Florida Supreme Court Approved Family Law Form 12.970(a), Petition for Temporary Custody by Extended Family Instructions

Please provide any additional provisions or specific requests that are not covered elsewhere in the petition. Fill only if 'Petitioner requests additional provisions' is 'Yes'.

Please provide the full legal name of the first parent whose consent is attached to the Petition. Fill only if 'Consents attached' is 'Yes'.

Please provide the full legal name of the second parent whose consent is attached to the Petition. Fill only if 'Consents attached' is 'Yes'.

Provide details about the temporary or permanent child support order, including the court entering the order and the case number. Fill only if 'Aware of temporary/permanent child support orders' is 'Yes'.

Please provide the name of the county where the document was sworn to or affirmed. Fill only if 'Petitioner has the signed, notarized consent from both of the children's legal parents' is 'Yes'.

Check this box if the person making the statement was personally known to the notary or deputy clerk. Fill only if 'Petitioner has the signed, notarized consent from both of the children's legal parents' is 'Yes'.

Enter the number or name of the judicial circuit.

Enter the name of the county where the court is located.

Enter the official case number assigned by the court.

Enter the specific division of the court where the case is filed.

Provide the full legal name of the parent who is deceased and whose consent is not attached. Fill only if 'Parent Deceased' is 'Yes'.

Enter the full legal name of the first legal parent of the children.

Enter the current address of the first legal parent of the children.

Please provide the full legal name of the first minor child.

Please provide the date of birth for the first minor child.

Please provide the current street address of the first minor child.

Check this box if the petitioner is related to the minor children within the third degree by blood or marriage to a parent.

Check this box if the consent of a parent is not attached because that parent is deceased and a certified copy of their proof of death is attached.

Check this box if consent has not been obtained from the parents because their acts or omissions demonstrate abuse, abandonment, or neglect of the children as defined in Chapter 39, Florida Statutes.

Check this box if the Petitioner is not aware of any temporary or permanent orders for child support for the minor children.

Check this box if the Petitioner is aware of temporary or permanent orders for child support for the minor children.

Check this box if the Petitioner requests the court to order the parents to pay child support.

Check this box if the Petitioner requests the court to redirect all or part of the parents' existing child support obligation(s) to the Petitioner. Fill only if 'Aware of temporary/permanent child support orders' is 'Yes'.

Check this box if the Petitioner requests the court to redirect all or part of the parents' existing child support obligation(s) to the Petitioner, and to award the Petitioner retroactive child support. Fill only if 'Aware of temporary/permanent child support orders' is 'Yes'.

Enter the full name of the individual who provided assistance in completing this form. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Enter the name of the business associated with the nonlawyer individual who assisted in completing this form. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Provide the street address of the nonlawyer individual or business. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Enter the city of the nonlawyer individual or business. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Enter the state of the nonlawyer individual or business. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Enter the zip code of the nonlawyer individual or business. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Enter the telephone number of the nonlawyer individual or business. Fill only if 'A nonlawyer helped you fill out this form' is 'Yes'.

Please enter the date of notarization. Fill only if 'Check if applicable' is 'Yes'.

Please provide the full name of the person making the statement. Fill only if 'Petitioner has the signed, notarized consent from both of the children's legal parents' is 'Yes'.

Provide the printed, typed, or stamped commissioned name of the notary public or deputy clerk. Fill only if 'Petitioner has the signed, notarized consent from both of the children's legal parents' is 'Yes'.

Check this box if the Petitioner is not aware of any temporary or permanent order for protection entered on behalf of or against either parent, the Petitioner, or the children in Florida or any other jurisdiction.

Check this box if the Petitioner is aware of any temporary or permanent orders for protection entered on behalf of or against either parent, the Petitioner, or the children in Florida or any other jurisdiction.

Provide the name of the court that entered the order and the corresponding case number for any temporary or permanent orders for protection. Fill only if 'Petitioner Aware of Order' is 'Yes'.

Enter the type of identification that was produced. Fill only if 'Produced identification' is 'Yes'.

Check this box if the Petitioner has obtained signed and notarized consent from both of the children's legal parents.

Check this box if the Petitioner is caring for the children full-time in the role of a substitute parent and the children currently live with the Petitioner.

Check this box if the consents of the specified parent(s) are attached to the Petition.

Please provide the full name(s) of the child or children involved in the case.

Please enter the full legal name of the petitioner.

Please enter the full legal name of the first respondent.

Please enter the full legal name of the second respondent, if applicable.

Please enter the full legal name of the third respondent, if applicable.

Please enter the full legal name of the fourth respondent, if applicable.

Enter the date the document is signed or completed.

Enter the full printed name of the petitioner.

Enter the full street address of the petitioner.

Enter the city, state, and zip code of the petitioner's address.

Enter the telephone number of the petitioner.

Enter the fax number of the petitioner.

Enter the designated email address(es) of the petitioner.

Enter the petitioner's relationship to the minor children.

Provide the Petitioner's full residence and post office address.

Please provide the full legal name of the petitioner.

Check this box if the petitioner is the stepparent of the minor children, is married to the Respondent, and is not a party in any adverse legal proceedings involving the children's parents. Fill only if 'Related to the minor children within the third degree by blood or marriage to a parent' is 'No'.

Check this box if the petitioner is an individual who qualifies as fictive kin as defined in section 39.01, Florida Statutes. Fill only if 'Related to the minor children within the third degree by blood or marriage to a parent' is 'No'.

Provide a detailed explanation of the specific acts or omissions by the parents that demonstrate abuse, abandonment, or neglect of the children, as defined in Chapter 39, Florida Statutes. Attach additional sheets if necessary. Fill only if 'Consent Not Obtained - Abuse/Neglect' is 'Yes'.

Provide the reasons why it is in the best interests of the children for the Petitioner to have temporary custody.

Provide a detailed explanation of the reasons that support this custody request.

Indicate whether the petitioner requests additional provisions related to the specified form.

Indicate whether the petitioner does not request additional provisions related to the specified form.

Indicate if the petitioner requests the court to establish reasonable visitation or a time-sharing schedule with the parents.

Indicate if the petitioner does not request the court to establish reasonable visitation or a time-sharing schedule with the parents.

Provide the requested period of time for which temporary custody should be granted.

Please provide the full legal name of the Respondent. Fill only if 'Stepparent of Minor Children' is 'Yes'.

Please provide the full legal name of the second legal parent.

Please provide the current address of the second legal parent.