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Petition For Temporary-Emergency Custody Of Minor Children By Extended Family Law 1037 - Florida

Petition For Temporary-Emergency Custody Of Minor Children By Extended Family Form. This is a Florida form and can be used in Family Law Brevard Local County .
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IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT FOR BREVARD COUNTY, FLORIDA. CASE NO.: :IN THE INTEREST OF: / Minor Child(ren) (___)PETITION FOR TEMPORARY CUSTODY OF MINOR CHILD(REN) BY EXTENDED FAMILY (___)PETITION FOR EMERGENCY TEMPORARY CUSTODY OF MINOR CHILD(REN) BY EXTENDED FAMILY 1. This Petition is being filed by _______________________________________________ (indicate your name and relationship to child{ren}), pursuant to Chapter 751, Florida Statutes. 2. The name(s), birth date(s) and current address(es) of the minor child(ren) is/are: NAME BIRTH DATE ADDRESS ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ 3. The name(s) and current address(es) of the parent(s) of the minor child(ren) is/are: NAME ADDRESS ________________________________________________________________________ _____ ________________________________________________________________________ ______ 4. The name(s) and current address(es) of the person(s) the child(ren) has/have lived with during the past five (5) years is/are: NAME CURRENT ADDRESS ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ Law 1037 - New 12/2004 1 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 25. Petitioner(s) live(s) at the following address: ________________________________________________________________________ ______ Street Address City State Zip Petitioner(s) receive(s) mail at the following address: ________________________________________________________________________ ______ Street Address City State Zip 6. List places where the child(ren) has/have lived duringpast the five (5) years: Dates Living at this Address Child(ren)s Address From ________To _____________________________________________________ From ________To _____________________________________________________ From ________To _____________________________________________________ From ________To _____________________________________________________ From ________To _____________________________________________________ 7. I (___) have not (___)ha pave rticipated as a party, witness or in some capacity in any litigation or custody proceeding, in this or some other state, concerning custody of a child involved in these proceedings as follows: Name of each child: _____________________________________________________________ Type of proceeding: _____________________________________________________________ Court and State: _______________________________________________________ _________ Date of Court Order: ___________________________________________ _________________ 8. I (___)have no information (___)have the following information concerning a custody proceeding pending in a court of this or another state concerning a child involved in this proceeding as set out below: Name of each child: _____________________________________________________________ Type of proceeding: _____________________________________________________________ Court and State: _______________________________________________________ _________ Date of Court Order:_____________________________________________________________ Case Number: ___________________________________________________________ _______ 9. I (___)do not know of any person (___)know that the following named person(s) not a party to this proceeding has physical custody or claims to have custody or visitation rights with respect to any child involved in this proceeding: Law 1037 - New 12/2004 2 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3Name of each child _____________________________________________________________ Name of person claiming custody/visitation rights:__________________________________________________________ Address of person claiming custody/visitation rights: _________________________________________________________ Street Address City StateZip(___)Has physical custody (___)Claims custody rights (___)Claims visitation rights10. Petitioner(s)s relationship to the child(ren) is/are: PETITIONERS NAME: RELATIONSHIP TO CHILD(REN): ________________________________________________________________________ ______ ________________________________________________________________________ ______ If Petitioner is the putative father, indicate the circumstances leading Petitioner to believe he is the natural father of the child(ren). Putative fearth is defined as a man who reasonably believes himself to be the biological father of the minor child(ren), but who is unable to prove paternity due to the absence of the mother of the child(ren). ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ 11. The circumstances of the child(ren)s cunt livingrre situation with Petitioner(s) and/or the reason(s)or this request for temporary custody is/are: ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ ______________________________________________________________________
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