FLORIDA DEPARTMENT OF JUVENILE JUSTICE
AFFIDAVIT OF DILIGENT EFFORT
Youth Name_______________________________________________
DJJ ID#:_____________________
_________________________, AN AUTHORIZED REPRESENTATIVE OF THE FLORIDA
DEPARTMENT OF JUVENILE JUSTICE, certifies that the following information is true:
That I have made a diligent search and inquiry for the parent(s)/guardian(s) of
_________________________________________.
Affiant further states that the whereabouts’ of the parent(s)/ guardian(s) of said youth are
unknown as a result of this search. Refer to the checklist below and identify all actions
taken to locate parent(s)/ guardian(s):
Telephone listings in the last known locations of youth’s residence
Telephone listings in the last known locations of parent(s)/ guardian(s) place of
employment
Personal visit to youth’s and families last known place of residence
Personal visit to locations of parent(s)/ guardian(s) place of employment
Telephone listings and/ or personal visit to place of residence of known relatives
Telephone listings and/ or personal visit to place of residence of known family
friends
Law enforcement arrest and/ or criminal records check in the last known
residential area of the youth’s parent(s)/ guardian(s)
Utility companies, which include water, sewer, cable TV, and electric, in the last
known area of the youth’s parent(s)/ guardian(s)
Public assistance, which includes Medicaid, food stamps and temporary cash
assistance, in the last known area of youth’s parent(s)/ guardian(s)
I,__________________________, understand that I am swearing or affirming under oath to
the truthfulness of the claims made in this affidavit and are filed in good faith and is true
and correct to the best of my knowledge.
Dated:
___________
Signature of Affiant
Printed Name:
___________
Sworn to and subscribed before me
This
day of
, 20
.
Signature Notary Public, State of Florida
63M-2
HS 056
01/12
Page 1 of 1
FLORIDA DEPARTMENT OF JUVENILE JUSTICE
AFFIDAVIT OF DILIGENT EFFORT
Youth Name_______________________________________________
DJJ ID#:_____________________
_________________________, AN AUTHORIZED REPRESENTATIVE OF THE FLORIDA
DEPARTMENT OF JUVENILE JUSTICE, certifies that the following information is true:
That I have made a diligent search and inquiry for the parent(s)/guardian(s) of
_________________________________________.
Affiant further states that the whereabouts’ of the parent(s)/ guardian(s) of said youth are
unknown as a result of this search. Refer to the checklist below and identify all actions
taken to locate parent(s)/ guardian(s):
Telephone listings in the last known locations of youth’s residence
Telephone listings in the last known locations of parent(s)/ guardian(s) place of
employment
Personal visit to youth’s and families last known place of residence
Personal visit to locations of parent(s)/ guardian(s) place of employment
Telephone listings and/ or personal visit to place of residence of known relatives
Telephone listings and/ or personal visit to place of residence of known family
friends
Law enforcement arrest and/ or criminal records check in the last known
residential area of the youth’s parent(s)/ guardian(s)
Utility companies, which include water, sewer, cable TV, and electric, in the last
known area of the youth’s parent(s)/ guardian(s)
Public assistance, which includes Medicaid, food stamps and temporary cash
assistance, in the last known area of youth’s parent(s)/ guardian(s)
I,__________________________, understand that I am swearing or affirming under oath to
the truthfulness of the claims made in this affidavit and are filed in good faith and is true
and correct to the best of my knowledge.
Dated:
___________
Signature of Affiant
Printed Name:
___________
Sworn to and subscribed before me
This
day of
, 20
.
Signature Notary Public, State of Florida
63M-2
HS 056
01/12
Page 1 of 1
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