ADJUDICATION OF THE CHILD. 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. TO NOTIFY THE PARTIES AND THE COURT OF C. BARRIERS TO COMPLETING CASE PLAN TASKS WITHIN A REASONABLE TIME AFTER DISCOVERING SUCH BARRIERS. THAT IF THE PARENTS FAIL TO D. SUBSTANTIALLY COMPLY WITH THE CASE PLAN THEIR PARENTAL RIGHTS MAY BE TERMINATED AND THE CHILD(REN)’S OUT-OF-HOME PLACEMENT MAY BECOME PERMANENT. 5. This court shall retain jurisdiction over this cause to enter any such further orders that may be deemed necessary for the best interest and welfare of the minor child(ren). 6. All prior orders not inconsistent with the present order shall remain in full force and effect. 7. Disposition is scheduled for .....(date)....., at ...... a.m./p.m. DONE AND ORDERED on .....date..... at .....(city)....., Florida. Circuit Judge January 1, 2026 Florida Rules of Juvenile Procedure Page 368 of 469 NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above styled cause on .....(date)..... at .....a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: FORM 8.967. ORDER OF DISPOSITION, ACCEPTANCE OF CASE PLAN, AND NOTICE OF HEARING ORDER OF DISPOSITION, ACCEPTANCE OF CASE PLAN, AND NOTICE OF HEARING THIS CAUSE came before this court on .....(date)....., under chapter 39, Florida Statutes, for disposition of the Petition for Dependency and acceptance of the Case Plan filed by the Department of Children and Family Services. The following persons appeared before the court: ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker January 1, 2026 Florida Rules of Juvenile Procedure Page 369 of 469 ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian ..... .....(Name)....., Other .......... The court having considered the family functioning assessment and Case Plan filed by the department and having heard testimony and argument and being otherwise fully advised in the premises finds that: 1. The minor child(ren) who is/are the subject matter of these proceedings, was/were adjudicated dependent within the meaning and intent of chapter 39, Florida Statutes, continue to be dependent, and is/are residents of the State of Florida. 2. The minor child(ren) is/are of an age subject to the jurisdiction of this Court. 3. The following parties were notified of this hearing and provided a copy of the Case Plan and family functioning assessment filed in this cause: ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother January 1, 2026 Florida Rules of Juvenile Procedure Page 370 of 469 ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Other .......... 4. The mother, .....(name).....: ..... did not appear and ..... was .... was not represented by legal counsel; was ..... was not ..... appeared ..... with ..... without legal counsel and ..... advised of her right to legal counsel; ..... knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 5. The father, .....(name).....: ..... did not appear and ..... was .....was not represented by legal counsel; was ..... was not ..... appeared ..... with ..... without legal counsel and ..... advised of his right to legal counsel; ..... knowingly, intelligently, and voluntarily ..... waived ..... did not waive his right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 6. The following parents/legal custodians were notified of their right to participate in the preparation of the case plan and to January 1, 2026 Florida Rules of Juvenile Procedure Page 371 of 469 receive assistance from any other person in the preparation of the case plan: .....(names of persons notified)...... 7. The department filed a family functioning assessment with the court on .....(date)...... This family functioning assessment ..... is ..... is not in compliance with the statutory requirements. 8. .....(date)...... The department filed a case plan with the court on a. The terms of the case plan ..... are ..... are not consistent with the requirements of the law and previous orders of this court. b. The case plan ..... is ..... is not meaningful and designed to address the facts and circumstances on which the court based the finding of dependency. c. The case plan ..... is ..... is not in the best interest of the minor child(ren). d. not a reasonable goal. The case plan’s stated goal of .......... ..... is ..... is e. The parents ..... have ..... do not have the ability to comply with the terms of the case plan. 9. There is a need for temporary child support from .....(noncustodial parent(s))..... and that he/she/they ..... has/have ..... do/does not have the ability to pay child support. COMMENT: Use 10, 11 & 12 if child(ren) is/are not placed in the home of a parent. 10. It is in the best interest of the minor child(ren) to be placed in the care and custody of .....(placement ordered)...... 11. Placement of the minor child(ren) in the care and custody of .....(placement ordered)..... is in a setting which is as family like and as close to the home as possible, consistent with the child(ren)’s best interests and special needs. January 1, 2026 Florida Rules of Juvenile Procedure Page 372 of 469 12. Return of the minor child(ren) to the custody of .....(person from whom child(ren) was/were originally removed).... would be contrary to the best interest and welfare of the minor child(ren). The child(ren) cannot safely ..... remain ..... return home with services and removal of the child(ren) is necessary to protect the child(ren), in that ……….. 13. Prevention or reunification services ..... were not ..... were indicated and are as listed: ......(services indicated)...... Further efforts could not have shortened separation of this family because: ……….. COMMENT: Use 14 if the goal of the case plan is reunification. 14. Reasonable efforts to prevent or eliminate the need for removal of the child(ren) have been made by the department, which provided the following services: ………. COMMENT: Use 15 if child(ren) remain(s) or is/are returned to the parent(s). …..15. The child(ren) can safely ..... remain with ..... be returned to ..... (parent(s)’s name(s))..... as long as he/she/they comply(ies) with the following: ………. THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED that: ……1. The minor child(ren), .....(name(s))..... be placed in the custody of .....(name)....., under supervision of the department. 2. The family functioning assessment report filed by the department is: ..... not accepted and a continuance was requested. ..... accepted by the court. ..... accepted by the court with the following amendments: ……….. 3. The case plan filed by the department is: January 1, 2026 Florida Rules of Juvenile Procedure Page 373 of 469 ..... not accepted and a continuance is granted for 30 days or less. ..... accepted by the court. ..... accepted by the court with the following amendments: ………. 4. All parties are ordered to comply with the provisions of the case plan and any amendments made to it. COMMENT: Use 5, 6 & 7 if child(ren) is/are placed outside the home. …… 5. The mother, .....(name)....., shall pay child support in the amount of $........... by the .....(day)..... of each month to .....(where money is to be paid)....., beginning on .....(date)..... and continuing until such time as payments begin to be deducted by income deduction order. All child support payments shall be paid to the Clerk of the Circuit Court designated to receive child support payments. …… 6. The father, .....(name)....., shall pay child support in the amount of $........... by the .....(day)..... of each month to .....(where money is to be paid)......, beginning on .....(date)..... and continuing until such time as payments begin to be deducted by income deduction order. All child support payments shall be paid to the Clerk of the Circuit Court designated to receive child support payments. …… 7. The legal custodian shall have the right to authorize for the child(ren) any emergency medical treatment and any ordinary and necessary medical and dental examinations and treatment, including blood testing, preventive care including ordinary immunizations, tuberculin testing, and well-child care, but not including nonemergency surgery, general anesthesia, provision of psychotropic medications, or other extraordinary procedures for which a separate order or informed consent as provided by law is required. 8. Other: ……….. January 1, 2026 Florida Rules of Juvenile Procedure Page 374 of 469 9. All prior orders not inconsistent with the present order shall remain in full force and effect. 10. This court shall retain jurisdiction over this cause to enter any such further orders that may be deemed necessary for the best interest and welfare of the minor child(ren). 11. This matter is scheduled for Judicial Review on .....(date)..... at .....(time)...... DONE AND ORDERED in ...................., Florida, on .....(date)...... Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on .....(date)..... at ..... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: January 1, 2026 Florida Rules of Juvenile Procedure Page 375 of 469 FORM 8.968. AFFIDAVIT OF DILIGENT SEARCH AFFIDAVIT OF DILIGENT SEARCH STATE OF FLORIDA COUNTY OF .......... BEFORE ME, the undersigned authority, personally appeared .....(name)....., affiant, who, being first duly sworn, deposes and says that .....he/she..... made a diligent search and inquiry to determine the residence of .....(name)....., the .....parent/prospective parent..... of .....(name(s) of child(ren))....., and the results are as follows: 1. Affiant has received the name of the .....(parent/prospective parent)..... from .....(name)...... 2. Affiant has had no face-to-face contact with .....(name of parent/prospective parent)...... 3. On .....(date)..... affiant telephoned information at .....(name)..... and was informed that there was no listing for .....(name of parent/prospective parent)...... 4. On .....(date)..... affiant searched the .....(city)..... telephone directory and was unable to locate a listing for .....(name of parent/prospective parent)...... 5. On .....(date)..... affiant sent a certified letter, return receipt requested, to .....(address)....., a last known address of .....(name of parent/prospective parent)...... On .....(date)..... affiant received the unclaimed receipt by return mail. 6. On .....(date)..... affiant visited .....(address)....., the last known address of .....(name of parent/prospective parent)....., and was informed by .....(name)..... that .....(name of parent/prospective parent)..... no longer resides there. 7. Affiant has made inquiries of all relatives of .....(name of parent/prospective parent)..... of the child, including the other parent, made known to me by the petitioner and .....(name)...... The names, addresses, and telephone numbers of those relatives January 1, 2026 Florida Rules of Juvenile Procedure Page 376 of 469 contacted are: .......... None of the relatives contacted know the current residence or whereabouts of .....(name of parent/prospective parent)...... 8. Affiant has made inquiries of all offices of program areas, including but not limited to mental health, of the Department of Children and Family Services likely to have information about .....(name of parent/prospective parent)...... The names, addresses, and/or telephone numbers of those offices are: .......... No one in any of these offices knows the current residence or address of .....(name of parent/prospective parent)...... 9. Affiant has made inquiries of other state and federal agencies likely to have information about .....(name of parent/prospective parent)...... The names, addresses, and/or telephone numbers of those agencies: ........... No one in any of these agencies knows the current residence or whereabouts of .....(name of parent/prospective parent)...... 10. Affiant has made inquiries of appropriate utility and postal providers. The names, addresses, and/or telephone numbers of those providers are: ........... None of those providers know the current residence or whereabouts of .....(name of parent/prospective parent)...... 11. Affiant has made inquiries of appropriate law enforcement agencies. The names, addresses, and/or telephone numbers of those agencies are: ........... .....(Name of parent/prospective parent)..... is not known to any of these agencies. 12. Affiant has made inquiries of the federal armed services, including the United States Army, Navy, Air Force, Marine Corps, and National Guard. .....(Name of parent/prospective parent)..... is not currently a member of these services. 13. Affiant has made inquiries of all the hospitals in the .......... area. The names, addresses, and/or telephone numbers of those hospitals are: ........... .....(Name of parent/prospective parent)..... is not currently a patient at, nor has .....he/she..... recently been admitted to, these hospitals. January 1, 2026 Florida Rules of Juvenile Procedure Page 377 of 469 14. Affiant has conducted a thorough search of at least one electronic database specifically designed for locating persons including .....(name of database)...... No information regarding .....(name of parent/prospective parent)..... was found in this electronic database. 15. .....(Name of parent/prospective parent)..... .....is/is not..... over 18 years of age. 16. Affiant is unable to determine the residence or whereabouts of .....(name of parent/prospective parent)..... and thus cannot personally serve process upon .....him/her...... Affiant Before me, the undersigned authority, personally appeared .....(name)....., the petitioner in this action, who .....is personally known to me/produced .....(document)..... as identification....., and who affirms that the allegations are filed in good faith and are true and correct to the best of petitioner’s knowledge. SWORN TO AND SUBSCRIBED before me .....(date)...... NOTARY PUBLIC Name:………. Commission No.:………… My commission expires: ……. Verification (see Form 8.902). OR FORM 8.969. SWORN STATEMENT REGARDING IDENTITY OR LOCATION OF FATHER SWORN STATEMENT REGARDING IDENTITY OR LOCATION OF FATHER January 1, 2026 Florida Rules of Juvenile Procedure Page 378 of 469 1. My name is: ………………………………………….. My address is: ………………………………………... 2. .................... I am related to .....(child’s name)..... because I am his/her 3. I understand that I am answering these questions under oath and from my own personal knowledge and I swear to tell the truth. I understand that this sworn statement will be filed with the court. 4. The mother of the child WAS married to .....(name)..... at the probable time of conception of the child. The mother of the child WAS NOT married at the probable time of conception of the child. OR OR I do not know whether or not the mother was married at the probable time of conception of the child. 5. The mother of this child WAS married to .....(name)..... at the time of this child’s birth. The mother of this child WAS NOT married at the time of this child’s birth. OR OR I do not know whether the mother of this child was married at the time of this child’s birth. 6. The mother of this child WAS living with/cohabiting with .....(name)..... at the time of the probable conception of this child. OR January 1, 2026 Florida Rules of Juvenile Procedure Page 379 of 469 The mother of this child WAS NOT living with/cohabiting with any man at the probable time of conception of this child. OR I do not know whether the mother of this child was living with/cohabiting with any man at the probable time of conception of this child. 7. The mother of this child HAS received payments or promises of child support with respect to this child or because of her pregnancy from .....(name)...... OR The mother of this child HAS NOT received payments or promises of child support with respect to this child or because of her pregnancy from anyone. OR I do not know whether the mother has received any payments. 8. The mother named .................... as the father on the child’s birth certificate. The mother DID NOT name a father on the child’s birth certificate. OR OR I do not know whether the mother named a father on the child’s birth certificate. 9. The mother named .................... as the father of this child in connection with applying for public assistance. OR The mother HAS NOT named anyone as the father of this child in connection with applying for public assistance. January 1, 2026 Florida Rules of Juvenile Procedure Page 380 of 469 OR I do not know whether the mother has named anyone as the father of this child in connection with applying for public assistance benefits. 10. .....(Name)..... has been named in a paternity case or acknowledged paternity in a jurisdiction where the mother lived at the time of or since the conception of this child or where this child resides or has resided. OR No man has been named in a paternity case or acknowledged paternity of this child in a jurisdiction where the mother lived at the time of or since the conception of this child or where this child resides or has resided. OR I do not know if any man has been named in a paternity suit regarding this child. 11. List the name, date of birth, social security number, and last-known address of any man listed in this sworn statement: Name: ………. Date of birth: ………. Social Security No.: ………. Last-known address: ……….. 12. Do you know any other information about the identity or location of any man listed in this sworn statement? ..... Yes ..... No. If so, please give that information: I UNDERSTAND THAT THIS DOCUMENT WILL BE FILED WITH THE COURT. UNDER PENALTY OF PERJURY, I DECLARE THAT I HAVE READ IT AND THAT THE FACTS STATED ARE TRUE. Date: .......... January 1, 2026 Florida Rules of Juvenile Procedure Page 381 of 469 Witnessed by .....(name)....., who is an authorized agent of the Department of Children and Family Services and who attests that the person who signed this statement provided proof of identify as indicated: Signature ..... Driver’s license, number: ………………………………...........… ..... Passport, number and country: ……………………………........... ..... Resident Alien (Green Card), number: …………………..........… ..... Armed Forces Identification, number: …………………..........…. ..... Other: …………………………………………………….........… FORM 8.970. ORDER ON JUDICIAL REVIEW ORDER ON JUDICIAL REVIEW AND NOTICE OF NEXT HEARING THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed by the Department of Children and Families in this cause under chapter 39, Florida Statutes. The following persons appeared before the court: ..... .....(name)....., Child ..... .....(name)....., Attorney for the child ..... .....(name)....., Petitioner ..... .....(name)....., Attorney for the petitioner ..... .....(name)....., Attorney for the department ..... .....(name)....., Department caseworker January 1, 2026 Florida Rules of Juvenile Procedure Page 382 of 469 ..... .....(name)....., Mother ..... .....(name)....., Attorney for mother ..... .....(name)....., Father of .....(child)..... ..... .....(name)....., Attorney for father ..... .....(name)....., Guardian ad litem ..... .....(name)....., Attorney for guardian ad litem ..... .....(name)....., Legal custodian ..... .....(name)....., Attorney for legal custodian ..... .....(name)....., Other .......... 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 considered ..... Judicial Review and Social Study Report filed by the department ..... Statement/home study filed by the department ..... Report of the guardian ad litem ..... Case plan filed by the department ..... Statement by the Child’s Caretaker ..... Whether or not the child is a citizen and, if the child is not a citizen, the steps that have been taken to address the citizenship or residency status of the child ..... Other .......... AND THE COURT having heard testimony and argument, and having been otherwise duly advised in the premises finds: January 1, 2026 Florida Rules of Juvenile Procedure Page 383 of 469 1. That the minor child(ren) who is/are the subject matter of these proceedings was/were adjudicated dependent, continue to be dependent, is/are of an age subject to the jurisdiction of the court, and is/are resident(s) of the state of Florida. 2. The following parties were notified of this hearing and provided a copy of the documents filed for this hearing: ..... .....(name)....., Petitioner ..... .....(name)....., Attorney for the petitioner ..... .....(name)....., Attorney for the department ..... .....(name)....., Department caseworker ..... .....(name)....., Mother ..... .....(name)....., Attorney for mother ..... .....(name)....., Father of .....(child)..... ..... .....(name)....., Attorney for father ..... .....(name)....., Guardian ad litem ..... .....(name)....., Attorney for guardian ad litem ..... .....(name)....., Legal custodian ..... .....(name)....., Attorney for legal custodian ..... .....(name)....., Attorney for the child ..... .....(name)....., Other .......... 3. The mother, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of her right to legal counsel; January 1, 2026 Florida Rules of Juvenile Procedure Page 384 of 469 ..... did not waive her knowingly, intelligently, and voluntarily ..... waived right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 4. The father, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; was ..... was not ..... appeared ..... with ..... without legal counsel and ..... advised of his right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel; and indigent and ..... was ..... was not determined to qualify as ..... was ..... was not appointed an attorney. COMMENT: Repeat above for each father. 5. The department filed a judicial review report with the court on .....(date)...... This judicial review report ..... is ..... is not in compliance with the statutory requirements. 6. The following parents/legal custodians were notified of their right to participate in the preparation of the case plan and to receive assistance from any other person in the preparation of the case plan: .....(names of those notified)...... 7. The mother has complied with the following tasks in the case plan: .....(list tasks complied with)...... 8. The mother has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 9. The father, .....(father’s name)....., has complied with the following tasks in the case plan: .....(list tasks complied with)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 385 of 469 10. The father, .....(father’s name)....., has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 11. The mother ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 12. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 13. The department ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 14. The mother ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 15. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 16. The mother ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... 17. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... 18. The department ..... has ..... has not complied with court ordered meetings with the parents as follows: .....(explanation of meetings compliance)...... COMMENT: Use 19, 20, 21, 22, 23, & 24 if child(ren) is/are not placed in the home of a parent. It is in the best interest of the minor child(ren) to be ..... 19. placed in the care and custody of .....(placement ordered)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 386 of 469 ..... 20. Placement of the minor child(ren) in the care and custody of .....(placement ordered)..... is in a setting which is as family like and as close to the home as possible, consistent with the child(ren)’s best interests and special needs. ..... 21. The children ..... are ..... are not separated in their placements. The following efforts have been made to reunite separated siblings: .......... ..... It is not in the best interest of each sibling to be reunited in their placement because: .......... ..... Each sibling has the following frequency, kind and duration of contacts: .......... ..... 22. Return of the minor child(ren) to the custody of .....(person(s) from whom child(ren) was/were originally removed)..... would be contrary to the best interest and welfare of the minor child(ren). The child(ren) cannot safely .....remain .....return home with services and removal of the child(ren) is necessary to protect the child(ren). ..... 23. Prevention or reunification services .....were not .....were indicated and are as follows: .....(services indicated)...... Further efforts could not have shortened separation of this family because ........... ..... 24. The likelihood of the children’s reunification with the parent or legal custodian within 12 months is ........... COMMENT: Use 25 if child(ren) remain(s) or is/are returned to the parent(s). ..... 25. The child(ren) can safely ..... remain with ..... be returned to .....(parent(’s)(s’) name(s))..... as long as he/she/they comply(ies) with the following: ........... The safety, well-being, and physical, mental, and emotional health of the child(ren) are not endangered by allowing the child(ren) to ..... remain ..... return home. January 1, 2026 Florida Rules of Juvenile Procedure Page 387 of 469 THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED that: 1. The minor child(ren), .....(name(s))....., be placed in the custody of .....(name)....., under supervision of the department. The department shall have placement and care responsibility while the child(ren) is/are under protective supervision in an out-of-home placement. 2. The judicial review report filed by the department is: ..... not accepted and a continuance was requested. ..... accepted by the court. ..... 3. The court finds that it is not likely that the child(ren) will be reunified with the parent or legal custodian within 12 months after the child was removed from the home. The department shall file a motion within 10 days of receipt of this written order to amend the case plan to incorporate concurrent planning into the case plan. 4. The court inquired of any parents present whether they have relatives who might be considered for placement of the children. 5. Other: ........... 6. All prior orders not inconsistent with the present order shall remain in full force and effect. 7. This court shall retain jurisdiction over this cause to enter any such further orders as may be deemed necessary for the best interest and welfare of the minor child(ren). 8. This matter is scheduled for Judicial Review on .....(date)..... at .....(time)...... DONE AND ORDERED in .........., Florida on .....(date)..... at .....(time)..... January 1, 2026 Florida Rules of Juvenile Procedure Page 388 of 469 Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on .....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: FORM 8.973A. ORDER ON JUDICIAL REVIEW FOR CHILD AGE 16 ORDER ON JUDICIAL REVIEW FOR CHILD OVER AGE 16 AND NOTICE OF NEXT HEARING THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed by the Department of Children and Families in this cause under chapter 39, Florida Statutes. The following persons appeared before the court: ..... .....(Name)....., Child ..... .....(Name)....., Attorney for the Child ..... .....(Name)....., Petitioner January 1, 2026 Florida Rules of Juvenile Procedure Page 389 of 469 ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian ..... .....(Name)....., Other: .......... 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. and the court having considered: ..... Judicial Review Social Study Report filed by the department that includes specific information related to the life skills that the child has acquired since the child’s 13th birthday or since the date the child came into foster care, whichever came later; ..... Statement/homestudy filed by the department; ..... Report of the guardian ad litem; ..... A case plan, dated .........., filed by the department; ..... Statement by the child’s caretaker on the progress the child has made in acquiring independent living skills; January 1, 2026 Florida Rules of Juvenile Procedure Page 390 of 469 ..... Whether or not the child is a citizen and, if the child is not a citizen, the steps that have been taken to address the citizenship or residency status of the child; ..... Other: .......... AND THE COURT having heard testimony and argument, and having been otherwise duly advised in the premises finds: 1. That the minor child(ren) who is/are the subject matter of these proceedings was/were adjudicated dependent, continue to be dependent, is/are of an age subject to the jurisdiction of the court, and is/are resident(s) of the state of Florida. 2. The following parties were notified of this hearing and provided a copy of the documents filed for this hearing: ..... .....(Name)....., Child ..... .....(Name)....., Attorney for the Child ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian January 1, 2026 Florida Rules of Juvenile Procedure Page 391 of 469 ..... .....(Name)....., Other: .......... 3. The child has been given the opportunity to address the court with any information relevant to the child’s best interests. 4. The mother, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of her right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 5. The father, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of his right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive his right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. COMMENT: Repeat above for each father. 6. The department filed a judicial review report with the court on .....(date)...... This judicial review report ..... is ..... is not in compliance with the statutory requirements. 7. The following parents/legal custodians were notified of their right to participate in the preparation of the case plan and to January 1, 2026 Florida Rules of Juvenile Procedure Page 392 of 469 receive assistance from any other person in the preparation of the case plan: .....(names of those notified)...... 8. The mother has complied with the following tasks in the case plan: .....(list tasks complied with)...... 9. The mother has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 10. The father, .....(father’s name)....., has complied with the following tasks in the case plan: .....(list tasks complied with)...... 11. The father, .....(father’s name)....., has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 12. The mother ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 13. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 14. The department ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 15. The mother ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 16. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 17. The mother ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 393 of 469 18. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... 19. The department ..... has ..... has not complied with court ordered meetings with the parents as follows: .....(explanation of meetings compliance)...... COMMENT: Use 20, 21, 22, 23, & 24 if child(ren) is/are not placed in the home of a parent. It is in the best interest of the minor child(ren) to be ..... 20. placed in the care and custody of .....(placement ordered)...... The department has placement and care responsibility while the child(ren) is/are under protective supervision in an out-of-home placement. ..... 21. Placement of the minor child(ren) in the care and custody of .....(placement ordered)..... is in a setting which is as family like and as close to the home as possible, child(ren)’s best interests and special needs. consistent with the ..... 22. The children ..... are ..... are not separated in their placements. The following efforts have been made to reunite the siblings: .......... ..... It is not in the siblings’ best interest to be reunited in their placement because: .......... ..... The separate siblings have the following frequency, kind, and duration of contacts: .......... ..... 23. Return of the minor child(ren) to the custody of .....(person(s) from whom child(ren) was/were originally removed)..... would be contrary to the best interest and welfare of the minor child(ren). The child(ren) cannot safely ..... remain ..... return home with services and removal of the child(ren) is necessary to protect the child(ren). ..... 24. Prevention or reunification services ..... were not ..... were indicated and are as follows: .....(services indicated)...... Further January 1, 2026 Florida Rules of Juvenile Procedure Page 394 of 469 efforts could not have shortened separation of this family because ........... COMMENT: Use 25 if child(ren) remain(s) or is/are returned to the parent(s). ..... 25. The child(ren) can safely ..... remain with ..... be returned to .....(parent(’s)(s’) name(s))..... as long as he/she/they comply(ies) with the following: ........... The safety, well-being, and physical, mental, and emotional health of the child(ren) are not endangered by allowing the child(ren) to ..... remain ..... return home. ..... 26. The child’s petition and application for special immigrant juvenile status or other immigration decision remains pending. ..... 27. The department ….. has ….. has not complied with its obligation as specified in the written case plan or in the provision of independent living services as required by Florida Statutes. ..... 28. The child has acquired the following life skills: .......... THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED that: The minor child(ren), .....(name(s))....., be placed in the custody 1. of .....(name)....., under supervision of the department. 2. The judicial review report filed by the department is: ..... not accepted and a continuance was requested. ..... accepted by the court. 3. Other: ........... 4. All prior orders not inconsistent with the present order shall remain in full force and effect. This court shall retain jurisdiction over this cause to enter any 5. such further orders as may be deemed necessary for the best interest and welfare of the minor child(ren). January 1, 2026 Florida Rules of Juvenile Procedure Page 395 of 469 This court shall retain jurisdiction until the final decision is 6. rendered by the federal immigration authorities, or upon the immigrant child’s 22nd birthday, whichever shall occur first. 7. This court shall retain jurisdiction until the child’s 19th birthday for the purpose of determining whether appropriate services to be provided to the young adult before reaching 18 years of age have been provided to the youth. This court shall retain jurisdiction until the child’s 21st 8. birthday, or 22nd birthday if the child has a disability, unless the young adult chooses to leave foster care upon reaching 18 years of age, or if the young adult does not meet the eligibility requirements to remain in foster care or chooses to leave care at any time prior to the 21st birthday, or 22nd birthday if the child has a disability. This matter is scheduled for Judicial Review on .....(date)..... at 9. .....(time)...... DONE AND ORDERED in .........., Florida, on .....(date)...... Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on .....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. January 1, 2026 Florida Rules of Juvenile Procedure Page 396 of 469 PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to ........... FORM 8.973B. ORDER ON JUDICIAL REVIEW FOR CHILD AGE 17 OR OLDER ORDER ON JUDICIAL REVIEW FOR CHILD OVER AGE 17 AND NOTICE OF NEXT HEARING THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed by the Department of Children and Families in this cause under chapter 39, Florida Statutes. The following persons appeared before the court: ..... .....(Name)....., Child ..... .....(Name)....., Attorney for the Child ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian January 1, 2026 Florida Rules of Juvenile Procedure Page 397 of 469 ..... .....(Name)....., Other: .......... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present. and the court having considered: ..... Judicial Review Social Study Report filed by the department; ..... Because the child reached the age of 17 within the past 90 days, written verification that the child: ..... Has been provided with a current Medicaid card and has been provided all necessary information concerning the Medicaid program; ..... Has been provided with a certified copy of his or her birth certificate; and has a valid Florida driver’s license or has been provided with a Florida identification card; ..... Has a social security card and has been provided information relating to Social Security Insurance benefits, if the child is believed to be eligible; ..... Has received a full accounting if there is a Master Trust for the child and has been informed as to how to access those funds; ..... Has been provided with information related to the Road-to-Independence Program, including eligibility requirements, information on participation, and assistance in gaining admission to the program; If the child is eligible for the Road-to-Independence Program, has been informed that he or she may reside with the licensed foster family or group care provider with whom the child was residing at the time of attaining his or her 18th birthday or may reside in another licensed foster home or with a group care provider arranged by the department; ..... Has an open bank account or the identification necessary to open a bank account and the information necessary to acquire essential banking and budgeting skills; January 1, 2026 Florida Rules of Juvenile Procedure Page 398 of 469 ..... Has been provided with information on public assistance and how to apply; ..... Has been provided a clear understanding of where he or she will be living on his or her 18th birthday, how living expenses will be paid, and what educational program the child will be enrolled in; ..... Has been provided with information as to the child’s ability to remain in care until he [or she] reaches 21 years of age or 22 years of age if he/she has a disability; ..... Has been provided with a letter stating the dates that the child is under the jurisdiction of the court; ..... Has been provided with a letter stating that the child is in compliance with financial aid documentation requirements; ..... Has been provided his or her educational records; ..... Has been provided his or her entire health and mental health records; ..... Has been provided with information concerning the process for accessing his or her case file; ..... Has been provided with a statement encouraging the child to attend all judicial review hearings occurring after his or her 17th birthday; and ..... Has been provided with information on how to obtain a driver license or learner’s driver license. ..... Statement/homestudy filed by the department; ..... Report of the guardian ad litem; ..... A case plan, dated .........., filed by the department; ..... Statement by the child’s caretaker on the progress the child has made in acquiring independent living skills; January 1, 2026 Florida Rules of Juvenile Procedure Page 399 of 469 ..... Whether or not the child is a citizen and, if the child is not a citizen, the steps that have been taken to address the citizenship or residency status of the child; ..... Other: .......... AND THE COURT having heard testimony and argument, and having been otherwise duly advised in the premises finds: 1. That the minor child(ren) who is/are the subject matter of these proceedings was/were adjudicated dependent, continue to be dependent, is/are of an age subject to the jurisdiction of the court, and is/are resident(s) of the state of Florida. 2. The following parties were notified of this hearing and provided a copy of the documents filed for this hearing: ..... .....(Name)....., Child ..... .....(Name)....., Attorney for the Child ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian January 1, 2026 Florida Rules of Juvenile Procedure Page 400 of 469 ..... .....(Name)....., Other: .......... 3. The child has been given the opportunity to address the court with any information relevant to the child’s best interests. 4. The mother, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of her right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 5. The father, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of his right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive his right to legal counsel; and ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. COMMENT: Repeat above for each father. 6. The department filed a judicial review report with the court on .....(date)...... This judicial review report ..... is ..... is not in compliance with the statutory requirements. 7. The following parents/legal custodians were notified of their right to participate in the preparation of the case plan and to January 1, 2026 Florida Rules of Juvenile Procedure Page 401 of 469 receive assistance from any other person in the preparation of the case plan: .....(names of those notified)...... 8. The mother has complied with the following tasks in the case plan: .....(list tasks complied with)...... 9. The mother has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 10. The father, .....(father’s name)....., has complied with the following tasks in the case plan: .....(list tasks complied with)...... 11. The father, .....(father’s name)....., has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 12. The mother ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 13. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 14. The department ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 15. The mother ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 16. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 17. The mother ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 402 of 469 18. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... 19. The department ..... has ..... has not complied with court ordered meetings with the parents as follows: .....(explanation of meetings compliance)...... COMMENT: Use 20, 21, 22, 23, & 24 if child(ren) is/are not placed in the home of a parent. ..... 20. It is in the best interest of the minor child(ren) to be placed in the care and custody of .....(placement ordered)...... The department has placement and care responsibility while the child(ren) is/are under protective supervision in an out-of- home placement. ..... 21. Placement of the minor child(ren) in the care and custody of .....(placement like and as close to the home as possible, consistent with the child(ren)’s best interests and special needs. ordered)..... is in a setting which is as family ..... 22. The children ..... are ..... are not separated in their placements. The following the siblings: .......... efforts have been made to reunite ..... It is not in the siblings’ best interest to be reunited in their placement because: .......... ..... The separate siblings have the following frequency, kind, and duration of contacts: .......... ..... 23. Return of the minor child(ren) to the custody of .....(person(s) from whom child(ren) was/were originally removed)..... would be contrary to the best interest and welfare of the minor child(ren). The child(ren) cannot safely ..... remain ..... return home with services and removal of the child(ren) is necessary to protect the child(ren). ..... 24. Prevention or reunification services ..... were not ..... were indicated and are as follows: .....(services indicated)...... Further January 1, 2026 Florida Rules of Juvenile Procedure Page 403 of 469 efforts could not have shortened separation of this family because ........... COMMENT: Use 25 if child(ren) remain(s) or is/are returned to the parent(s). ..... 25. The child(ren) can safely ..... remain with ..... be returned to .....(parent(’s)(s’) name(s))..... as long as he/she/they comply(ies) with the following: ........... The safety, well-being, and physical, mental, and emotional health of the child(ren) are not endangered by allowing the child(ren) to ..... remain ..... return home. ..... 26. The child’s petition and application for special immigrant juvenile status or other immigration decision remains pending. ..... 27. The department ….. has ….. has not complied with its obligation as specified in the written case plan or in the provision of independent living services as required by Florida Statutes. THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED that: 1. The minor child(ren), .....(name(s))....., be placed in the custody of .....(name)....., under supervision of the department. 2. The judicial review report filed by the department is: ..... not accepted and a continuance was requested. ..... accepted by the court. 3. Other: ........... 4. All prior orders not inconsistent with the present order shall remain in full force and effect. 5. This court shall retain jurisdiction over this cause to enter any such further orders as may be deemed necessary for the best interest and welfare of the minor child(ren). January 1, 2026 Florida Rules of Juvenile Procedure Page 404 of 469 6. This court shall retain jurisdiction until the final decision is rendered by the federal immigration authorities, or upon the immigrant child’s 22nd birthday, whichever shall occur first. 7. This court shall retain jurisdiction until the child’s 19th birthday for the purpose of determining whether appropriate services to be provided to the young adult before reaching 18 years of age have been provided to the youth. 8. This court shall retain jurisdiction until the child’s 21st birthday, or 22nd birthday if the child has a disability, unless the young adult chooses to leave foster care upon reaching 18 years of age, or if the young adult does not meet the eligibility requirements to remain in foster care or chooses to leave care at any time prior to the 21st birthday, or 22nd birthday if the child has a disability. 9. This matter is scheduled for Judicial Review on .....(date)..... at .....(time)...... DONE AND ORDERED in .........., Florida, on .....(date)...... Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on .....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if January 1, 2026 Florida Rules of Juvenile Procedure Page 405 of 469 the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to ........... FORM 8.973C. ORDER ON JUDICIAL REVIEW ORDER ON LAST JUDICIAL REVIEW BEFORE CHILD REACHES AGE 18 AND NOTICE OF NEXT HEARING THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed by the Department of Children and Families in this cause under chapter 39, Florida Statutes. The following persons appeared before the court: ..... .....(Name)....., Child ..... .....(Name)....., Attorney for the Child ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian January 1, 2026 Florida Rules of Juvenile Procedure Page 406 of 469 ..... .....(Name)....., Attorney for legal custodian ..... .....(Name)....., Other: .......... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present. and the court having considered: ..... Judicial Review Social Study Report filed by the department; ..... Statement/homestudy filed by the department; ..... Report of the guardian ad litem; ..... A case plan, dated .........., filed by the department that includes information related to independent living services that have been provided since the child’s 13th birthday or since the date the child came into foster care, whichever came later; ..... Statement by the child’s caretaker on the progress the child has made in acquiring independent living skills; ..... Whether or not the child is a citizen and, if the child is not a citizen, the steps that have been taken to address the citizenship or residency status of the child; ..... A copy of the child’s transition plan; ..... Other: .......... AND THE COURT having heard testimony and argument, and having been otherwise duly advised in the premises finds: 1. That the minor child(ren) who …..is/are….. the subject matter of these proceedings …..was/were….. adjudicated dependent, continue to be dependent, is/are of an age subject to the jurisdiction of the court, and …..is/are.....resident(s) of the state of Florida. 2. The following parties were notified of this hearing and provided a copy of the documents filed for this hearing: January 1, 2026 Florida Rules of Juvenile Procedure Page 407 of 469 ..... .....(Name)....., Child ..... .....(Name)....., Attorney for the Child ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian ..... .....(Name)....., Other: .......... 3. The child has been given the opportunity to address the court with any information relevant to the child’s best interests. 4. The mother, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of her right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive her right to legal counsel; and January 1, 2026 Florida Rules of Juvenile Procedure Page 408 of 469 ..... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. 5. The father, .....(name).....: ..... did not appear and ..... was ..... was not represented by legal counsel; ..... appeared ..... with ..... without legal counsel and ..... was ..... was not advised of his right to legal counsel; knowingly, intelligently, and voluntarily ..... waived ..... did not waive his right to legal counsel; and .... was ..... was not determined to qualify as indigent and ..... was ..... was not appointed an attorney. COMMENT: Repeat above for each father. 6. The department filed a judicial review report with the court on .....(date)...... The judicial review report ..... is ..... is not in compliance with the statutory requirements. 7. The following parents/legal custodians were notified of their right to participate in the preparation of the case plan and to receive assistance from any other person in the preparation of the case plan: .....(names of those notified)...... 8. The mother has complied with the following tasks in the case plan: .....(list tasks complied with)...... 9. The mother has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... 10. The father, .....(father’s name)....., has complied with the following tasks in the case plan: .....(list tasks complied with)...... 11. The father, .....(father’s name)....., has not complied with the following tasks in the case plan: .....(list tasks not complied with)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 409 of 469 12. The mother ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 13. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 14. The department ..... has ..... has not complied with court ordered visitation as follows: .....(explanation of visitation compliance)...... 15. The mother ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 16. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered financial support for the child as follows: .....(explanation of financial compliance)...... 17. The mother ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... 18. The father, .....(father’s name)....., ..... has ..... has not complied with court ordered meetings with the department as follows: .....(explanation of meetings compliance)...... 19. The department ..... has ..... has not complied with court ordered meetings with the parents as follows: .....(explanation of meetings compliance)...... COMMENT: Use 20, 21, 22, 23, & 24 if child(ren) is/are not placed in the home of a parent. 20. It is in the best interest of the minor child(ren) to be placed in the care and custody of .....(placement ordered)...... The department has placement and care responsibility while the child(ren) is/are under protective supervision in an out-of-home placement. January 1, 2026 Florida Rules of Juvenile Procedure Page 410 of 469 21. Placement of the minor child(ren) in the care and custody of .....(placement ordered)..... is in a setting which is as family like and as close to the home as possible, consistent with the child(ren)'s best interests and special needs. ..... 22. The children ..... are ..... are not separated in their placements. The following efforts have been made to reunite separated siblings: .......... ..... It is not in the best interest of each sibling to be reunited in their placement because: .......... ..... Each sibling has the following frequency, kind, and duration of contacts: .......... 23. Return of the minor child(ren) to the custody of .....(person(s) from whom child(ren) was/were originally removed)..... would be contrary to the best interest and welfare of the minor child(ren). The child(ren) cannot safely ..... remain ..... return home with services and removal of the child(ren) is necessary to protect the child(ren). 24. Prevention or reunification services ..... were not ..... were indicated and are as follows: .....(services indicated)...... Further efforts could not have shortened separation of this family because ........... COMMENT: Use 25 if child(ren) remain(s) or is/are returned to the parent(s). 25. The child(ren) can safely ..... remain with ..... be returned to ..... (parent(’s)(s’) name(s))..... as long as he/she/they comply(ies) with the following: ........... The safety, well-being, and physical, mental, and emotional health of the child(ren) are not endangered by allowing the child(ren) to ..... remain ..... return home. 26. The child’s petition and application for special immigrant juvenile status or other immigration decision remains pending. January 1, 2026 Florida Rules of Juvenile Procedure Page 411 of 469 27. The department ..... has ..... has not complied with its obligation as specified in the written case plan or in the provision of independent living services as required by Florida Statutes. ..... 28. The child does plan on remaining in foster care. a. the child will meet the requirements by .......... b. the supervised living arrangement will be .......... c. the child has been informed of ..... (1) the right to continued support and services; ..... (2) the right to request termination of this court’s jurisdiction foster care; and to be discharged from pursuant to Florida law; and ..... (3) the opportunity to reenter foster care ..... the requirement to furnish (4) documentation of participation in a program required for eligibility to remain in extended foster care. ..... 29. The child does not plan on remaining in foster care. The child has been informed of: ..... a. services of benefits for which the child may be eligible based upon the child’s placement and length of time spent in licensed foster care; ..... b. services or benefits that may be lost through a termination of the court’s jurisdiction; and ..... c. other federal, state, local, or community-based services or supports available to the child. January 1, 2026 Florida Rules of Juvenile Procedure Page 412 of 469 THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED that: 1. The minor child(ren), .....(name(s))....., be placed in the custody of .....(name)....., under supervision of the department. 2. The judicial review report filed by the department is: ..... not accepted and a continuance was requested ..... accepted by the court. 3. The child’s transition plan is: ..... not approved and a continuance was requested ..... approved by the court. 4. Other: .......... 5. All prior orders not inconsistent with the present order shall remain in full force and effect. 6. This court shall retain jurisdiction over this cause to enter any such further orders as may be deemed necessary for the best interest and welfare of the minor child(ren). 7. This court shall retain jurisdiction until the final decision is rendered by the federal immigration authorities, or upon the immigrant child’s 22nd birthday, whichever shall first occur. 8. This court shall retain jurisdiction until the child’s 19th birthday for the purpose of determining whether appropriate services that were required to be provided to the young adult before reaching 18 years of age have been provided to the youth. 9. This court shall retain jurisdiction until the child’s 21st birthday, or 22nd birthday if the child has a disability, unless the young adult chooses to leave foster care upon reaching 18 years of age, or if the young adult does not meet the eligibility requirements to remain in foster care or chooses to leave care at any time prior to the 21st birthday, or the 22nd birthday if the young adult has a disability. 10. This matter is scheduled for Judicial Review on .....(date)..... at .....(time)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 413 of 469 DONE AND ORDERED in .........., Florida, on .....(date)...... Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above- styled cause on .....(date)..... at .......... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: .......... FORM 8.973D. ORDER ON JUDICIAL REVIEW FOR YOUNG ADULTS IN EXTENDED FOSTER CARE ORDER ON JUDICIAL REVIEW FOR YOUNG ADULTS IN EXTENDED FOSTER CARE AND NOTICE OF NEXT HEARING THIS CAUSE came on to be heard on .....(date)..... for Judicial Review on the report filed by the Department of Children and Families in this cause under chapter 39, Florida Statutes. The following persons appeared before the court: ..... .....(Name)....., Young Adult January 1, 2026 Florida Rules of Juvenile Procedure Page 414 of 469 ..... .....(Name)....., Attorney for the Young Adult ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for the guardian ad litem ..... .....(Name)....., Other: .......... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present. and the court having considered: ..... Judicial Review Social Study Report filed by the department; ..... Case Plan filed by the department; ..... Report of the guardian ad litem; ..... A copy of the young adult’s transition plan; ..... A copy of the voluntary placement agreement; ..... Other: .......... AND THE COURT having heard testimony and argument, and having been otherwise duly advised in the premises finds: 1. The young adult ….. is ….. is not making progress in meeting the case plan goals, as follows: .......... 2. The department ..... has or ..... has not made reasonable efforts to finalize the permanency plan currently in effect. January 1, 2026 Florida Rules of Juvenile Procedure Page 415 of 469 3. The case plan and/or the young adult’s transition plan shall be amended as follows: .......... 4. The Department and all services providers .....have ….. have not provided the appropriate services listed in the case plan. ….. The Department must take the following action to ensure the young adult receives identified services that have not been provided: .......... The young adult ..... is ..... is not separated from siblings …… 5. in out-of-home care. The following efforts have been made to reunite separated siblings: ..................................................... ........................................................................................................ ................................................... ........................................................................................................ ................................................... ..... It is not in the best interest of each sibling to be reunited in their placement because: ........................................................................................................ ........................................................................................................ ........................................................................................................ ..... Each sibling has the following frequency, kind and duration of contacts: ........................................................................................................ ........................................................................................................ ........................................................................................................ …… 6. The young adult has signed a voluntary placement agreement for the sole purpose of ending the current removal episode. ….. 7. the following facts: Jurisdiction in this case should be terminated based on ..... a. The young adult has requested termination of jurisdiction; or January 1, 2026 Florida Rules of Juvenile Procedure Page 416 of 469 ..... b. The young adult has been informed by the department of his or her right to attend this hearing and has provided written consent to waive this right, and ..... c. The young adult has been informed of the potential negative effects of early termination of care, the option to reenter care before reaching 21 years of age, or 22 years of age if the young adult has a disability, the procedure for and the limitations on reentering care, and the availability of alternative services, and has signed a document attesting that he or she has been so informed and understands these provisions; or ..... d. The young adult has voluntarily left the program, has not signed the document indicated above, and is unwilling to participate in any further court proceeding; or ..... e. The young adult has been involuntarily discharged from the program by written notification dated .........., and the young adult has not appealed the discharge decision. THEREFORE, based upon the foregoing findings, it is hereby ORDERED AND ADJUDGED that: 1. The judicial review report filed by the department is: ..... not accepted and a continuance was requested. ..... accepted by the court. 2. All prior orders not inconsistent with the present order shall remain in full force and effect. 3. The young adult is placed in the following supervised living environment: .......... under the protective supervision of the department. The department shall have placement and care responsibility while the young adult is under protective supervision in the supervised living environment. The court has determined that it is in the best interest of the young adult to remain in out-of-home care. ..... 4. The court ends the current removal episode. The young adult executed a voluntary placement agreement on January 1, 2026 Florida Rules of Juvenile Procedure Page 417 of 469 .....(date)..... giving the department placement and care responsibility and beginning a new removal episode. ..... 5. This court shall retain jurisdiction until the young adult’s 19th birthday for the purpose of determining whether appropriate services that were required to be provided to the young adult before reaching 18 years of age have been provided to the youth. or ..... 6. This court shall retain jurisdiction until the young adult’s 21st birthday, or 22 years of age if the young adult has a disability, unless the young adult chooses to leave foster care upon reaching 18 years of age, or if the young adult does not meet the eligibility requirements to remain in foster care or chooses to leave care at any time prior to the 21st birthday. or ..... 7. Jurisdiction over this cause is hereby terminated. ..... 8. Other:………………….. ..... 9. …..(date)….. at ……(time)……. This matter is scheduled for Judicial Review on DONE AND ORDERED in …………………, Florida, on ……(date)……. Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on .....(date)..... at ..... a.m./p.m., before .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. January 1, 2026 Florida Rules of Juvenile Procedure Page 418 of 469 If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: ………. FORM 8.975. DEPENDENCY ORDER WITHHOLDING ADJUDICATION ORDER OF ADJUDICATION THIS CAUSE came before this court on .....(date)....., under chapter 39, Florida Statutes, for adjudication of the Petition for Dependency filed by .....(petitioner’s name)...... Present before the court were ..... .....(Name)....., Petitioner ..... .....(Name)....., Attorney for the petitioner ..... .....(Name)....., Attorney for the department ..... .....(Name)....., Department caseworker ..... .....(Name)....., Mother ..... .....(Name)....., Attorney for mother ..... .....(Name)....., Father of .....(child)..... ..... .....(Name)....., Attorney for father ..... .....(Name)....., Guardian ad litem ..... .....(Name)....., Attorney for guardian ad litem January 1, 2026 Florida Rules of Juvenile Procedure Page 419 of 469 ..... .....(Name)....., Legal custodian ..... .....(Name)....., Attorney for legal custodian ..... .....(Name)....., Other .................... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present. The court having heard testimony and argument and being otherwise fully advised in the premises finds: 1. That the minor child(ren) who is/are the subject matter of these proceedings, is/are dependent within the meaning and intent of chapter 39, Florida Statutes, and is/are (a) resident(s) of the State of Florida. 2. The mother, .....(name).....: ..... was ..... was not noticed of this hearing; ..... did not appear, and the court: ..... entered a Consent for failure to appear after proper notice. ..... did not enter a Consent for failure to appear after proper notice. ..... appeared with counsel; ..... appeared without counsel and: ..... was ..... was not advised of her right to legal counsel, ..... knowingly, intelligently, and voluntarily waived ..... did not waive her right to legal counsel and ..... was ..... was not determined to qualify as indigent and January 1, 2026 Florida Rules of Juvenile Procedure Page 420 of 469 ..... was ..... was not appointed an attorney. 3. The father, .....(name).....: ..... was ..... was not noticed of this hearing; ..... did not appear, and the court: ..... entered a Consent for failure to appear after proper notice. ..... did not enter a Consent for failure to appear after proper notice. ..... appeared with counsel; ..... appeared without counsel and: counsel, ..... was ..... was not advised of his right to legal ..... knowingly, intelligently, and voluntarily waived ..... did not waive and his right to legal counsel indigent and ..... was ..... was not determined to qualify as ..... was ..... was not appointed an attorney. That the child(ren) is/are dependent within the meaning ..... 4. and intent of chapter 39, Florida Statutes, in that the mother, ....(name)....., abused, neglected or abandoned the minor child(ren) by .................... These facts were proven by ..... preponderance of the evidence ...... clear and convincing evidence. That the child(ren) is/are dependent within the meaning ..... 5. and intent of chapter 39, Florida Statutes, in that the father, .....(name)....., abused, neglected or abandoned the minor child(ren) by ..................... These facts were proven by ..... preponderance of the evidence ...... clear and convincing evidence. January 1, 2026 Florida Rules of Juvenile Procedure Page 421 of 469 That the parties have filed a mediation agreement in ..... 6. which the parent(s) consent(s) to the adjudication of dependency of the child(ren) in conjunction with a withhold of adjudication, which the court accepts. 7. Under section 39.507(5), Florida Statutes, the Court finds that the child(ren) named in the petition are dependent, but finds that no action other than supervision in the child(ren)’s home is required. THEREFORE, based upon the foregoing findings, it is ORDERED AND ADJUDGED that: 1. Under section 39.507(5), Florida Statutes, the Court hereby withholds adjudication of dependency of the minor child(ren). The child(ren) shall be .....returned/continued..... in (child(ren)’s home) under the supervision of the department. If this court later finds that the parents have not complied with the conditions of supervision imposed, the court may, after a hearing to establish the noncompliance, but without further evidence of the state of dependency, enter an order of adjudication. 2. This court shall retain jurisdiction over this cause to enter any such further orders that may be deemed necessary for the best interest and welfare of the minor child(ren). 3. All prior orders not inconsistent with the present order shall remain in full force and effect. 4. Disposition is scheduled for .....(date)....., at ...... a.m./p.m. DONE AND ORDERED on .....date...... Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above styled cause on .....(date)..... at .......... a.m./p.m., before January 1, 2026 Florida Rules of Juvenile Procedure Page 422 of 469 .....(judge)....., at .....(location)....., or as soon thereafter as counsel can be heard. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, and telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: FORM 8.976. PROPOSED RELATIVE PLACEMENT PROPOSED RELATIVES FOR PLACEMENT Pursuant to Chapter 39, Florida Statutes, the .....mother/father..... hereby provides the court and the parties with the names and location of relatives who might be considered for placement of the child(ren). The .....mother/father..... will continue to inform the court and the parties of any relative who should be considered for placement of the child(ren) with the filing of subsequent forms. MATERNAL Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… January 1, 2026 Florida Rules of Juvenile Procedure Page 423 of 469 Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… PATERNAL Name: ………………………………… Address: ……………………………… Phone number: ………………….……. January 1, 2026 Florida Rules of Juvenile Procedure Page 424 of 469 Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… Name: ………………………………… Address: ……………………………… Phone number: ………………….……. Relationship to child: ………………… The above information is true and correct to the best of my knowledge. January 1, 2026 Florida Rules of Juvenile Procedure Page 425 of 469 Dated .................... (Mother’s Signature) Printed name ………………................. (Father’s Signature) Printed name ………………................. FORM 8.977. ORDER AUTHORIZING CHILD TO ENTER INTO RESIDENTIAL LEASEHOLD AND SECURE UTILITY SERVICES BEFORE THE CHILD’S 18TH BIRTHDAY ORDER AUTHORIZING CHILD TO ENTER INTO RESIDENTIAL LEASEHOLD AND TO SECURE RESIDENTIAL UTILITY SERVICES BEFORE THE CHILD’S 18TH BIRTHDAY THIS CAUSE came before the court to remove the disabilities of nonage of .....(name)....., for the purpose of entering into a residential leasehold and to secure residential utility services. The court being fully advised in the premises FINDS as follows: .....(Name)..... is 17 years of age, meets the requirements of sections 743.045 and 743.046, Florida Statutes, and is entitled to the benefits of those statutes. THEREFORE, based on these findings of fact, it is ORDERED AND ADJUDGED that the disabilities of nonage of .....(name)..... are hereby removed for the purpose of entering a residential leasehold and securing residential utility services. .....(Name)..... is hereby authorized to make and execute contracts, releases, and all other instruments necessary for the purpose of entering into a residential leasehold and securing residential utility services. The contracts or January 1, 2026 Florida Rules of Juvenile Procedure Page 426 of 469 other instruments made by .....(name)..... for the purposes of entering into a residential leasehold and securing residential utility services shall have the same effect as though they were the obligations of a person who is not a minor. ORDERED at ..................................., Florida, on .....(date)...... Copies to: Circuit Judge FORM 8.978. ORDER AUTHORIZING CHILD TO SECURE DEPOSITORY FINANCIAL SERVICES BEFORE THE CHILD’S 18TH BIRTHDAY ORDER AUTHORIZING CHILD TO SECURE DEPOSITORY FINANCIAL SERVICES BEFORE THE CHILD’S 18TH BIRTHDAY THIS CAUSE came before the court to remove the disabilities of nonage of .....(name)....., for the purpose of securing depository financial services, and the court being fully advised in the premises FINDS as follows: .....(Name)..... is at least 16 years of age, meets the requirements of section 743.044, Florida Statutes, and is entitled to the benefits of that statute. THEREFORE, based on these findings of fact, it is ORDERED AND ADJUDGED that the disabilities of nonage of .....(name)..... are hereby removed for the purpose of securing depository financial services. .....(Name)..... is hereby authorized to make and execute contracts, releases, and all other instruments necessary for the purpose of securing depository financial services. The contracts or other instruments made by .....(name)..... for the purpose of securing depository financial services have the same effect as though they were the obligations of a person who is not a minor. ORDERED at ……….., Florida, on .....(date)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 427 of 469 Circuit Judge Copies to: FORM 8.978(a). ORDER CONCERNING YOUTH’S ELIGIBILITY FOR FLORIDA’S TUITION AND FEE EXEMPTION. ORDER CONCERNING ELIGIBILITY FOR FLORIDA’S TUITION AND FEE EXEMPTION THIS CAUSE comes before the court to determine .....(name).....’s eligibilty for the tuition and fee exemption under Chapter 1009, Florida Statutes, and the court being fully advised in the premises, it is ORDERED AND ADJUDGED that .....(name)..... is eligible, under Chapter 1009, Florida Statutes, and therefore exempt from the payment of tuition and fees, including lab fees, at a school district that provides postsecondary career programs, community college, or state university. ORDERED at………., Florida, on .....(date)..... Circuit Judge Copies to: D. TERMINATION OF PARENTAL RIGHTS FORMS FORM 8.979. SUMMONS FOR ADVISORY HEARING SUMMONS AND NOTICE OF ADVISORY HEARING FOR TERMINATION OF PARENTAL RIGHTS AND GUARDIANSHIP STATE OF FLORIDA January 1, 2026 Florida Rules of Juvenile Procedure Page 428 of 469 TO: .....(name and address of person being summoned)..... A Petition for Termination of Parental Rights under oath has been filed in this court regarding the above-referenced child(ren), a copy of which is attached. You are to appear before .....(judge)....., at .....(time and location of hearing)....., for a TERMINATION OF PARENTAL RIGHTS ADVISORY HEARING. You must appear on the date and at the time specified. FAILURE TO APPEAR AT THIS ADVISORY HEARING CONSTITUTES CONSENT TO THE TERMINATION OF PARENTAL RIGHTS TO THIS CHILD (THESE CHILDREN). IF YOU FAIL TO APPEAR ON THE DATE AND TIME SPECIFIED YOU MAY LOSE ALL LEGAL RIGHTS TO THE CHILD (OR CHILDREN) NAMED IN THE PETITION ATTACHED TO THIS NOTICE. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any accommodation to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact .....(name, address, telephone number)..... at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days. If you are hearing or voice impaired, call 711. Witness my hand and seal of this court at .....(city, county, state)..... on .....(date)...... CLERK OF COURT BY: DEPUTY CLERK CITATORIO Y AVISO DE January 1, 2026 Florida Rules of Juvenile Procedure Page 429 of 469 AUDIENCIA PARA LA TERMINACIÓN DE PATRIA POTESTAD Y TUTELA ESTADO DE FLORIDA PARA: ..... (nombre y dirección de la persona citada)..... Se ha presentado una Petición de Terminación de la Patria Potestad bajo juramento en este tribunal con respecto a los niños mencionados anteriormente, cuya copia se adjunta. Usted debe comparecer ante ..... (juez)....., en ..... (hora y lugar de la audiencia)....., para una AUDIENCIA CONSULTIVA DE TERMINACIÓN DE LA PATRIA POTESTAD. Deberá presentarse en la fecha y hora que se especifiquen. LA FALTA DE COMPARECENCIA EN ESTA AUDIENCIA CONSULTIVA CONSTITUYE SU CONSENTIMIENTO PARA LA TERMINACIÓN DE LA PATRIA POTESTAD DE ESTE NIÑO (ESTOS NIÑOS). SI NO SE PRESENTA EN LA FECHA Y HORA ESPECIFICADAS, PUEDE PERDER TODOS LOS DERECHOS LEGALES SOBRE EL NIÑO (O NIÑOS) NOMBRADOS EN LA PETICIÓN ADJUNTA A ESTE CITATORIO. 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, estado)..... en..... (fecha)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 430 of 469 SECRETARIO DEL TRIBUNAL POR: SECRETARIO ADJUNTO MANDA AK AVÈTISMAN POU ENFOME-W SOU YON CHITA TANDE, POU YO ANILE DWA-W KÒM PARAN AK KÒM GADYEN Leta Florid POU: .....(non ak adrès moun yo voye manda-a)....... KÒM, tandiske, gen yon demann sèmante pou anile dwa paran-yo, ki prezante devan tribinal-la, konsènan timoun ki nonmen nan lèt sa-a, piwo-a, yon kopi dokiman-an kwoke nan dosye-a., yo bay lòd pou prezante devan ..... (Jij-la) ...., a..... (nan.lè ak adrès chita tande-a)......, NAN YON CHITA TANDE POU YO ENFÒME-W, YO GEN LENTANSYON POU ANILE DWA-OU KÒM PARAN. Ou fèt pou prezante nan dat ak lè ki endike-a. SI OU PA PREZANTE NAN CHITA TANDE-A, POU YO ENFÒME-W, YO GEN LENTANSYON POU ANILE DWA-OU KÒM PARAN, SA KA LAKÒZ YO DESIDE OU KONSANTI TIMOUN SA-A (YO), BEZWEN PWOTEKSYON LETA EPI SA KA LAKÒZ OU PÈDI DWA-OU KÒM PARAN TIMOUN SA-A(YO), KI GEN NON YO MAKE NAN KOPI DEMANN-NAN, KI KWOKE NAN AVÈTISMAN-AN Si ou se yon moun infirm, ki beswen `ed ou ki bewsen ke o akomode w pou ou patispe nan pwosedi sa yo, ou genyen dwa, san ke ou pa peye, a setin `ed. Silvouple kontake …..(non, address, telephone)….. o moin 7 jou avan dat ou genyen rendevou pou ale nan tribunal, ou si le ou resevwa avi a, genyen mouins ke 7 jou avan date endevou tribunal la. Ou si ou pa tande pale, rele nan nimerro sa 711. Mwen siyen non mwen e mete so mwen nan dokiman tribinal- la kòm temwen nan (vil, distrik, eta) ....., nan ... (dat)....... January 1, 2026 Florida Rules of Juvenile Procedure Page 431 of 469 GREFYE TRIBINAL-LA PA: ASISTAN GREFYE TRIBINAL-LA FORM 8.980. PETITION FOR TERMINATION OF PARENTAL RIGHTS BASED ON VOLUNTARY RELINQUISHMENT PETITION FOR TERMINATION OF PARENTAL RIGHTS Petitioner, .....(name)....., respectfully petitions this Court for termination of parental rights and permanent commitment of the minor child(ren), .....(name(s))....., to .....(agency name)..... for the purpose of subsequent adoption, and as grounds states the following: A. PARTIES 1. The child, .....(name)....., is a male/female child born on .....(date)....., at .....(city, county, state)...... At the time of the filing of this petition, the child is .....(age)...... A copy of the child’s birth certificate is attached to this Petition and incorporated as Petitioner’s Exhibit ...... COMMENT: Repeat above for each child on petition. 2. The child(ren) is/are presently in the care and custody of .....(name)....., and is/are residing in .................... County, Florida. 3. An affidavit under the Uniform Child Custody Jurisdiction and Enforcement Act is attached to this as Petitioner’s Exhibit ....... 4. The natural mother of the child(ren) is .....(name)....., who resides at .................... January 1, 2026 Florida Rules of Juvenile Procedure Page 432 of 469 5. The natural/alleged/putative father of the child(ren) .....(name(s))..... is .....(name)....., who resides at .................... COMMENT: Repeat #5 as necessary. 6. A guardian ad litem ..... has ..... has not been appointed to represent the interests of the child(ren) in this cause. B. GROUNDS FOR TERMINATION 1. The parent(s) have been advised of their right to legal counsel at all hearings that they attended. 2. The parents will be informed of the availability of private placement of the child with an adoption entity as defined in chapter 63, Florida Statutes. 3. The mother, .....(name)....., freely, knowingly, voluntarily, and ..... with ..... without advice of legal counsel executed an Affidavit and Acknowledgment of Surrender, Consent, and Waiver of Notice on .....(date)....., for termination of her parental rights to the minor child, .....(name)....., under section 39.806(1)(a), Florida Statutes. COMMENT: Repeat above as necessary. 4. The father, .....(name)....., freely, knowingly, and voluntarily, and ..... with ..... without advice of legal counsel executed an Affidavit and Acknowledgment of Surrender, Consent, and Waiver of Notice on .....(date)....., for termination of his parental rights to the minor child, .....(name)....., under section 39.806(1)(a), Florida Statutes. COMMENT: Repeat above as necessary. 5. Under the provisions of chapter 39, Florida Statutes, it is in the manifest best interest of the child(ren) for parental rights to be terminated for the following reasons: ..... allegations which correspond to sections 39.810(1)– (11), Florida Statutes. January 1, 2026 Florida Rules of Juvenile Procedure Page 433 of 469 6. A copy of this petition shall be served on the natural mother, .....(name).....; the father(s), .....(name(s)).....; the custodian, .....(name).....; and the guardian ad litem, .....(name)...... 7. This petition is filed in good faith and under oath. WHEREFORE, the petitioner respectfully requests that this court grant this petition; find that the parents have voluntarily surrendered their parental rights to the minor child(ren); find that termination of parental rights is in the manifest best interests of this/these child(ren); and that this court enter an order permanently committing this/these child(ren) to the .....(name)..... for subsequent adoption. Verification .....(petitioner’s name and identifying information)..... .....(attorney’s name)..... .....(address and telephone number)..... .....(email address(es)..... .....(Florida Bar number)..... Certificate of Service FORM 8.981. PETITION FOR INVOLUNTARY TERMINATION OF PARENTAL RIGHTS PETITION FOR TERMINATION OF PARENTAL RIGHTS Petitioner, .....(petitioner’s name)....., respectfully petitions this court for termination of parental rights and permanent commitment of the minor child(ren), .....(name(s))....., to .....(agency name)..... for the purpose of subsequent adoption, and as grounds states the following: January 1, 2026 Florida Rules of Juvenile Procedure Page 434 of 469 A. PARTIES 1. The child, .....(name)....., is a male/female child born on .....(date)....., at .....(city, county, state)...... At the time of the filing of this petition, the child is .....(age)...... A copy of the child’s birth certificate is attached to this Petition and incorporated as Petitioner’s Exhibit ...... COMMENT: Repeat above for each child on petition. 2. The child(ren) is/are presently in the care and custody of .....(name)....., and is/are residing in ………. County, Florida. 3. An affidavit under the Uniform Child Custody Jurisdiction and Enforcement Act is attached to this as Petitioner’s Exhibit ...... 4. The natural mother of the child(ren) is .....(name)....., who resides at ………… 5. The natural/alleged/putative father of the child(ren) .....(name(s))..... is .....(name)....., who resides at ………………………………………. COMMENT: Repeat #5 as necessary. 6. A guardian ad litem ..... has ..... has not been appointed to represent the interests of the child(ren) in this cause. B. GROUNDS FOR TERMINATION 1. The parents have been advised of their right to legal counsel at all hearings that they attended. 2. On or about .....(date(s))....., the following occurred: .....(acts which were basis for dependency or TPR, if filed directly)...... 3. The mother has .....(grounds for TPR)..... the minor child(ren) within the meaning and intent of section 39.806, Florida Statutes, in that: .....(allegations which form the statutory basis for grounds)...... January 1, 2026 Florida Rules of Juvenile Procedure Page 435 of 469 4. The father has .....(grounds for TPR)..... the minor child(ren) within the meaning and intent of section 39.806, Florida Statutes, in that: .....(allegations which form the statutory basis for grounds)...... 5. Under the provisions of sections 39.810(1)–(11), Florida Statutes, it is in the manifest best interests of the child(ren) for parental rights of .....(name(s))..... to be terminated for the following reasons: .....(allegations for each statutory factor in the manifest best interest test)...... 6. A copy of this petition shall be served on the natural mother, .....(name)....., father(s), .....(name(s))....., the custodian, .....(name).....; and the guardian ad litem, .....(name)...... 7. under oath. This petition is filed by the petitioner in good faith and WHEREFORE, the petitioner respectfully requests that this court grant this petition; find that the parents have abused, neglected, or abandoned the minor child(ren); find that termination of parental rights is in the manifest best interests of this/these child(ren); and that this court enter an order permanently committing this/these child(ren) to .....(agency)..... for subsequent adoption. Verification Certificate of Service .....(petitioner’s name and identifying information)..... .....(attorney’s name)..... .....(address and telephone number)..... .....(Florida Bar number)..... January 1, 2026 Florida Rules of Juvenile Procedure Page 436 of 469 FORM 8.982 NOTICE OF ACTION FOR ADVISORY HEARING .....(Child(ren)’s initials and date(s) of birth)..... NOTICE OF ACTION AND OF ADVISORY HEARING FOR TERMINATION OF PARENTAL RIGHTS AND STATE OF FLORIDA GUARDIANSHIP TO: .....(name and address of person being summoned).... A Petition for Termination of Parental Rights under oath has been filed in this court regarding the above-referenced child(ren). You are to appear before .....(judge)....., at .....(time and address of hearing)....., for a TERMINATION OF PARENTAL RIGHTS ADVISORY HEARING. You must appear on the date and at the time specified. FAILURE TO APPEAR AT THIS ADVISORY HEARING CONSTITUTES CONSENT TO THE TERMINATION OF PARENTAL RIGHTS TO THIS CHILD (THESE CHILDREN). IF YOU FAIL TO APPEAR ON THE DATE AND TIME SPECIFIED YOU MAY LOSE ALL LEGAL RIGHTS TO THE CHILD (OR CHILDREN) WHOSE INITIALS APPEAR ABOVE. COMMENT: The following paragraph must be in bold, 14 pt. Times New Roman or Courier font. If you are a person with a disability who needs any 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, state)..... on .....(date)...... CLERK OF COURT January 1, 2026 Florida Rules of Juvenile Procedure Page 437 of 469 BY: DEPUTY CLERK ..... (Iniciales del niño (s) y fecha (s) de nacimiento)..... NOTIFICACIÓN DE AUDIENCIA CONSULTIVA PARA LA TERMINACIÓN DE LA PATRIA POTESTAD Y ESTADO DE FLORIDA TUTELA PARA: ..... (nombre y dirección de la persona citada).... Se ha presentado una Petición de Terminación de la Patria Potestad bajo juramento en este tribunal con respecto a los niños mencionados anteriormente. Usted debe comparecer ante ..... (juez)....., en ..... (hora y dirección de la audiencia)....., para una AUDIENCIA CONSULTIVA DE TERMINACIÓN DE LA PATRIA POTESTAD. Deberá presentarse en la fecha y hora que se especifiquen. LA FALTA DE COMPARECENCIA EN ESTA AUDIENCIA CONSULTIVA CONSTITUYE SU CONSENTIMIENTO PARA LA TERMINACIÓN DE LA PATRIA POTESTAD DE ESTE NIÑO (ESTOS NIÑOS). SI NO SE PRESENTA EN LA FECHA Y HORA ESPECIFICADAS, PUEDE PERDER TODOS LOS DERECHOS LEGALES SOBRE EL NIÑO (O NIÑOS) CUYAS INICIALES APARECEN ARRIBA. 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, January 1, 2026 Florida Rules of Juvenile Procedure Page 438 of 469 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, estado)..... en..... (fecha)...... SECRETARIO DEL TRIBUNAL POR: ________________________ SECRETARIO ADJUNTO MANDA AK AVÈTISMAN POU ENFOME-W SOU YON CHITA TANDE, POU YO ANILE DWA-W KÒM PARAN AK KÒM GADYEN. LETA FLORID POU: .....(non ak adrs moun yo voye manda-a)..... KÒM, tandiske, gen yon demann smante pou anile dwa paran- yo, ki prezante devan tribinal-la, konsnan timoun ki nonmen nan lt sa-a, piwo-a, yon kopi dokiman-an kwoke nan dosye-a., yo bay ld pou prezante devan .....(Jij-la)....., a..... (nan.l ak adrs chita tande- a)....., NAN YON CHITA TANDE POU YO ENOFME-W, YO GEN LENTANSYON POU ANILE DWA-OU KÒM PARAN. Ou ft pou prezante nan dat ak l ki endike-a. SI OU PA PREZANTE NAN CHITA TANDE-A, POU YO ENFOME-W, YO GEN LENTANSYON POU ANILE DWA-OU KÒM PARAN, SA KA LAKÒZ YO DESIDE OU KONSANTI TIMOUN SA-A (YO), BEZWEN PWOTEKSYON LETA EPI SA KA LAKÒZ OU PEDI DWA-OU KÒM PARAN TIMOUN SA-A(YO), KI GEN NON YO MAKE NAN KOPI DEMANN-NAN, KI KWOKE NAN AVÈTISMAN -AN January 1, 2026 Florida Rules of Juvenile Procedure Page 439 of 469 Si ou se yon moun infirm, ki beswen `ed ou ki bewsen ke o akomode w pou ou patispe nan pwosedi sa yo, ou genyen dwa, san ke ou pa peye, a setin `ed. Silvouple kontake …..(non, address, telephone)….. o moin 7 jou avan dat ou genyen rendevou pou ale nan tribunal, ou si le ou resevwa avi a, genyen mouins ke 7 jou avan date endevou tribunal la. Ou si ou pa tande pale, rele nan nimerro sa 711. Mwen siyen non mwen e mete so mwen nan dokiman tribinal- la km temwen nan .....(vil, distrik, eta)....., nan .....(dat)...... GREFYE TRIBINAL-LA PA: ASISTAN GREFYE TRIBINAL-LA FORM 8.983. ORDER INVOLUNTARILY TERMINATING PARENTAL RIGHTS ORDER INVOLUNTARILY TERMINATING PARENTAL RIGHTS THIS CAUSE came before this court on .....(all dates of the adjudicatory hearing)..... for an adjudicatory hearing on the Petition for Termination of Parental Rights filed by .....(name) ...... Present before the court were: ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .....(Name)....., Petitioner .....(Name)....., Attorney for the petitioner .....(Name)....., Attorney for the department .....(Name)....., Department caseworker .....(Name)....., Child .....(Name)....., Attorney for Child .....(Name)....., Mother .....(Name)....., Attorney for mother .....(Name)....., Father of .....(child)..... .....(Name)....., Attorney for father .....(Name)....., Guardian ad litem .....(Name)....., Attorney for guardian ad litem .....(Name)....., Legal custodian January 1, 2026 Florida Rules of Juvenile Procedure Page 440 of 469 ..... ..... .....(Name)....., Attorney for legal custodian .....(Name)....., Other: .......... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present at the hearing. The court has carefully considered and weighed the testimony of all witnesses. The court has received and reviewed all exhibits. COMMENT: Add the following only if necessary. The petitioner has sought termination of the parental rights of .....(parent(s)) who is/are subject of petition)...... The court finds that the parent(s), .....(name(s))....., has/have .....(list grounds proved)....., under chapter 39, Florida Statutes. The grounds were proved by clear and convincing evidence. Further, the court finds that termination of parental rights of the parent(s), .....(name(s))....., is clearly in the manifest best interests of the child(ren). The findings of fact and conclusions of law supporting this decision are as follows: 1. At all stages of these proceedings the parent(s) was/were advised of his/her/their right to legal counsel, or was/were in fact represented by counsel. 2. On or about .....(date(s))....., the following occurred: .....(acts which were basis for dependency or TPR, if filed directly)...... 3. The mother has .....(grounds for TPR)..... the minor child(ren) within the meaning and intent of section 39.806, Florida Statutes, in that: .....(findings that form the statutory basis for grounds)...... 4. The father has .....(grounds for TPR)..... the minor child(ren) within the meaning and intent of section 39.806, Florida Statutes, in that: .....(findings that form the statutory basis for grounds)...... 5. The minor child(ren) to whom .....(parent’s(s’) name(s))..... parental rights are being terminated are at substantial risk of significant harm. Termination of parental rights is the least restrictive means to protect the child(ren) from harm. 6. Under the provisions of sections 39.810(1)–(11), Florida Statutes, it is in the manifest best interests of the child(ren) for parental rights of January 1, 2026 Florida Rules of Juvenile Procedure Page 441 of 469 .....(name(s))..... to be terminated for the reasons below. The court has considered all relevant factors and finds as follows: (a) Regarding any suitable permanent custody arrangement with a relative of the child(ren), the court finds ........... (b) Regarding the ability and disposition of the parent or parents to provide the child(ren) with food, clothing, medical care, or other remedial care recognized and permitted under state law instead of medical care, and other material needs of the child(ren), the court finds ........... (c) Regarding the capacity of the parent or parents to care for the child(ren) to the extent that the child(ren)’s safety, well-being, and physical, mental, and emotional health will not be endangered upon the child(ren)’s return home, the court finds ........... (d) Regarding the present mental and physical health needs of the child(ren) and such future needs of the child(ren) to the extent that such future needs can be ascertained based on the present condition of the child(ren), the court finds ........... (e) Regarding the love, affection, and other emotional ties existing between the child(ren) and the child(ren)’s parent or parents, siblings, and other relatives, and the degree of harm to the child(ren) that would arise from the termination of parental rights and duties, the court finds ........... (f) Regarding the likelihood of an older child remaining in long- term foster care upon termination of parental rights, due to emotional or behavioral problems or any special needs of the child(ren), the court finds ........... (g) Regarding the child(ren)’s ability to form a significant relationship with a parental substitute and the likelihood that the child(ren) will enter into a more stable and permanent family relationship as a result of permanent termination of parental rights and duties, the court finds ........... (h) Regarding the length of time that the child(ren) has lived in a stable, satisfactory environment and the desirability of maintaining continuity, the court finds ........... (i) Regarding the depth of the relationship existing between the child(ren) and present custodian, the court finds ........... January 1, 2026 Florida Rules of Juvenile Procedure Page 442 of 469 (j) Regarding the reasonable preferences and wishes of the child(ren), if the court deems the child(ren) to be of sufficient intelligence, understanding, and experience to express a preference, the court finds ........... (k) Regarding the recommendations for the child(ren) provided by the child(ren)’s guardian ad litem or the legal representative, the court finds ........... (l) Regarding other relevant factors including .........., the court finds ........... COMMENT: Add items 7, 8, and 9 as applicable. 7. Under section 39.811(6)(..........), Florida Statutes, the court terminates the parental rights of only .....(parent whose rights are being terminated)..... as to the minor child(ren), .....(child(ren)’s name(s))...... Specifically, the court finds that .....(specific findings of fact under section 39.811(6), Florida Statutes)...... 8. Under sections 39.509(5) and 39.811(7)(a), Florida Statutes, the court finds that continued grandparental visitation is not in the best interests of the child(ren) or that such visitation would interfere with the permanency goals for the child(ren) for the following reasons ........... 9. Under section 39.811(7)(b), Florida Statutes, the court finds that although parental rights are being terminated, the best interests of .....(names of child(ren) to which this provision applies)..... support continued communication or contact by .....(names of parents, siblings, or relatives of the parent whose rights are terminated and to which this provision applies)..... except as provided above. The nature and frequency of the communication or contact shall be as follows ........... It may be reviewed on motion of any party or an identified prospective adoptive parent. THEREFORE, after weighing the credibility of the witnesses, weighing all statutory factors, and based on the findings of fact and conclusions of law above, the court hereby ORDERS AND ADJUDGES THAT: 1. The petition filed by .....(name)..... is granted as to the parent(s), .....(name(s))...... 2. The parental rights of the father, .....(name)....., and of the mother, .....(name)....., to the child, .....(name)....., are hereby terminated under section 39.806(..........), Florida Statutes. COMMENT: Repeat the above for each child and parent, as necessary. January 1, 2026 Florida Rules of Juvenile Procedure Page 443 of 469 3. Under sections 39.811(2) and (5), Florida Statutes, the child(ren), .....(name(s)) ....., are placed in the custody of .....(agency)..... for the purpose of subsequent adoption. 4. The 30-day permanency plan required by section 39.811(8), Florida Statutes, shall be filed and heard at .....(time)..... on .....(date)..... in .....(location)...... DONE AND ORDERED on .....(date)....., in .....(city and county)....., Florida. Circuit Judge NOTICE Under section 39.815, Florida Statutes, any child, any parent, guardian ad litem, or legal custodian of any child, any other party to the proceeding who is affected by an order of the court, or the department may appeal to the appropriate District Court of Appeal within the time and in the manner prescribed by the Florida Rules of Appellate Procedure, which is 30 days from the date this order is rendered (signed and filed). A parent may have the right to a court-appointed attorney as provided by law. Under Florida Rule of Juvenile Procedure 8.530, a parent, who had an attorney in the termination of parental rights proceeding, shall have 20 days after this order terminating parental rights is entered to file a motion in the trial court claiming ineffective assistance of counsel. A parent does not have the right to a court-appointed attorney to assist the parent with a motion claiming ineffective assistance of counsel, but the parent may independently obtain an attorney to represent the parent in the motion. The motion must contain the case name, case number, and identify the date the written order terminating parental rights was entered. The motion must also contain the current mailing address and e- mail address, if any, and the phone number(s) of the parent filing the motion for the purpose of receiving notices and orders. In the motion, the parent must identify specific acts or January 1, 2026 Florida Rules of Juvenile Procedure Page 444 of 469 omissions in the attorney’s representation of the parent during the termination proceedings that the parent claims constituted a failure to provide reasonable, professional assistance, and the parent must explain how the errors or omissions prejudiced the parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. Copies to: FORM 8.9831. MOTION CLAIMING INEFFECTIVE ASSISTANCE OF COUNSEL AFTER ORDER TERMINATING PARENTAL RIGHTS MOTION CLAIMING INEFFECTIVE ASSISTANCE OF COUNSEL AFTER ORDER TERMINATING PARENTAL RIGHTS Moving parent, .....(name)....., .....(address)....., .....(e-mail address)....., .....(phone number)....., requests this court to vacate the order terminating parental rights pursuant to Florida Rule of Juvenile Procedure 8.530. 1. I was the parent of .....(name(s) of child(ren))..... at the time the court entered an order terminating my parental rights on .....(date)..... in .....(case number and case name)...... 2. My attorney failed to provide me with reasonable, professional assistance by doing or not doing the following actions during the termination of parental rights proceedings: (use whatever space is necessary to explain your claims) Comment: The phrase “termination of parental rights proceedings” is not limited to the termination of parental rights trial. January 1, 2026 Florida Rules of Juvenile Procedure Page 445 of 469 3. My attorney’s actions or inactions prejudiced my case to such an extent that my parental rights would not have been terminated because: (use whatever space is necessary to explain your claims) WHEREFORE, I request that the court enter an order granting this motion, vacating the order terminating parental rights, and providing any other relief the court deems proper. I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this verified motion and that punishment for knowingly making a false statement includes fines and/or imprisonment. (Your signature) I certify that a copy of this document was .....(mailed, faxed and mailed, hand delivered, or e-mailed)..... to the person(s) listed below on .....(date)..... or was not delivered to the person(s) listed below because ........... List each party or the party’s attorney who you served: Name: .......... Address: .......... Telephone Number: .......... Fax Number: .......... E-mail Address: .......... January 1, 2026 Florida Rules of Juvenile Procedure Page 446 of 469 (Your signature) FORM 8.9832. ORDER ON MOTION CLAIMING INEFFECTIVE ASSISTANCE OF COUNSEL AFTER ORDER TERMINATING PARENTAL RIGHTS ORDER ON MOTION CLAIMING INEFFECTIVE ASSISTANCE OF COUNSEL AFTER ORDER TERMINATING PARENTAL RIGHTS THIS CAUSE came before this court on .....(date)..... on the Motion Claiming Ineffective Assistance of Counsel after Order Terminating Parental Rights filed by .....(name)...... Present before the court were: ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .....(Name)....., Moving Parent .....(Name)....., Attorney for Moving Parent .....(Name)....., Trial Attorney for Moving Parent .....(Name)....., Attorney for the department .....(Name)....., Department caseworker .....(Name)....., Child .....(Name)....., Attorney for Child .....(Name)....., Mother .....(Name)....., Attorney for mother .....(Name)....., Father of .....(child)..... .....(Name)....., Attorney for father .....(Name)....., Guardian ad litem .....(Name)....., Attorney for guardian ad litem .....(Name)....., Legal custodian .....(Name)....., Attorney for legal custodian .....(Name)....., Other .......... Comment: Complete the following section if the court denies the motion without a hearing. The court has carefully considered the motion and reviewed all necessary documents. The court finds that the motion should be denied without a hearing because: ..... The motion is untimely. January 1, 2026 Florida Rules of Juvenile Procedure Page 447 of 469 1. .....(date)...... The order terminating parental rights was entered on 2. The moving parent filed the motion claiming ineffective assistance of counsel on .....(date)...... 3. Therefore, the moving parent filed the motion past the 20-day time limitation. ..... The motion is insufficient as alleged. The court finds that the moving parent failed to allege specific facts that, if taken as true, would support a finding that the attorney during the termination of parental rights proceedings failed to provide reasonable, professional assistance, and that any errors or omissions prejudiced the parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. Specifically the court finds: .....(findings)...... Comment: Complete the following section if the court finds that the motion is insufficient and directs the moving parent to file an amended motion. The court has carefully considered the motion and reviewed all necessary documents. ..... The motion is insufficient as alleged. The court finds that the moving parent failed to allege specific facts that would support a finding that the attorney during the termination of parental rights proceedings failed to provide reasonable, professional assistance, and that any errors or omissions prejudiced the parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. Specifically the court finds: .....(findings)..... However, the court finds that the moving parent should be provided the opportunity to file an amended motion. Comment: Complete the following section if the court previously found that the motion was insufficient, directed the moving parent January 1, 2026 Florida Rules of Juvenile Procedure Page 448 of 469 to file an amended motion, and the parent failed to file an amended motion within the time permitted. The court previously carefully considered the motion and reviewed all necessary documents. ..... On .....(date)....., the court found the motion is insufficient as alleged. The court found that the moving parent failed to allege specific facts that would support a finding that the attorney during the termination of parental rights proceedings failed to provide reasonable, professional assistance, and that any errors or omissions prejudiced the parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. Specifically the court found: .....(findings)...... ..... On .....(date)....., the court entered a written order providing the parent an opportunity to file an amended motion. The parent did not file an amended motion within 10 days of the date of the written order permitting amendment. Comment: Complete the following section if the court hearing was conducted: The court has carefully considered the motion, reviewed all necessary documents, and having heard argument of counsel and testimony, the court finds: ..... The motion is granted because the attorney during the termination of parental rights proceedings failed to provide reasonable, professional assistance, and the errors or omissions prejudiced the parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. Specifically the court finds: .....(findings)...... ..... The motion is denied because the attorney during the termination of parental rights proceedings did not fail to provide reasonable, professional assistance, or any errors or omissions that were made did not prejudice the moving January 1, 2026 Florida Rules of Juvenile Procedure Page 449 of 469 parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. Specifically, the court finds: .....(findings)...... THEREFORE, the court hereby ORDERS AND ADJUDGES THAT: ..... The motion claiming ineffective assistance of counsel is denied with prejudice. ..... The motion claiming ineffective assistance of counsel is insufficient as alleged. The moving parent may file an amended motion. Any amended motion shall be filed within 10 days of the date of this order or the court may summarily deny the motion. ..... The motion claiming ineffective assistance of counsel is granted. The order terminating parental rights entered on .....(date)..... is hereby vacated and set aside as to .....(name of moving parent)...... An adjudicatory hearing is hereby scheduled for .....(date (no later than 45 days from this order))....., and, as the court finds the parent is indigent, .....(name of counsel)..... is hereby appointed to represent .....(name of moving parent)..... in the termination of parental rights proceedings. DONE AND ORDERED on .....(date)....., in .....(city and county)....., Florida. Copies to: Circuit Judge FORM 8.984. ORDER TERMINATING PARENTAL RIGHTS (VOLUNTARY) ORDER TERMINATING PARENTAL RIGHTS (VOLUNTARY) January 1, 2026 Florida Rules of Juvenile Procedure Page 450 of 469 THIS CAUSE came before this court on .....(all dates of the adjudicatory hearing)..... for an adjudicatory hearing on the petition for termination of parental rights filed by .....(name)...... Present before the court were: ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .....(Name)....., Petitioner .....(Name)....., Attorney for the petitioner .....(Name)....., Attorney for the department .....(Name)....., Department/agency caseworker .....(Name)....., Child .....(Name)....., Attorney/Attorney ad litem for Child .....(Name)....., Mother .....(Name)....., Attorney for mother .....(Name)....., Father of .....(child)..... .....(Name)....., Attorney for father .....(Name)....., Guardian ad litem .....(Name)....., Attorney for guardian ad litem .....(Name)....., Legal custodian .....(Name)....., Attorney for legal custodian .....(Name)....., Other: .......... COMMENT: The name of the guardian ad litem and the attorney ad litem, if appointed, must be listed on the order, even if he or she was not present at the hearing. ..... The mother, .....(name)....., executed a voluntary surrender of her parental rights for the minor child(ren), .....(name(s))....., which is accepted by the court without objection. COMMENT: Repeat the following as necessary. ..... The father, .....(name)....., executed a voluntary surrender of his parental rights for the minor child(ren), .....(name(s))....., which is accepted by the court without objection. The court has carefully considered the testimony of witnesses, reviewed the exhibits, reviewed the file, heard argument of counsel, and considered recommendations and arguments of all parties. The court finds by clear and convincing evidence that the parents, .....(names)....., have surrendered their parental rights to the minor January 1, 2026 Florida Rules of Juvenile Procedure Page 451 of 469 child(ren) under section 39.806(1)(a), Florida Statutes, and that termination of parental rights is in the manifest best interests of the child(ren). The specific facts and findings supporting this decision are as follows: 1. That the mother, .....(name)....., ..... was ..... was not personally served with the summons and the petition. COMMENT: Service is not required if surrender was signed before filing of petition. 2. That the father, .....(name)....., ..... was ..... was not personally served with the summons and the petition. COMMENT: Service is not required if surrender was signed before filing of petition. 3. That the parents were advised of their right to counsel in all prior dependency court proceedings which they attended. The mother has been represented by legal counsel, .....(name)....., starting on or about .....(date)..... The father has been represented by legal counsel, .....(name)....., starting on or about .....(date)...... 4. The mother, .....(name)....., freely, knowingly, voluntarily, and ..... with ..... without advice of legal counsel executed an affidavit and acknowledgment of surrender, consent, and waiver of notice on .....(date)....., for termination of her parental rights to the minor child(ren), under section 39.806(1)(a), Florida Statutes. 5. The father, .....(name)....., freely, knowingly, voluntarily, and .....with ..... without advice of legal counsel executed an affidavit and acknowledgment of surrender, consent, and waiver of notice on .....(date)....., for termination of his parental rights to the minor child(ren), under section 39.806(1)(a), Florida Statutes. 6. That at all times relevant to this action the interests of this/these child(ren) has/have been represented by a guardian ad litem. The guardian ad litem, .....(name)....., ..... agrees ..... does not agree that it is in the best interests of the child(ren) for parental rights to be terminated in this cause. January 1, 2026 Florida Rules of Juvenile Procedure Page 452 of 469 COMMENT: Guardian ad litem not required in voluntary surrender. 7. Under the provisions of sections 39.810(1)–(11), Florida Statutes, it is in the manifest best interests of the child(ren) for parental rights to be terminated for the following reasons: (a) Regarding any suitable permanency custody arrangement with a relative of the child(ren), the court finds ........... (b) Regarding the ability and disposition of the parent or parents to provide the child(ren) with food, clothing, medical care or other remedial care recognized and permitted under state law instead of medical care, and other materials needs of the child(ren), the court finds ........... (c) Regarding the capacity of the parent or parents to care for the child(ren) to the extent that the child(ren)’s safety, well- being, and physical, mental, and emotional health will not be endangered upon the child(ren)’s return home, the court finds ........... (d) Regarding the present mental and physical health needs of the child(ren) and such future needs of the child(ren) to the extent that such future needs can be ascertained based on the present condition of the child(ren), the court finds ........... (e) Regarding the love, affection, and other emotional ties existing between the child(ren) and the child(ren)’s parent or parents, siblings, and other relatives, and the degree of harm to the child(ren) that would arise from the termination of parental rights and duties, the court finds ........... (f) Regarding the likelihood of an older child remaining in long-term foster care upon termination of parental rights, due to emotional or behavioral problems or any special needs of the child(ren), the court finds ........... (g) Regarding the child(ren)’s ability to form a significant relationship with a parental substitute and the likelihood that the child(ren) will enter into a more stable and permanent January 1, 2026 Florida Rules of Juvenile Procedure Page 453 of 469 family relationship as a result of permanent termination of parental rights and duties, the court finds ........... (h) Regarding the length of time that the child(ren) has lived in a stable, satisfactory environment and the desirability of maintaining continuity, the court finds ........... (i) Regarding the depth of the relationship existing between the child(ren) and present custodian, the court finds ........... (j) Regarding the reasonable preferences and wishes of the child(ren), if the court deems the child(ren) to be of sufficient intelligence, understanding, and experience to express a preference, the court finds ........... (k) Regarding the recommendations for the child(ren) provided by the child(ren)’s guardian ad litem or the legal representative, the court finds ........... (l) Regarding other relevant factors including .........., the court finds ........... THEREFORE, it is ORDERED AND ADJUDGED that: 1. GRANTED. The petition for termination of parental rights is 2. The parental rights of the father, .....(name)....., and of the mother, .....(name)....., to the child(ren), .....(name(s))....., are hereby terminated under section 39.806(..........), Florida Statutes. COMMENT: Repeat the above for each child and parent on petition. 3. The child(ren), .....(name(s))....., is/are hereby placed in the permanent care and custody of .....(agency name)..... for subsequent adoption. January 1, 2026 Florida Rules of Juvenile Procedure Page 454 of 469 4. A hearing for the department to provide a plan for permanency for the child(ren) shall be held on .....(date)....., within 30 days of rendering of order, at .....(time)...... DONE AND ORDERED on .....(date)....., in .......... County, Florida. Copies to: Circuit Judge NOTICE Under section 39.815, Florida Statutes, any child, any parent, guardian ad litem, or legal custodian of any child, any other party to the proceeding who is affected by an order of the court, or the department may appeal to the appropriate District Court of Appeal within the time and in the manner prescribed by the Florida Rules of Appellate Procedure, which is 30 days from the date this order is rendered (signed and filed). A parent may have the right to a court-appointed attorney as provided by law. Under Florida Rule of Juvenile Procedure 8.530, a parent, who had an attorney in the termination of parental rights proceeding, shall have 20 days after this order terminating parental rights is entered to file a motion in the trial court claiming ineffective assistance of counsel. A parent does not have the right to a court-appointed attorney to assist the parent with a motion claiming ineffective assistance of counsel, but the parent may independently obtain an attorney to represent the parent in the motion. The motion must contain the case name, case number, and identify the date the written order terminating parental rights was entered. The motion must also contain the current mailing address and e- mail address, if any, and the phone number(s) of the parent filing the motion for the purpose of receiving notices and orders. In the motion, the parent must identify specific acts or omissions in the attorney’s representation of the parent during January 1, 2026 Florida Rules of Juvenile Procedure Page 455 of 469 the termination proceedings that the parent claims constituted a failure to provide reasonable, professional assistance, and the parent must explain how the errors or omissions prejudiced the parent’s case to such an extent that but for counsel’s deficient performance the rights of the parent would not have been terminated. FORM 8.985. MOTION TO TERMINATE SUPERVISION AND JURISDICTION MOTION TO TERMINATE SUPERVISION AND JURISDICTION The Department of Children and Family Services, by and through its undersigned counsel, moves this court for an order terminating the department’s supervision and the court’s jurisdiction and closing the file in the above-styled cause, and as grounds states: 1. The parental rights previously were terminated and the child(ren) was/were permanently committed to the care and custody of the department for adoption by order of this court. 2. The adoption was finalized on .....(date)...... WHEREFORE, the Department of Children and Family Services requests that this court terminate jurisdiction and the department’s supervision and that the file be closed. .....(attorney’s name)..... .....(address and telephone number)..... .....(Florida Bar number)..... Certificate of Service FORM 8.986. ORDER TERMINATING SUPERVISION AND JURISDICTION ORDER TERMINATING SUPERVISION AND JURISDICTION January 1, 2026 Florida Rules of Juvenile Procedure Page 456 of 469 THIS CAUSE having come before the court on motion to terminate supervision and jurisdiction filed by the Department of Children and Family Services, and the court being otherwise advised in the premises, find the following: 1. The parental rights previously were terminated and the child(ren) was/were permanently committed to the care and custody of the department for subsequent adoption by order of this court. 2. The adoption was finalized on .....(date)...... THEREFORE, based on these findings of fact, it is ORDERED AND ADJUDGED: That the supervision of the Department of Children and Family Services and this court’s jurisdiction are terminated. DONE AND ORDERED on .....(date)...... Circuit Judge Copies furnished to: E. JUDICIAL WAIVER OF PARENTAL NOTICE OF TERMINATION OF PREGNANCY FORMS FORM 8.987. PETITION FOR JUDICIAL WAIVER OF PARENTAL NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF PREGNANCY IN THE CIRCUIT COURT OF THE ………. JUDICIAL CIRCUIT IN AND FOR …………… COUNTY, FLORIDA In the Interest of …………… (pseudonym or initials of minor) Case No.: ………. Division: ………. PETITION FOR JUDICIAL WAIVER OF PARENTAL NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF PREGNANCY January 1, 2026 Florida Rules of Juvenile Procedure Page 457 of 469 I certify that the following information is true and correct: (1) The pseudonym or initials of the minor (is/are) .................................., and the minor has filed a Sworn Statement of True Name and Pseudonym with the clerk. (2) The minor is ..... years old. (3) The minor is pregnant and parental notice or consent has not been waived. (4) The minor requests that the court enter an order authorizing her to terminate her pregnancy without [check which applies] ………. notice to and consent from her parents or legal guardian ………. consent only from her parents or legal guardian for one or more of the following reasons: [check all that apply] ..... a. The minor is sufficiently mature to decide whether to terminate her pregnancy, for the following reason(s): …………………………………………………................ ........................................................................................................ .................................................... ..... b. The minor is a victim of child abuse or sexual abuse inflicted by one or both of her parents or a legal guardian. ..... c. Notice and consent or consent only from a parent or legal guardian is not in the best interests of the minor, for the following reason(s): …………………………………………………............................................. ........................................................................................................ ....................................................................................... January 1, 2026 Florida Rules of Juvenile Procedure Page 458 of 469 (5) The minor requests the appointment of an attorney to represent her in this matter; and the attorney is appointed at no costs to the minor at least 24 hours prior to hearing. [check one] ..... Yes, I want an attorney to represent me during the judicial waiver proceedings at no cost to me. ..... No, I do not wish to be represented by an attorney. (6) The minor elects the following method or methods for receiving notices of hearings or other court actions in this case (you may choose more than one option): [check all that apply] ..... Through a third party whose name is .................... and whose address and phone number for purposes of notice are ...................., ..................... ..... The minor will contact the office of the clerk of court at the following phone number ....................................... I understand that by signing this form I am swearing to or affirming the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines, imprisonment, or both. Signature: Date: .......... (You may sign a name other than your true name, such as Jane Doe or other pseudonym under which your petition is being filed.) FORM 8.988. SWORN STATEMENT OF TRUE NAME AND PSEUDONYM SWORN STATEMENT OF TRUE NAME AND PSEUDONYM January 1, 2026 Florida Rules of Juvenile Procedure Page 459 of 469 NOTICE TO THE CLERK OF COURT: A CERTIFIED COPY OF THIS DECLARATION WITH THE CASE NUMBER NOTED ON IT SHALL BE GIVEN TO THE MINOR AFTER SHE SIGNS IT. THE ORIGINAL SHALL IMMEDIATELY BE PLACED IN A SEALED ENVELOPE WHICH SHALL BE FILED UNDER SEAL AND KEPT UNDER SEAL AT ALL TIMES. (1) My true name is , and my address is . (print your name) (print your address) (2) My date of birth is . I have filed a Petition for Judicial Waiver of Parental Notice (3) and Consent or Consent Only to Termination of Pregnancy under the name or initials on . (date) I understand that by signing this form I am swearing to or affirming the truthfulness of the information herein and that the punishment for knowingly making a false statement includes fines, imprisonment or both. Dated: Signature: (You must sign your true name.) January 1, 2026 Florida Rules of Juvenile Procedure Page 460 of 469 FORM 8.989. ADVISORY NOTICE TO MINOR ADVISORY NOTICE TO MINOR [Case No.: ....................] YOU ARE NOTIFIED as follows: YOUR CASE NUMBER APPEARS AT THE TOP OF THIS FORM. KEEP IT IN A SAFE PLACE. YOU CAN NOT GET INFORMATION FROM THE CLERK WITHOUT YOUR CASE NUMBER. YOU HAVE BEEN GIVEN A COPY OF THE SWORN STATEMENT YOU SIGNED WITH YOUR TRUE NAME. KEEP IT IN A SAFE PLACE. YOU MAY NEED TO SHOW IT AND THE FINAL JUDGMENT IN YOUR CASE TO YOUR DOCTOR BEFORE TERMINATING YOUR PREGNANCY. All information in your case is confidential. No papers will be sent to your home, and you will be contacted by this court only through the method you elected in the petition. Your name will not be on your court papers. If you would like an attorney to help you with your case, the court will appoint one for you at no cost to you. Your attorney will receive notices about your case so he or she can prepare for and attend hearings with you. You may also name someone else you trust to receive notices for you. You can also contact the clerk of court yourself to check on your case. You have a right to a hearing and a decision on your case within 48 hours of filing your petition unless you or your attorney waives this right or asks for an extension of time. If this time limit is not met you have the right to ask the clerk for a form that will allow your doctor to perform a termination of pregnancy without notifying a parent. If the court dismisses your petition, you have the right to appeal. You will be given information regarding how to proceed with an appeal, and if you would like an attorney to help you with an appeal, you may request that the court appoint one. January 1, 2026 Florida Rules of Juvenile Procedure Page 461 of 469 I certify that I have given a copy of this advisory form to the minor. Dated:………. Clerk of Court ……….County Courthouse ……….,Florida January 1, 2026 Florida Rules of Juvenile Procedure Page 462 of 469 FORM 8.990. FINAL ORDER GRANTING PETITION FOR JUDICIAL WAIVER OF PARENTAL NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF PREGNANCY FINAL ORDER GRANTING PETITION FOR JUDICIAL WAIVER OF PARENTAL NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF PREGNANCY THIS CAUSE having come before the court on a petition for judicial waiver of parental notice and consent or consent only to termination of pregnancy and the court being otherwise advised in the premises, finds the following: ..... The minor has proven by clear and convincing evidence that she is sufficiently mature to decide whether to terminate her pregnancy, for the following reason(s): ………………………… ……………………………..……………………………………………………… ……………………………………………………………………………………… ……………………………… The court has considered the following factors in reaching this decision that the minor is sufficiently mature to decide whether to terminate her pregnancy and makes the following findings: The minor’s age is ………. The minor’s overall intelligence indicates ……………………………………………………………………. The minor’s emotional development and stability indicates …………………………………………………. The minor’s credibility and demeanor as a witness indicates ………………………………………………… The minor’s ability to accept responsibility is demonstrated by …………………………………………….. January 1, 2026 Florida Rules of Juvenile Procedure Page 463 of 469 The minor’s ability to assess both the immediate and long- range consequences of the minor’s choices is demonstrated by ……………………………………………………………………………………… The minor’s ability to understand and explain the medical risks of terminating her pregnancy and to apply that understanding to her decision is indicated by ………………………………………………………………….…………………… ……………………………………………………………………………………… Whether there may be any undue influence by another on the minor’s decision to have an abortion. ……………………………………………………………………………………… ……………………………………………………………………………………… ..... The minor has proven by a preponderance of the evidence that she is a victim of child abuse or sexual abuse inflicted by one or both of her parents or a guardian, for the following reason(s): ……………………………….……………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… The court, having made a finding under this section, will report the abuse as is required by section 39.201, Florida Statutes. ..... The minor has proven by clear and convincing evidence that ………. notice and consent or ………. consent only from a parent or legal guardian is not in the best interests of the minor, for the following reason(s): …………………………………………………….………………………………… ……………………………………………………………………………………… ……………………………………………………………………………………… …………………………………………… THEREFORE, it is ORDERED AND ADJUDGED that: January 1, 2026 Florida Rules of Juvenile Procedure Page 464 of 469 1. The petition for judicial waiver of parental ………. Notice and consent or………. Consent only to termination of pregnancy is GRANTED. 2. ……The minor may consent to the performance or inducement of a termination of pregnancy without notice to a parent or legal guardian. ……The minor may consent to the performance or inducement of a termination of pregnancy but notice to a parent or legal guardian must be provided. 3. The clerk shall keep and maintain a confidential record of these proceedings as provided by law, and shall seal the record. DONE AND ORDERED in the .......... court in and for ………… County, Florida, on .....(date)...... Judge FORM 8.991. FINAL ORDER DISMISSING PETITION FOR JUDICIAL WAIVER OF PARENTAL NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF PREGNANCY IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA In the interest of Case no. (pseudonym or initials of minor) Division: FINAL ORDER DISMISSING PETITION FOR JUDICIAL WAIVER OF PARENTAL NOTICE AND CONSENT OR CONSENT ONLY TO TERMINATION OF PREGNANCY January 1, 2026 Florida Rules of Juvenile Procedure Page 465 of 469 THIS CAUSE having come before the court on a petition for judicial waiver of parental notice and consent or consent only to termination of pregnancy and the court being otherwise advised in the premises, finds the following: ….. It was not proven by clear and convincing evidence that the minor is sufficiently mature to decide whether to terminate the pregnancy; specifically, the court has considered the following factors in reaching this decision and makes the following findings: The minor’s age is: ………. The minor’s overall intelligence indicates: …………………………………………….………………………………… …………. …………………………………………….………………………………… ………….. The minor’s emotional development and stability indicate: …………………………………………….………………………………… ………….. …………………………………………….………………………………… ………….. The minor’s credibility and demeanor as a witness indicates: …………………………………………….………………………………… ………….. …………………………………………….………………………………… …………. The minor’s ability to accept responsibility is demonstrated by: …………………………………………….………………………………… ………….. …………………………………………….………………………………… ………….. January 1, 2026 Florida Rules of Juvenile Procedure Page 466 of 469 The minor’s ability to assess both the immediate and long- range consequences of the minor’s choices is demonstrated by: …………………………………………….………………………………… ………… …………………………………………….………………………………… ………… The minor’s ability to understand and explain the medical risks of terminating her pregnancy and to apply that understanding to her decision is indicated by: ………………………………………………………………….…………… ……………………………………………………………………………… …………………………… The minor’s decision to have an abortion may have been made under any undue influence by another is indicated by: …………………………………………….………………………………… …………… …………………………………………….………………………………… …………..... ….. It was not proven by the preponderance of the evidence that the petitioner is the victim of child abuse inflicted by one or both of her parents or her legal guardian; ….. It was not proven by clear and convincing evidence that ………. notification of and consent from OR ………. consent only from the parent or legal guardian is not in the best interests of the petitioner; ….. Other: THEREFORE, it is ORDERED AND ADJUDGED that: 1. The petition for judicial waiver of parental notice and consent or consent only to termination of pregnancy is DISMISSED. January 1, 2026 Florida Rules of Juvenile Procedure Page 467 of 469 2. The court shall provide a written transcript of all testimony and proceedings as provided by law. 3. The clerk shall keep and maintain a confidential record of these proceedings as provided by law, and shall seal the record. 4. THE MINOR HAS A RIGHT TO APPEAL THIS DECISION. The clerk shall immediately provide Form 9.900(f) Notice of Appeal of an Order Dismissing a Petition for Judicial Waiver of Parental Notice and Consent or Consent Only to Termination of Pregnancy and Advisory Notice to Minor to the minor or petitioner if other than the minor. DONE AND ORDERED in the ........ court in and for ............ County, Florida, on .....(date)...... _________________________ _____ Judge FORM 8.992. MINOR’S PETITION TO CHIEF JUDGE TO REQUIRE A HEARING ON HER PETITION FOR JUDICIAL WAIVER OF NOTICE AND CONSENT OR CONSENT ONLY MINOR’S PETITION TO CHIEF JUDGE TO REQUIRE A HEARING ON HER PETITION FOR JUDICIAL WAIVER OF NOTICE AND CONSENT OR CONSENT ONLY I, …..(name)….., hereby petition the chief judge of this judicial circuit for an order directing the judge to whom this case is assigned to hold a hearing within 48 hours after receipt of this petition by the chief judge, and requiring the court to enter an order on my petition for judicial waiver of notice and consent or consent only within 24 hours after the hearing. January 1, 2026 Florida Rules of Juvenile Procedure Page 468 of 469 In support of this petition, I say: My petition for judicial waiver of notice and consent or consent only was filed with the Clerk on …..(date)…… The third business day from the date of filing my petition was …..(date)…… I have not requested an extension of time for the hearing required to be conducted. No hearing has been conducted by the court within the time required by statute. WHEREFORE, I ask the chief judge to enter an order requiring the hearing on the petition for judicial waiver to be conducted within the next 48 hours, and requiring the court to enter its order within 24 hours after that hearing. Signature: _____________________ Date: _________________________ Time: ________________________ [to be stamped by Clerk] January 1, 2026 Florida Rules of Juvenile Procedure Page 469 of 469