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FORM 12.921: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Pasco County Clerk, FL)

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Instructions for Florida Supreme Court Approved Family Law Form 12.921, Notice of Hearing (Child Support
Enforcement Hearing Officer) (11/20)
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW
FORM 12.921
NOTICE OF HEARING
(CHILD SUPPORT ENFORCEMENT HEARING OFFICER)
(11/20)
When should this form be used?
A child support enforcement hearing officer is an attorney who has been appointed by administrative
order of the court to take testimony and recommend decisions in cases involving the establishment,
enforcement, and/or modification of child support. If your case only involves issues pertaining to child
support, you cannot object to the referral of your case to a hearing officer.
Use this form anytime you have set a hearing before a child support enforcement hearing officer and
have been instructed to send notice of the hearing to the other party. Before you fill out this form, you
should coordinate a hearing time and date with the hearing officer and the other party. If the
Department of Revenue is a party to the case, you may need to schedule your hearing time with the
attorney for the Department of Revenue. If your case involves a Motion for Civil Contempt in Support
Matters pursuant to Florida Family Rule of Procedure 12.615, you should use form 12.961—Notice of
Hearing on Motion for Civil Contempt/Enforcement Matters (Rule 12.615).
This form should be typed or printed in black ink. After completing this form, you should file this
document with the clerk of the circuit court in the county where your case is filed and keep a copy for
your records.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be
filed electronically except in certain circumstances. Self-represented litigants may file petitions or other
pleadings or documents electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance with Florida Rule of
Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
What should I do next?
A copy of this form must be mailed, e-mailed, or hand-delivered to the other party in your case.
IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION
After the initial service of process of the petition or supplemental petition by the Sheriff or certified
process server, the Florida Rules of Judicial Administration now require that all documents required or
permitted to be served on the other party must be served by electronic mail (e-mail) except in certain
circumstances. You must strictly comply with the format requirements set forth in the Florida Rules of
Judicial Administration. If you elect to participate in electronic service, which means serving or receiving
Instructions for Florida Supreme Court Approved Family Law Form 12.921, Notice of Hearing (Child Support
Enforcement Hearing Officer) (11/20)
pleadings by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review
Florida Rule of Judicial Administration 2.516. You may find this rule at www.flcourts.org through the link
to the Rules of Judicial Administration provided under either Family Law Forms: Getting Started, or Rules
of Court in the A-Z Topical Index.
SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT
REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the
procedures must always be followed once the initial election is made.
To serve and receive documents by e-mail, you must designate your e-mail addresses by using the
Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form
12.915, and you must provide your e-mail address on each form on which your signature appears.
Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme
Court Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida
Supreme Court Approved Family Law Form 12.915; and Florida Rule of Judicial Administration 2.516.
Where can I look for more information?
Before proceeding, you should read General Information for Self Represented Litigants found at the
beginning of these forms. For further information, See Rule 12.941, Florida Family Law Rules of
Procedure.
Special notes...
An attorney who has been appointed by the court to serve as a child support enforcement hearing
officer can also be appointed to serve as a general magistrate. If your case involves only child support
issues, your case may properly be referred to a general magistrate acting as a child support enforcement
hearing officer.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out
these forms, that person must give you a copy of Disclosure from Nonlawyer, Florida Family Law Rules
of Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fill out these forms
also must put his or her name, address, and telephone number on the bottom of the last page of every
form he or she helps you complete.
Florida Supreme Court Approved Family Law Form 12.921, Notice of Hearing (Child Support Enforcement Hearing
Officer) (11/20)
IN THE CIRCUIT COURT OF THE ____________________ JUDICIAL CIRCUIT,
IN AND FOR ____________________ COUNTY, FLORIDA
Case No.: __________________________
Division: ___________________________
______________________________________,
Petitioner,
and
_____________________________________,
Respondent.
NOTICE OF HEARING
(CHILD SUPPORT ENFORCEMENT HEARING OFFICER)
TO: {name of other party}: _______________________________________________________________
There will be a hearing before Child Support Enforcement Hearing Officer {name} __________________,
on {date} ________________, at {time} _____ m., in Room ______ of the _________________________
County Courthouse, {address} ___________________________________________________________
on the following issues:
_____________________________________________________________________________________
____________________________________________________________________________________.
_____ hour(s)/_____ minutes have been reserved for this hearing.
If the matter before the Child Support Enforcement Hearing Officer is a Motion for Civil
Contempt/Enforcement, FAILURE TO APPEAR AT THE HEARING MAY RESULT IN THE COURT ISSUING A
WRIT OF BODILY ATTACHMENT FOR YOUR ARREST. IF YOU ARE ARRESTED, YOU MAY BE HELD IN JAIL
UP TO 48 HOURS BEFORE A HEARING IS HELD.
YOUR ABILITY TO PAY IS A CRITICAL ISSUE IN THIS CONTEMPT PROCEEDING.
YOU ARE STRONGLY URGED TO PREPARE AND FILE A FAMILY LAW FINANCIAL AFFIDAVIT, FLORIDA
FAMILY LAW RULES OF PROCEDURE FORM 12.902(b)(Short Form), PRIOR TO THE HEARING IN ORDER
FOR THE COURT TO BE ABLE TO ELICIT RELEVANT FINANCIAL INFORMATION FROM YOU.
YOU WILL BE PROVIDED AN OPPORTUNITY AT THE HEARING TO RESPOND TO STATEMENTS AND
QUESTIONS ABOUT YOUR FINANCIAL STATUS.
THIS COURT MUST MAKE AN EXPRESS FINDING THAT YOU HAVE THE ABILITY TO PAY.
This part to be filled out by the court or filled in with information you have obtained from the court:
Florida Supreme Court Approved Family Law Form 12.921, Notice of Hearing (Child Support Enforcement Hearing
Officer) (11/20)
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:
__________________________________________________________________
{identify applicable court personnel by name, address, and telephone number} 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.
YOU ARE ADVISED THAT FOR THIS HEARING
a. _____ Electronic recording is provided by the court. A party may provide a court
reporter at that party’s expense.
b. _____ A court reporter is provided by the court.
If you are represented by an attorney or plan to retain an attorney for this matter, you should notify the
attorney of this hearing.
If this matter is resolved, the moving party shall contact the hearing officer’s office to cancel this
hearing.
SHOULD YOU WISH TO SEEK REVIEW OF THE ORDER UPON THE RECOMMENDATIONS OF THE CHILD
SUPPORT ENFORCEMENT HEARING OFFICER, YOU MUST FILE A MOTION TO VACATE WITHIN TEN
DAYS FROM THE DATE OF ENTRY OF THE ORDER, IN ACCORDANCE WITH FLORIDA FAMILY LAW RULE
OF PROCEDURE 12.491(f). YOU WILL BE REQUIRED TO PROVIDE THE COURT WITH A RECORD
SUFFICIENT TO SUPPORT YOUR POSITION OR YOUR MOTION WILL BE DENIED. A RECORD ORDINARILY
INCLUDES A WRITTEN TRANSCRIPT OF ALL RELEVANT PROCEEDINGS. THE PERSON SEEKING REVIEW
MUST HAVE THE TRANSCRIPT PREPARED IF NECESSARY FOR THE COURT’S REVIEW.
I certify that a copy of this document was _____ mailed _____ faxed and mailed _____ e-mailed
_____ hand-delivered to the person(s) listed below on {date} ______________________.
Other party or his/her attorney:
Name: ________________________________________
Address: ______________________________________
City, State, Zip: _________________________________
Telephone Number: ____________________________
Fax Number: ___________________________________
Designated E-mail Address(es): ____________________
______________________________________________
Florida Supreme Court Approved Family Law Form 12.921, Notice of Hearing (Child Support Enforcement Hearing
Officer) (11/20)
_____________________________________________
Signature of Party
Printed Name: _________________________________
Address: ______________________________________
City, State, Zip: _________________________________
Telephone Number: _____________________________
Fax Number: ___________________________________
Designated E-mail Address(es): ____________________
_____________________________________________
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:
[fill in all blanks] This form was prepared for the: {choose only one} _____ Petitioner _____ Respondent
This form was completed with the assistance of:
{name of individual } __________________________________________________________________,
{name of business} ____________________________________________________________________,
{address} ____________________________________________________________________________,
{city} ________________, {state} ____, {zip code} __________,{telephone number} ________________.
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FORM 12.921: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Pasco County Clerk, FL)

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Completed 23 June 2021

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