Parenting Coordinator Request For Status Conference {12.984(d)}

INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.984(d) PARENTING COORDINATOR REQUEST FOR STATUS CONFERENCE (07/14) When should this form be used? A person appointed as a parenting coordinator may request a status conference with the judge and parties under Florida Family Law Rule of Procedure 12.742(l). This form is used when the parenting coordinator is unable to adequately perform the duties in accordance with the court's direction. This form should be typed or printed in black ink. What should I do next? After completing and signing this form, you must file the original with the clerk of the circuit court in the county in which the action is pending, provide a copy to the presiding judge, and keep a copy for your records. You must mail or hand-deliver a copy of this form to the attorney(s) for the parents or, if not represented by an attorney, to the parents. Where can I look for more information? Before proceeding, you should read "General Information for Self-Represented Litigants" found at the beginning of these forms. For more information, see section 61.125, Florida Statutes; Florida Family Law Rules of Procedure 12.742; Rules for Qualified and Court Appointed Parenting Coordinators; and the Order of Referral to Parenting Coordinator, Florida Family Law Rules of Procedure Form 12.984(a). Special notes Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these forms, that person must give you a copy of Disclosure from Nonlawyer, Florida Family Law Rules of Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete. Instructions for Florida Family Law Rules of Procedure Form 12.984(d) Parenting Coordinator Request for Status Conference (07/14) American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT, IN AND FOR ______________________________ COUNTY, FLORIDA Case No: ________________________ Division: ________________________ _________________________________, Petitioner, and _________________________________, Respondent. PARENTING COORDINATOR REQUEST FOR STATUS CONFERENCE The undersigned Parenting Coordinator requests a status conference in this case: (choose all that apply) 1. _____ To request direction from the court concerning _____________________________________ ____________________________________________________________________________. 2. _____ To request resolution by the court regarding _______________________________________ ___________________________________________________________________________. 3. _____ To report ____ petitioner's____ respondent's noncompliance with the Order of Referral to Parenting Coordinator, orders for psychological evaluation, counseling ordered by the court or recommended by a health care provider, or for substance abuse testing or treatment. 4. _____ To report that the case is no longer appropriate for parenting coordination. 5. _____ To report that the undersigned parenting coordinator is not qualified to address or resolve certain issues in this case and a more qualified successor parenting coordinator should be appointed. 6. _____ The undersigned parenting coordinator is unable or unwilling to continue to serve and a successor parenting coordinator should be appointed. Florida Family Law Rules of Procedure Form 12.984(d) Parenting Coordinator Request for Status Conference (07/14) American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE, the undersigned Parenting Coordinator requests that a Status Conference be set by the Court. _____________________ Date _________________________________________________ Signature of Parenting Coordinator Printed Name: ____________________________________ Address: _________________________________________ City, State, Zip: ____________________________________ Telephone Number: _______________________________ E-mail: __________________________________________ Professional License # (if applicable) ___________________ Professional Certification # (if applicable) _______________ Copies to: _____ Presiding Judge _____ Petitioner _____ Attorney for Petitioner _____ Respondent _____ Attorney for Respondent _____ Other: ____________________________________________________ IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fill in all blanks] This form was completed with the assistance of: {name of individual} __________________________________________________________________, {name of business} ____________________________________________________________________, {address} ____________________________________________________________________________, {city} __________________________,{state} ______________,{telephone number} ________________. Florida Family Law Rules of Procedure Form 12.984(d) Parenting Coordinator Request for Status Conference (07/14) American LegalNet, Inc. www.FormsWorkFlow.com