Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15) IN THE CIRCUIT COURT OF THE___________________________JUDICIAL CIRCUIT, IN AND FOR _______________________COUNTY, FLORIDA Case No.: _______________________________Division: ________________________________________________________________,Petitioner,and________________________________,Respondent.SUPPLEMENTAL TEMPORARY JUDGMENT MODIFYING PARENTING
ISSUES FOR CHILD(REN) OF A PARENT ACTIVATIED, DEPLOYED, OR TEMPORARILY ASSIGNED TO MILITARY SERVICE This cause came before this Court on a Supplemental Petition for Temporary Modification of Custody or
Parenting Plan/Time-Sharing Schedule for Child(ren) of a Parent Activated, Deployed, or Temporarily
Assigned to Military Service. The Court, having reviewed the file, heard the testimony, and being
otherwise fully advised, makes these findings of fact and reaches these conclusions of law:SECTION I. FINDINGS1. The Court has jurisdiction over the subject matter and the parties.2. The last order establishing or modifying parental responsibility, visitation, or time-sharing was
entered on {date} _______________________.3.There is clear and convincing evidence that it is in the best interests of the minor child(ren) that the
current order establishing parental responsibility, visitation, and time-sharing be temporarily
modified as the _____ Mother _____ Father is activated, deployed, or temporarily assigned to
military service. Specifically:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.SECTION II. TEMPORARY PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-
SHARING WITH DEPENDENT OR MINOR CHILD(REN)1.Jurisdiction. The Court has jurisdiction to determine parental responsibility, to establish or approve
a Parenting Plan, and time-sharing with regards to the parties’ minor child(ren) listed in paragraph 2
Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15)below. 2. The parties’ dependent or minor child(ren) is (are):Name Birth date____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________3.Parenting Plan. The parties shall comply with the temporary Parenting Plan which is attached and
incorporated herein as Exhibit _____.SECTION III. CHILD SUPPORT1.Temporary Modification of Child Support.{Choose one only}a._____The _____ Mother’s _____ Father’s current obligation to pay child support is: _____ Abated_____ Suspended_____ Modified to $______________ per ________________. b. _____The Court finds that there is a need for temporary modification of child support and that
the service member _____ Mother _____ Father (hereinafter Obligor) has the present ability to
pay child support. The amounts in the Child Support Guidelines Worksheet, Florida Family Law
Rules of Procedure Form 12.902(e), filed by the _____ Mother _____ Father are correct OR the Court makes the following findings: The Mother’s net monthly income is $____________, (Child Support Guidelines ____ %). The Father’s net monthly income is $_____________, (Child Support Guidelines____%). Monthly child care costs are $________________. Monthly health/dental insurance costs are $__________________.2. Amount. Child support established at the rate of $____________per month for the _______children
{total number of parties’ minor or dependent children} shall be paid 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 the Obligor’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
Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15)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 the Obligor’s current payroll cycle.{Insert schedule 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. Please indicate whether the schedule _____ appears
below or _____ is attached as part of this form.}____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.The Obligor 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 by more than 5%, the factual findings which support that deviation are: _________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________.3.Arrearage/Retroactive Child Support.{Choose one only}a._____There is no child support arrearage at the time of this Supplemental Temporary Judgment.ORb._____The _____ Mother _____ Father shall pay to the other party the child support arrearage
of: $___________ for retroactive child support, as of {date} __________________. $___________ for previously ordered unpaid child support, as of {date} _________________.
The total of $___________ in child support arrearage shall be repaid in the amount of
$___________, per month payable_____ in accordance with Obligor’s employer’s payroll cycle,
and in any event at least once a month _____ other {explain} _________________________ ______________________________________________________________________________beginning {date} ___________________________, until paid in full including statutory interest.
Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15)4. Insurance.a._____ Health/Dental Insurance. {Choose one only} _____ The service member _____ Mother _____ Father shall enroll the child(ren) as a military
dependent(s) with DEERs, TriCare, or other similar benefits available to military dependents as
provided by the service member’s branch or service and federal regulations; OR ______The _____ Mother _____ Father shall maintain _____ health and/or _____ dental
insurance for the parties’ minor child(ren), so long as it is reasonable in cost and accessible to
the child(ren). The party providing insurance shall be required to convey insurance cards
demonstrating said insurance to the other party; OR ______ Health _____Dental insurance is not reasonable in cost or accessible to the
child(ren) at this time. b._____Reasonable and necessary uninsured medical/dental/prescription drug costs for the
minor child(ren) shall be assessed as follows:_____ Shared equally by both parents._____ Prorated according to the child support guideline percentages._____ Other {explain}: __________________________________________________________________________________________________________________________________________As to these uninsured medical/dental/prescription drug expenses, the party who incurs the
expense shall submit a request for reimbursement to the other party within 30 days, and the
other party, within 30 days of receipt, shall submit the applicable reimbursement for that
expense, according to the schedule of reimbursement set out in this paragraph.5.____Life Insurance (to secure payment of support). To secure the child support obligations in this
judgment, _____ Mother _____ Father _____Each party shall maintain life insurance, in an amount
of at least $____________, on _____ his life _____ her life _____ his/her life naming the _____
minor child(ren) as the beneficiary(ies) OR naming the _____ Mother _____ Father _____ other
{name} ____________________________________________ as Trustee for the minor child(ren),
so long as reasonably available. The obligation to maintain the life insurance coverage shall
continue until the youngest child turns 18, becomes emancipated, marries, joins the armed
services, dies, or otherwise becomes self-supporting.6._____ IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren) shall
be as follows: ____________________________________________________________________________________________________________________________________________________.Further, each party shall execute any and all IRS forms necessary to effectuate the provisions of this
paragraph.7. Other provisions relating to child support: ______________________________________________________________________________________________________________________________________________________________________________________________________________.
Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15)SECTION IV. METHOD OF PAYMENTObligor shall pay court-ordered child support and arrears, if any, as follows:1. Place of Payment.a. _____Obligor shall pay court-ordered support directly to either the State Disbursement Unit or
the central depository, as required by statute, along with any fee required by statute.b. _____Both parties have requested and the court finds that it is in the best interests of the
child(ren) that support payments need not be directed through either the State Disbursement
Unit or the central depository at this time; however, either party may subsequently apply,
pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments through the State
Disbursement Unit or the central depository.2.Income Deduction.a._____ Immediate. Obligor shall pay through income deduction, pursuant to a separate Income
Deduction Order which shall be effective immediately. Obligor is individually responsible for
paying this support obligation until all of said support is deducted from Obligor ’s income. Until
support payments are deducted from Obligor’s paycheck, Obligor is responsible for making
timely payments directly to the State Disbursement Unit or the Obligee, as previously set forth
in this order.b._____ Deferred. Income deduction is ordered this day, but it shall not be effective until a
delinquency of $______________, or, if not specified, an amount equal to one month ’s
obligation occurs. Income deduction is not being implemented immediately based on the
following findings: Income deduction is not in the best interests of the child(ren) because: {explain} ___________________________________________________________________________________________________________________________________________________________ AND _____ There is proof of timely payment of a previously ordered obligation without an Income
Deduction Order, AND _____ There is an agreement by the Obligor to advise the Title IV-D agency, clerk of court and
Obligee of any change in Payor and/or health insurance OR _____there is a signed written
agreement providing an alternative arrangement between the Obligor and the Obligee and, at
the option of the IV-D agency, by the IV-D agency in IV-D cases in which there is an assignment
of support rights to the state, reviewed and entered in the record by the court.3. Bonus/one-time payments. _____ All ______% _____ No income paid in the form of a bonus or
other similar one-time payment, up to the amount of any arrearage or the remaining balance
thereof owed pursuant to this order, shall be forwarded to the Obligee pursuant to the payment
method prescribed above.
Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15)4. Other provisions relating to method of payment. ____________________________________________________________________________________________________________________________________________________________________________________________________________.SECTION V. ATTORNEY’S FEES, COSTS, AND SUIT MONEY1._____ Petitioner’s _____ Respondent’s request(s) for attorney’s fees, costs, and suit money is (are)
denied because ____________________________________________ __________________________________________________________________________________________________________.OR2.______ The Court finds there is a need for and an ability to pay attorney’s fees, costs, and suit
money. _____Petitioner _____ Respondent is hereby ordered to pay to the other party
$ ____________ in attorney’s fees, and $ ____ in costs. The Court further finds that the
attorney’s fees awarded are based on the reasonable rate of $ ____ per hour and
reasonable hours. Other provisions relating to attorney’s fees, costs, and suit money are
as follows: ________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________.SECTION VI. OTHER1.Other Provisions. __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.2.The Court reserves jurisdiction to modify and enforce this Supplemental Temporary Judgment.3.Unless specifically modified by this supplemental temporary judgment, the provisions of all final
judgments or orders in effect remain the same.DONE AND ORDERED at _________________________, Florida, on ___________________._____________________________________________CIRCUIT JUDGE
Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying
Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (03/15)I certify that a copy of the {name of document(s)} ___________________________________________
was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties and any
entities listed below on {date }____________________. ______________________________________by {clerk of court or designee} _____Petitioner (or his or her attorney)_____Respondent (or his or her attorney)_____Central Depository_____State Disbursement Unit_____Other: _______________________