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Emergency Verified Motion for Child Pickup Order

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ORDER TO PICK-UP MINOR CHILD(REN)

IN THE CIRCUIT COURT OF THE

IN AND FOR

JUDICIAL CIRCUIT,

COUNTY, FLORIDA

Case No.:

Division:

Petitioner,

and

Respondent.

ORDER TO PICK-UP MINOR CHILD(REN)

An Emergency Verified Motion for Child Pick-Up Order has been filed by
, alleging facts which under existing law are determined to be sufficient to authorize taking into custody the minor child(ren) named below. Based on this motion, this Court makes the following findings, notices, and conclusions:

JURISDICTION

This Court has jurisdiction over issues surrounding the minor child(ren) listed below based on the following:

{Choose all that apply}

a. This Court exercised and continues to exercise original jurisdiction over the minor children listed below under the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA), specifically, section 61.514, Florida Statutes.

b. A certified out-of-state custody decree has been presented to this Court with a request for full faith and credit recognition and enforcement under the Parental Kidnapping Prevention Act, 28 U.S.C. Section 1738A. This Court has jurisdiction to enforce this decree under the UCCJEA, specifically sections 61.501-61.542, Florida Statutes.

c. By operation of Florida law governing the custody of or time-sharing with child(ren) born out of wedlock, this Court has jurisdiction over the child(ren) listed below because this (these) child(ren) was (were) born in the State of Florida and no prior court action involving the minor child(ren) has addressed a putative father's rights to time-sharing or other parental rights. See sections 742.031 and 744.301, Florida Statutes.

d. Pursuant to the UCCJEA, specifically section 61.516, Florida Statutes, this Court has jurisdiction to modify a custody decree of another state and has consulted with the Court which took initial jurisdiction over the minor child(ren) to determine this authority.

e. Other:

Florida Supreme Court Approved Family Law Form 12.941(e), Order to Pick-Up Minor Child(ren) (03/15)

NOTICE OF HEARING

Because this Order to Pick-Up Minor Child(ren) has been issued without prior notice to the non-movant all parties involved in this matter are informed that they are scheduled to appear and testify at a hearing regarding this matter on at , at which time the Court will consider whether the Court should issue a further order in this case, and whether other things should be ordered, including who should pay the filing fees and costs. The hearing will be before The Honorable at , Florida. If a party does not appear, this order may be continued in force, extended, or dismissed, and/or additional orders may be issued, including the imposition of court costs.

If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, to the provision of certain assistance. Please contact:

at least 7 days before your scheduled court appearance, or immediately upon receiving this notification if the time before the scheduled appearance is less than 7 days; if you are hearing or voice impaired, call 711.

ORDER

This Court ORDERS AND DIRECTS any and all sheriffs of the State of Florida (or any other authorized law enforcement officer in this state or in any other state) to immediately take into custody the minor child(ren) identified below from anyone who has possession and:

1. Place the minor child(ren) in the physical custody of

who () may () may not remove the minor child(ren) from the jurisdiction of this Court.

OR

Accompany the minor child(ren) to the undersigned judge, if the minor child(ren) is (are) picked up during court hours, for immediate hearing on the issue of custody or time-sharing. It is the intention of this Court that the nonmoving party, minor child(ren), and movant appear immediately upon service of this order before the undersigned judge, if available, or duty judge to conduct a hearing as to which party is entitled to lawful custody of the minor child(ren) at issue. It is not the intention of the court to turn over the child(ren) to the movant on an ex parte basis. Neither party should be permitted to remove the child(ren) from the jurisdiction of this Court pending a hearing. If unable to accomplish the above, the sheriff/officer shall take the child(ren) into custody and place them with the Department of Children and Family Services of the State of Florida pending an expedited hearing herein.

OR

Place the minor child(ren) in the physical custody of

Florida Supreme Court Approved Family Law Form 12.941(e), Order to Pick-Up Minor Child(ren) (03/15)

who shall contact the undersigned judge for an expedited hearing. The sheriff/officer shall not delay the execution of this court order for any reason or permit the situation to arise where the nonmoving party is allowed to remove the child(ren) from the jurisdiction of this court.

2. NEITHER PARTY OR ANYONE AT THEIR DIRECTION, EXCEPT PURSUANT TO THIS ORDER, MAY REMOVE THE CHILD(REN) FROM THE JURISDICTION OF THIS COURT PENDING FURTHER HEARING. SHOULD THE NONMOVING PARTY IN ANY WAY VIOLATE THE MANDATES OF THIS ORDER IN THE PRESENCE OF THE LAW ENFORCEMENT OFFICER, THIS OFFICER IS TO IMMEDIATELY ARREST AND INCARCERATE THE OFFENDING PARTY UNTIL SUCH TIME AS THE OFFENDING PARTY MAY BE BROUGHT BEFORE THIS COURT FOR FURTHER PROCEEDINGS.

All sheriffs of the State for Florida are authorized and ORDERED to serve (and/or execute) and enforce this order in the daytime or in the nighttime and any day of the week, except as limited by this order above.

Except as limited by the above, if necessary, the sheriff/officer is authorized to take all reasonable, necessary, and appropriate measures to effectuate this order. The sheriff/officer shall not delay the execution of this order for any reason or permit the situation to arise where the child(ren) is (are) removed from the jurisdiction of this Court before execution of this order.

The minor child(ren) is (are) identified as follows:

Name Sex Birth date Race Physical Description

Current location/address of minor child(ren) or of party believed to have possession of the minor child(ren):

DONE AND ORDERED on at Florida

CIRCUIT JUDGE

Florida Supreme Court Approved Family Law Form 12.941(e), Order to Pick-Up Minor Child(ren) (03/15)

I certify that a copy of the

was () mailed () faxed and mailed () e-mailed () hand-delivered to the parties listed below on

by

{clerk of the court or designee}

Petitioner (or his or her attorney)

Respondent (or his or her attorney)

Florida Supreme Court Approved Family Law Form 12.941(e), Order to Pick-Up Minor Child(ren) (03/15)

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What the Emergency Verified Motion for Child Pickup Order Is

The Emergency Verified Motion for Child Pickup Order is a court filing used to request immediate, temporary authority for a named person or agency to pick up a child when urgent safety, welfare, or custody concerns arise. The verified motion includes sworn facts supporting emergency relief, identifies the child and proposed pickup agent, and requests court authorization for law enforcement, school staff, or other custodians to release the child while a full hearing is scheduled. Courts typically treat these as ex parte or expedited matters with short timelines and strict proof requirements; improper forms or incomplete affidavits can delay protective action.

Why this Verified Motion Matters for Immediate Child Safety

Filing an emergency verified motion creates a legal basis for immediate pickup and protects caregivers, schools, and law enforcement acting in good faith.

Why this Verified Motion Matters for Immediate Child Safety

Who typically prepares and relies on this document

The motion is also used by educational institutions and medical providers to comply with lawful release requests when a formal court order is required.

  • Parents or legal guardians seeking temporary transfer or emergency reunification with corroborating evidence.
  • Attorneys filing ex parte petitions to obtain a short-term pickup order pending a hearing.
  • Child welfare agencies or law enforcement requesting authority to remove a child for safety reasons.

Primary signer roles and responsibilities

Petitioner

The Petitioner (parent, guardian, or agency) completes the verified motion, supplies sworn factual statements, and signs under penalty of perjury. Accuracy is essential because contradictions or missing details can result in denial or delay of emergency relief.

Pickup Agent

The designated pickup agent is named in the order and must provide identification when executing the pickup. Agencies and schools will verify the order and may require official ID matching the agent named in the motion.

Security and compliance considerations for digital handling

Encryption in transit: TLS 1.2/1.3
Encryption at rest: AES-256
Compliance standards: SOC 2 Type II
Health data support: HIPAA (BAA required)
Federal e-sign laws: ESIGN and UETA
Auditability: Tamper-evident audit trail

Step-by-step: preparing and filing the emergency verified motion

Follow these steps in order to prepare a motion that courts and responders can act on immediately.

  • 01
    Gather facts: Collect dates, witness names, and supporting documents.
  • 02
    Draft verified motion: State sworn facts and the specific relief requested.
  • 03
    File ex parte: Submit to the court clerk for expedited review.
  • 04
    Serve parties: Provide copies to law enforcement, school, and respondents as ordered.

Typical routing and enforcement flow after filing

After the judge issues a pickup order, agencies follow a predictable chain to execute and record the action.

  • Judge signs order: Order is stamped and returned to clerk.
  • Clerk issues copy: Certified copy prepared for distribution.
  • Serve agencies: Law enforcement, school, and custodian receive official copy.
  • Execute pickup: Named agent presents ID and effectuate release.

Configuring a digital workflow for fast processing

Set up fields and authentication to match court and agency verification requirements before eFiling or sending for signature.

Field Configuration
Authentication level Email + SMS code or ID verification
Conditional fields Show pickup agent fields only when agent authorized
Notary / Acknowledgment Reserve space for clerk or notary signature
Audit trail Enable IP, timestamp, and signer attribution

Technical and format requirements for eSubmission

Confirm the court accepts electronic filings and whether a certified paper copy or clerk-stamped original will be required for agency enforcement.

  • File formats: PDF, DOCX supported
  • Integrations: Works with CRM and cloud storage
  • Authentication: Supports SMS, KBA, and ID checks

Typical deadlines and processing expectations

Emergency orders move quickly; meet court clerk and service deadlines to preserve enforceability.

Ex parte review window:

Often same-day or within 24–72 hours

Temporary order duration:

Short-term; lasts until scheduled hearing

Service deadline:

Serve respondents and agencies as ordered promptly

Hearing schedule:

Hearing typically within 7–14 days

Retention of originals:

Keep stamped originals for enforcement and records

Key milestones from filing to enforcement

A sequential view of milestones helps coordinate filing, service, and pickup logistics.

01

Prepare Verified Motion

Compile sworn facts, exhibits, and identification evidence.

02

File Ex Parte

Submit to court with request for immediate action.

03

Serve Agencies

Deliver certified copy to law enforcement and school.

04

Execute Pickup

Authorized agent presents ID and the official order.

Common pitfalls to avoid when preparing the motion

  • Incomplete identification details for the pickup agent create verification delays and may prevent immediate release of the child.
  • Vague or unsupported factual assertions without dates, witnesses, or documentation are often denied as insufficient for emergency relief.
  • Failing to check local court rules for ex parte filings can cause submissions to be rejected or deferred to regular docket procedures.
  • Not providing certified copies to implementing agencies (school, police) can leave staff without clear authority to act on the order.

Legal risks and penalties for incorrect or fraudulent motions

Perjury exposure: False sworn facts risk criminal perjury charges
Contempt risk: Ignoring court procedures can lead to contempt
Wrongful removal: Unlawful pickup can trigger civil and criminal liability
Order rejection: Incomplete forms may be denied or delayed
Privacy fines: Improper PHI handling can invoke HIPAA penalties
Enforcement refusal: Agencies may decline to act without certified order

Typical eSignature pricing and capability snapshot for urgent filings

Compare common vendor starting prices and feature signals relevant to emergency document workflows and compliance needs.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies Varies Varies Varies
Bulk Send Yes (Business Premium) Yes Yes Yes Yes
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently asked questions and practical answers

Common operational and legal questions about emergency verified motions, eSigning, notarization, and enforcement are addressed below.


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