Petition to Determine Paternity

PETITION TO DETERMINE PATERNITY AND FOR RELATED RELIEF

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,

IN AND FOR COUNTY, FLORIDA

,

Petitioner,

and

,

Respondent,

PETITION TO DETERMINE PATERNITY AND FOR RELATED RELIEF

Petitioner, , being sworn, certifies that the following information is true:

This is an action for paternity and to determine parental responsibility, time-sharing, and child support under chapter 742, Florida Statutes.

SECTION I.

1. Petitioner is the Mother Father of the following minor child(ren):

2. Petitioner’s current address is:

3. Respondent’s current address is:

4. Both parties are over the age of 18.

5. Petitioner is is not a member of the military service.

Respondent is is not a member of the military service.

6. Neither Petitioner nor Respondent is mentally incapacitated.

7. A completed UCCJEA Affidavit is filed with this petition.

8. A completed Notice of Social Security Number is filed with this petition.

9. A completed Family Law Financial Affidavit is, or will be, filed.

10. Paternity Facts.

a. Paternity has previously been established as a matter of law.

b. The parties engaged in sexual intercourse with each other in the month(s) of in .

As a result of the sexual intercourse, Petitioner Respondent conceived and gave birth to the minor child(ren) named in paragraph 1. Petitioner Respondent is the natural father of the minor child(ren).

The mother was was not married at the time of the conception and/or birth of the minor child(ren) named in paragraph 1.

If the mother was married, the name and address of her husband at the time of conception and/or birth is:

SECTION II. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING

1. The minor child(ren) currently reside(s) with Mother Father other:

2. Parental Responsibility. It is in the child(ren)’s best interests that parental responsibility be:

a. shared by both Father and Mother.

b. awarded solely to Father Mother.

Shared parental responsibility would be detrimental to the child(ren) because:

3. Parenting Plan and Time-Sharing. It is in the best interests of the child(ren) that the family be ordered to comply with a Parenting Plan that includes does not include parental time-sharing with the child(ren).

The Petitioner states that it is in the best interests of the child(ren) that:

a. The attached proposed Parenting Plan should be adopted by the court. The parties have have not agreed to the Parenting Plan.

b. The court should establish a Parenting Plan with the following provisions:

1. No time-sharing for the Father Mother

2. Limited time-sharing with the Father Mother

3. Supervised time-sharing for the Father Mother.

4. Supervised or third-party exchange of the child(ren).

5. Time-sharing schedule as follows:

Explain why this schedule is in the best interests of the child(ren):

4. The minor child(ren) should

a. retain his/her (their) present name(s).

b. receive a change of name as follows:

c. The name change would be in the best interest of the child(ren) because:

SECTION III. CHILD SUPPORT

1. Petitioner requests that the Court award child support as determined by Florida’s child support guidelines, section 61.30, Florida Statutes.

Such support should be ordered retroactive to:

a. the date when the parents did not reside together in the same household with the child, not to exceed a period of 24 months before the date of filing of this petition.

b. the date of the filing of this petition.

c. other:

2. Petitioner requests that the Court award a child support amount that is more than or less than Florida’s child support guidelines.

3. Medical/dental insurance for the minor child(ren) be provided by:

a. Father.

b. Mother.

4. Uninsured medical/dental expenses for the child(ren) be paid by:

a. Father.

b. Mother.

c. Father and Mother each pay one-half.

d. Father and Mother each pay according to the percentages in the Child Support Guidelines Worksheet.

e. Other:

5. Life insurance to secure child support be provided by:

a. Father.

b. Mother.

c. Both.

6. Petitioner Respondent Both has (have) incurred medical expenses in the amount of $ on behalf of the minor child(ren), including hospital and other expenses incidental to the birth of the minor child(ren).

7. Petitioner Respondent Both has (have) received past public assistance for this (these) minor child(ren).

PETITIONER’S REQUEST

1. Petitioner requests a hearing on this petition and understands that he or she must attend the hearing.

2. Petitioner requests that the Court enter an order that:

a. establishes paternity of the minor child(ren), ordering proper scientific testing, if necessary;

b. adopts or establishes a Parenting Plan containing provisions for parental responsibility and time-sharing for the minor or dependent child(ren);

c. awards child support, including medical/dental insurance coverage for the minor child(ren);

d. determines the appropriate allocation or apportionment of all expenses incidental to the birth of the child(ren), including hospital and medical expenses;

e. determines the appropriate allocation or apportionment of all other past, present, and future medical and dental expenses incurred or to be incurred on behalf of the minor child(ren);

f. changes the child(ren)’s name(s);

g. other relief as follows:

and grants such other relief as may be appropriate and in the best interests of the minor child(ren).

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

STATE OF FLORIDA

COUNTY OF

Sworn to or affirmed and signed before me on by .

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

This form was prepared for the Petitioner.

This form was completed with the assistance of:

Name of individual:

Name of business:

Address:

City: State: Zip:

Telephone Number: