Form 12.970(F) "Order Granting Petition for Concurrent Custody by Extended Family" - Florida

What Is Form 12.970(F)?

This is a legal form that was released by the Florida Circuit Court - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2021;
  • The latest edition provided by the Florida Circuit Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 12.970(F) by clicking the link below or browse more documents and templates provided by the Florida Circuit Court.

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Download Form 12.970(F) "Order Granting Petition for Concurrent Custody by Extended Family" - Florida

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IN THE CIRCUIT COURT OF THE _________________________ JUDICIAL CIRCUIT,
IN AND FOR __________________________ COUNTY, FLORIDA
Case No: ______________________
Division: ______________________
IN THE INTEREST OF
__________________________________
Children
__________________________________,
Petitioner,
and
__________________________________,
Respondent/__________________,
__________________________________,
Respondent/____________________.
ORDER GRANTING PETITION FOR
CONCURRENT CUSTODY BY EXTENDED FAMILY
This case came before this Court for a hearing on a Petition for Concurrent Custody by Extended Family.
The Court, having reviewed the file and heard the testimony, makes these findings of fact and reaches
these conclusions of law:
SECTION I. FINDINGS:
1. The Court has jurisdiction over the subject matter and the parties.
2. The minor children at issue in this matter are:
Name
Date of Birth
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. The Petitioner, {full legal name} __________________________________________
{choose one only}
______ is the {extended family relationship} _______________________ of the children
OR
______ qualifies as “fictive kin” as defined in section 39.01, Florida Statutes.
4. The Petitioner currently has physical custody of the children or has had physical custody of the
children for at least 10 days in any 30-day period within the last 12 months.
5. The Petitioner does not have signed, written documentation from the parent(s) which is sufficient
Florida Supreme Court Approved Family Law Form 12.970(f), Order Granting Petition for Concurrent Custody by
Extended Family (06/21)
IN THE CIRCUIT COURT OF THE _________________________ JUDICIAL CIRCUIT,
IN AND FOR __________________________ COUNTY, FLORIDA
Case No: ______________________
Division: ______________________
IN THE INTEREST OF
__________________________________
Children
__________________________________,
Petitioner,
and
__________________________________,
Respondent/__________________,
__________________________________,
Respondent/____________________.
ORDER GRANTING PETITION FOR
CONCURRENT CUSTODY BY EXTENDED FAMILY
This case came before this Court for a hearing on a Petition for Concurrent Custody by Extended Family.
The Court, having reviewed the file and heard the testimony, makes these findings of fact and reaches
these conclusions of law:
SECTION I. FINDINGS:
1. The Court has jurisdiction over the subject matter and the parties.
2. The minor children at issue in this matter are:
Name
Date of Birth
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. The Petitioner, {full legal name} __________________________________________
{choose one only}
______ is the {extended family relationship} _______________________ of the children
OR
______ qualifies as “fictive kin” as defined in section 39.01, Florida Statutes.
4. The Petitioner currently has physical custody of the children or has had physical custody of the
children for at least 10 days in any 30-day period within the last 12 months.
5. The Petitioner does not have signed, written documentation from the parent(s) which is sufficient
Florida Supreme Court Approved Family Law Form 12.970(f), Order Granting Petition for Concurrent Custody by
Extended Family (06/21)
to enable the custodian to do all the things necessary to care for the children which are available
to custodians who have an order for temporary custody by extended family.
6. Parent {full legal name} _________________________________ of the children:
{Choose one only}
______ Filed a Waiver and Consent
______ Was served with the petition and failed to file an Answer
______ Is deceased as evidenced by: _______________________________________
7. Parent {full legal name} _________________________________ of the children:
{Choose one only}
______ Filed a Waiver and Consent
______ Was served with the petition and failed to file an Answer
______ Is deceased as evidenced by: _______________________________________
8. It is in the best interest of the children for the Petitioner to have concurrent custody.
9. ______ A Transition Plan is not required for the best interests of the children prior to restoring
full custody;
OR
______ The following Transition Plan is in the best interests of the children and is Ordered prior
to restoring full custody:__________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________.
SECTION II: CONCURRENT CUSTODY
1. The Petitioner,_______________________________________________, is granted concurrent
custody of the minor children.
2. The Petitioner shall have all the concurrent rights and responsibilities of a legal parent.
3. The Petitioner is authorized, concurrently with the children’s parents, to make all reasonable and
necessary decisions for the minor children, including but not limited to:
a. Consent to all necessary and reasonable medical and dental care for the children, including
nonemergency surgery and psychiatric care;
b. Secure copies of the children’s records, held by third parties, that are necessary for the care
of the children, including, but not limited to: medical, dental, and psychiatric records; birth
Florida Supreme Court Approved Family Law Form 12.970(f), Order Granting Petition for Concurrent Custody by
Extended Family (06/21)
certificates and other records; and educational records;
c. Enroll the children in school and grant or withhold consent for the children to be tested or
placed in special school programs, including exceptional education; and
d. Do all other things necessary for the care of the children.
SECTION III. CHILD SUPPORT
{Insert the name or designation of the appropriate parent in the space provided}
1. The Petitioner _____ did _____ did not request the establishment of child support.
2. ______ If child support is requested, the parents have received personal or substituted service
of process, the petition requests an order for support of the children, and there is evidence of the
parents’ ability to pay the support ordered.
______ Parent {name or designation} __________________________ and {if applicable}
______ Parent {name or designation} ___________________________ has the present ability to
pay child support.
{Choose one only}
a._____ The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules of
Procedure Form 12.902(e) filed by
_____ Parent {name or designation} ____________________________
_____ Parent {name or designation} ____________________________ are correct;
OR
b._____ The Court makes the following findings:
Parent {name or designation} ______________________________’s net monthly income is
$____________, (Child Support Guidelines ____%).
Parent {name or designation} ____________________________’s net monthly income is
$_____________, (Child Support Guidelines ____%).
Monthly childcare costs are $_________________.
Monthly health/dental insurance costs are $_____________.
OR
c. _____ Parent {name or designation} _______________ is currently ordered to pay child
support to the other parent in the amount of $__________ per ____________ as established
in the case of (style of case and number} ____________________________.
_____ All of the child support or _____ a portion of the child support in the amount of
$___________ shall be redirected to the Petitioner.
3. Amount
a.Parent {name or designation} ______________________________’s Obligation
Parent {name or designation} ________________ shall be obligated to pay child support at the
rate of $________ per month for the _______ children {total number of parties’ minor or
Florida Supreme Court Approved Family Law Form 12.970(f), Order Granting Petition for Concurrent Custody by
Extended Family (06/21)
dependent children} commencing ____________________________ {month, day, year} and
terminating _______________________________ {month, day, year}. Child support shall be
paid in the amount of $____________ per _______________ {week, month, other} which is
consistent with Parent {name or designation} _________________________’s current payroll
cycle.
Upon the termination of child support for one of the parties’ children, child support in the
amount of $___________ for the remaining _________ children {total number of remaining
children} shall be paid commencing __________________________ {month, day, year} and
terminating ________________________________ {month, day, year}. This child support shall
be paid in the amount of $_________ per _____________ {week, month, other} consistent with
Parent {name or designation} ______________________’s current payroll cycle.
{Insert paragraph for the child support obligation, including the amount, and commencement
and termination dates, for the remaining minor or dependent children, which shall be payable
as the obligation for each child ceases.}
Parent {name or designation} ______________________________ shall pay child support until
all of the minor or dependent children: reach the age of 18, become emancipated, marry, join
the armed services, die, or become self-supporting; or until further order of the court or
agreement of the parties. The child support obligation shall continue beyond the age of 18 and
until high school graduation for any child who is dependent in fact, between the ages of 18 and
19, and is still in high school, performing in good faith with a reasonable expectation of
graduation before the age of 19.
If the child support ordered deviates from the guidelines more than 5%, the factual findings
which support that deviation are: __________________________________________________
_____________________________________________________________________________
____________________________________________________________________________.
b.Parent {name or designation} __________________’s Obligation
Parent {name or designation} ________________ shall be obligated to pay child support at the
rate of $_________ per month for the ________children {total number of parties’ minor or
dependent children} commencing____________________________ {month, day, year} and
terminating _______________________________ {month, day, year}. Child support shall be
paid in the amount of $__________per ______________{week, month, other} consistent with
Parent {name or designation} ______________________’s current payroll cycle.
Upon the termination of the obligation of child support for one of the parties’ children, child
support in the amount of $__________ for the remaining ______ children {total number of
remaining children} shall be paid commencing _____________________ {month, day, year} and
terminating ________________________ {month, day, year}. This child support shall be paid in
the amount of $_________ per ____________ {week, month, other} consistent with Parent
{name or designation} _________________’s current payroll cycle.
{Insert paragraph for the child support obligation, including the amount, and commencement
Florida Supreme Court Approved Family Law Form 12.970(f), Order Granting Petition for Concurrent Custody by
Extended Family (06/21)
and termination dates, for the remaining minor or dependent children, which shall be payable
as the obligation for each child ceases.}
Parent {name or designation} _______________________________ shall pay child support
until all of the minor or dependent children: reach the age of 18; become emancipated, marry,
join the armed services, die, or become self-supporting; or until further order of the court or
agreement of the parties. The child support obligation shall continue beyond the age of 18 and
until high school graduation for any child who is dependent in fact, between the ages of 18 and
19, and is still in high school, performing in good faith with a reasonable expectation of
graduation before the age of 19.
If the child support ordered deviates from the guidelines more than 5%, the factual findings
which
support
that
deviation
are:_____________________________________
_____________________________________________________________________________
____________________________________________________________________________.
4. Retroactive Child Support and/or Arrearages
{If both parents are ordered to pay retroactive child support and/or arrearages, please include
a separate paragraph for each parent.}
a._____ Parent {name or designation} ____________________________________ shall pay
retroactive child support in the amount of $__________ as of {date} ________________
to the Petitioner. The retroactive child support shall be paid in the amount of
$___________ per month, payable _____ in accordance with the employer’s payroll
cycle, and in any event at least once per month _____
other {explain}
_________________commencing {date} _______________, until paid in full including
statutory interest.
b._____ Parent {name or designation} _____________________________ owes child support
arrearages in the amount of $____________ as of {date} ________________ to the other
parent. The child support arrearages shall be paid in the amount of $_______ per month,
payable _____ in accordance with the parent’s employer’s payroll cycle, and in any event
at least once per month, or _______ other {explain} _______________________
commencing {date} _________________, until paid in full including statutory interest.
5. Insurance
{Indicate all that apply}
a._____ Parent {name or designation} _________________________________ shall be required
to maintain _____ health and/or _____ dental insurance for the parties’ minor children,
so long as reasonable in cost and accessible to the children. The party providing insurance
shall be required to convey insurance cards demonstrating said coverage to the Petitioner
and other parent.
OR
_____ health and/or _____ dental insurance is either not reasonable in cost or accessible to the
children at this time.
b._____ Reasonable and necessary uninsured medical/dental/prescription drug costs for the
Florida Supreme Court Approved Family Law Form 12.970(f), Order Granting Petition for Concurrent Custody by
Extended Family (06/21)
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