Florida > Statewide > Juvenile
Petition For Dependency 8.964 - Florida
| Petition For Dependency Form. This is a Florida form and can be used in Juvenile Statewide . |
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IN THE CIRCUIT COURT OF THE ____________________ JUDICIAL CIRCUIT IN AND FOR ________________ COUNTY, FLORIDA JUVENILE DIVISION In the Interest of a child children ) ) ) ) ) Case No. PETITION FOR DEPENDENCY COMES NOW, Petitioner, , 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 . 2. The natural mother of the minor child(ren) is whose address is , a resident of (state) , . 3. The father of the minor child(ren) (name(s)) is , whose address is is is not married to the mother, and is is not listed on . The father the child(ren)'s birth certificate(s). The mother filed a Sworn Statement About Identity or Location of Father with this court on , which named as the father. 4. The UCCJEA Affidavit incorporated by reference. is attached was filed with the Court on and is The child(ren) is/are dependent within the meaning and intent of chapter 39, Florida Statutes, in that the 5. mother/father/parents/legal custodian/caregiver(s) abused, abandoned, or neglected the minor child(ren) on or about , 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: Petition for Dependency {8.964} Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com 8. A shelter hearing was held on , and the child(ren) was/were placed in the custody of 9. An arraignment hearing needs to be scheduled. is scheduled for 10. A guardian ad litem needs to be appointed. was appointed at the shelter hearing to represent the child(ren). 11. 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, The natural father, , whose address is , whose address is , 20 , at .m. (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 attorney's name address telephone number Florida Bar No. VERIFICATION STATE OF FLORIDA COUNTY OF Before me, the undersigned authority, personally appeared , who, being sworn, is filed in good faith and on information, knowledge, and belief is true. Sworn to and subscribed before me on Title Petition for Dependency {8.964} Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com says , 20 . CERTIFICATE OF SERVICE I certify that a copy of by U.S. mail hand delivery fax on has been furnished to: , 20 . (Title) NOTICE OF RIGHTS PLEASE READ THIS PETITION BEFORE ENTERING THE COURTROOM. YOU HAVE A RIGHT TO HAVE COUNSEL PRESENT AT THIS HEARING. BY COPY OF THIS PETITION, THE PARENTS, CAREGIVERS, AND/OR LEGAL CUSTODIANS ARE NOTIFIED OF THEIR RIGHT TO HAVE LEGAL COUNSEL PRESENT FOR ANY PROCEEDING RESULTING FROM THIS PETITION OR TO REQUEST THE COURT TO HAVE COUNSEL APPOINTED, IF INDIGENT. Further, these persons are informed of the following: An arraignment is set on this matter for , 20 , at .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. In accordance with the Americans With Disabilities Act persons needing a special accommodation to participate in this proceeding should contact the office of the Court Administrator as soon as possible, but no later than 7 days before the proceeding, at (phone number) . Petition for Dependency {8.964} Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com
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