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FORM 12.950(c),: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Florida)

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INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW
FORM 12.950(c),
PETITION FOR DISSOLUTION OF MARRIAGE WITH DEPENDENT OR
MINOR CHILD(REN) AND RELOCATION
(02/18)
When should this form be used?
This form should be used when you are filing for dissolution of marriage, there are dependent or minor
children, and pursuant to Section 61.13001, Florida Statutes:
1. You plan to relocate your residence more than 50 miles from the principal place of residence you
have at the time of filing this petition; and
2. The change of location is for at least 60 consecutive days, not including a temporary absence from
your principal place of residence for purposes of vacation, education or the provision of health
care for the minor child(ren).
You or your spouse must have lived in Florida for at least 6 months before filing for dissolution of marriage
in Florida.
This form should be typed or printed in black ink. After completing this form, you should sign the form
before a notary public or deputy clerk. You should file the original with the clerk of the circuit court in
the county where you live 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.
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 Rules of Judicial
Administration. If you elect to participate in electronic service, which means serving or receiving 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.
Instructions for Florida Supreme Court Approved Family Law Form 12.950(c) Petition for Dissolution of Marriage
with Dependent or Minor Child(ren) and Relocation (02/18)
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.
What should I do next?
For your case to proceed, you must properly notify your spouse and every other person entitled to access
or time-sharing with the child(ren) of the petition. “Other Person” means an individual who is not the
parent but with whom the child resides pursuant to court order, or who has the right of access to, time-
sharing with, or visitation with the child(ren). If you know where your spouse lives, you should use
personal service. If you absolutely do not know where your spouse lives, you may use constructive
service. You may also be able to use constructive service if your spouse or the other person resides in
another state or country. However, if constructive service is used, other than granting a divorce, the court
may only grant limited relief. For more information on constructive service, see Notice of Action for
Dissolution of Marriage, Florida Supreme Court Approved Family Law Form 12.913(a), and Affidavit of
Diligent Search and Inquiry, Florida Family Law Rules of Procedure Form 12.913(b). If your spouse is in
the military service of the United States, additional steps for service may be required. See, for example,
Memorandum for Certificate of Military Service, Florida Supreme Court Approved Family Law Form
12.912(a). In sum, the law regarding constructive service and service on an individual in the military service
is very complex and you may wish to consult an attorney regarding these issues.
If personal service is used, the respondent has 20 days to answer after being served with your petition.
Your case will then generally proceed in one of the following three ways:
DEFAULT. If after 20 days, your spouse has not filed an answer, you may file a Motion for Default, Florida
Supreme Court Approved Family Law Form 12.922(a), with the clerk of court. Then, if you have filed all
of the required papers, you may contactl the clerk, family law intake staff, or judicial assistant to set a
final hearing. You must notify your spouse of the hearing by using a Notice of Hearing (General), Florida
Supreme Court Approved Family Law Form 12.923, or other appropriate notice of hearing form.
UNCONTESTED. If your spouse files an answer that agrees with everything in your petition or an answer
and waiver, and you have complied with mandatory disclosure and filed all of the required papers, you
may contact the clerk, family law intake staff, or judicial assistant to set a final hearing. You must notify
your spouse of the hearing by using a Notice of Hearing (General), Florida Supreme Court Approved
Family Law Form 12.923, or other appropriate notice of hearing form.
CONTESTED. If your spouse files an answer or an answer and counterpetition, which disagrees with or
denies anything in your petition, and you are unable to settle the disputed issues, you should file a Notice
Instructions for Florida Supreme Court Approved Family Law Form 12.950(c) Petition for Dissolution of Marriage
with Dependent or Minor Child(ren) and Relocation (02/18)
for Trial, Florida Supreme Court Approved Family Law Form 12.924, after you have complied with
mandatory disclosure and filed all of the required papers. Some circuits may require the completion of
mediation before a final hearing may be set. You should contact the clerk, family law intake staff, or
judicial assistant for instructions on how to set your case for trial (final hearing). If your spouse files an
answer and counterpetition, you should answer the counterpetition within 20 days using an Answer to
Counterpetition, Florida Supreme Court Approved Family Law Form 12.903(d).
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. The words that are in “bold underline” in these instructions are defined there.
For further information, see chapter 61, Florida Statutes.
Special notes...
If you do not have the money to pay the filing fee, you may obtain an Application for Determination of
Civil Indigent Status from the clerk, fill it out, and the clerk will determine whether you are eligible to have
filing fees deferred.
If you want to keep your address confidential because you are the victim of sexual battery, aggravated
child abuse, aggravated stalking, harassment, aggravated battery, or domestic violence, do not enter the
address, telephone, and fax information at the bottom of this form. Instead, file a Request for
Confidential Filing of Address, Florida Supreme Court Approved Family Law Form 12.980(h).
With this form, you must also file the following:
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court
Approved Family Law Form 12.902(d).
Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), if you
are asking that child support be ordered in the final judgment. (If you do not know your spouse’s
income, you may file this worksheet after his or her financial affidavit has been served on you.)
Affidavit of Corroborating Witness, Florida Supreme Court Approved Family Law Form 12.902(i) OR
photocopy of current Florida driver’s license, Florida identification card, or voter’s registration card
(issue date of copied document must be at least six months before date case is actually filed with the
clerk of the circuit court).
Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren),
Florida Supreme Court Approved Family Law Form 12.902(f)(1), if you and your spouse have reached
an agreement on any or all of the issues.
Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j).
Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c). (This
must be filed with the petition if the petitioner seeks to establish child support. Otherwise, it must
be filed within 45 days of service of the petition on the respondent.)
Certificate of Compliance with Mandatory Disclosure, Florida Family Law Rules of Procedure Form
12.932. (This must be filed within 45 days of service of the petition on the respondent, if not filed at
the time of the petition, unless you and your spouse have agreed not to exchange these documents.)
Instructions for Florida Supreme Court Approved Family Law Form 12.950(c) Petition for Dissolution of Marriage
with Dependent or Minor Child(ren) and Relocation (02/18)
Parenting Plan, Florida Supreme Court Approved Family Law Form 12.995(a), Safety-Focused
Parenting Plan, Form 12.995(b), or Relocation/Long-Distance Parenting Plan, Form 12.995(c). If the
parents have reached an agreement, a signed and notarized Parenting Plan should be attached. If
the parents have not reached an agreement, a proposed Parenting Plan may be filed.
Updating Information. A parent or other person seeking to relocate has a continuing duty to provide
current and updated information required by the relocation statute when that information becomes
known.
Parenting Plan and Time-Sharing. If you and your spouse are unable to agree on parenting arrangements
and a time-sharing schedule, a judge will decide for you as part of establishing a Parenting Plan. The judge
will decide the parenting arrangements and time-sharing based on the child(ren)’s best interests.
Regardless of whether there is an agreement, the court reserves jurisdiction to modify issues relating to
the minor child(ren).
The judge may request a parenting plan recommendation or appoint a guardian ad litem in your case.
This means that a neutral person will review your situation and report to the judge concerning parenting
issues. The purpose of such intervention is to be sure that the best interests of the child(ren) is (are) being
served. For more information, you may consult section 61.13, Florida Statutes.
A parenting course must be completed prior to entry of the final judgment. You should contact the clerk,
family law intake staff, or judicial assistant about requirements for parenting courses where you live.
Listed below are some terms with which you should become familiar before completing your petition. If
you do not fully understand any of the terms below or their implications, you should speak with an
attorney before going any further.
Shared Parental Responsibility
Sole Parental Responsibility
Supervised Time-Sharing
No contact
Parenting Plan
Parenting Plan Recommendation
Time-Sharing Schedule
Child Support. Both parents are required to provide financial support for their minor or dependent
child(ren); however, the court may order one parent to pay child support to the other parent. Florida
has adopted guidelines for determining the amount of child support to be paid. These guidelines are
based on the combined income of both parents and take into account the financial contributions of both
parents and the number of overnights the child(ren) spend with each parent. You must file a Family Law
Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), and your spouse will be
required to do the same. From your financial affidavits, you should be able to calculate the amount of
child support that should be paid using the Child Support Guidelines Worksheet, Florida Family Law Rules
of Procedure Form 12.902(e). Because the child support guidelines take several factors into consideration,
change over time, and vary from state to state, your child support obligation may be more or less than
that of other people in seemingly similar situations.
Instructions for Florida Supreme Court Approved Family Law Form 12.950(c) Petition for Dissolution of Marriage
with Dependent or Minor Child(ren) and Relocation (02/18)
Alimony. Alimony may be awarded to a spouse if the judge finds that one spouse has an actual need for
it and that the other spouse has the ability to pay. If you want alimony, you must request it in writing in
the original petition. If you do not request alimony in writing before the final hearing, it is waived (you
may not request it later). You may request permanent alimony, bridge-the-gap alimony, durational
alimony, and/or rehabilitative alimony. If alimony is awarded, the judge may order periodic payments,
payments in lump sum, or both.
Marital/Nonmarital Assets and Liabilities. Florida law requires an equitable distribution of marital
assets and marital liabilities. “Equitable” does not necessarily mean “equal.” Many factors, including
child support, time-sharing, and alimony awards, may lead the court to make an unequal (but still
equitable) distribution of assets and liabilities. Nonmarital assets and nonmarital liabilities are those
assets and liabilities which the parties agree or the court determines belong to, or are the responsibility
of, only one of the parties. If the parties agree or the court finds an asset or liability to be nonmarital, the
judge will not consider it when distributing marital assets and liabilities.
Temporary Relief. If you need temporary relief regarding temporary use of assets, temporary
responsibility for liabilities, parental responsibility, relocation and time-sharing with child(ren), temporary
child support, or temporary alimony, you may file a Motion for Temporary Support and Time-Sharing
with Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.947(a) and a
Motion for Temporary Relocation, Florida Supreme Court Approved Family Law From 12.950(e). For
more information, see the instructions for those forms.
Marital Settlement Agreement. If you and your spouse are able to reach an agreement on any or all of
the issues, you should file a Marital Settlement Agreement for Dissolution of Marriage with Dependent
or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1). Both of you must
sign this agreement before a notary public or deputy clerk. Any issues on which you are unable to agree
will be considered contested and settled by the judge at the final hearing.
Parenting Plan. In all cases involving minor or dependent child(ren), a Parenting Plan shall be approved
or established by the court. As you are seeking to relocate, the Parenting Plan must include a post-
relocation schedule for access and time-sharing together with the necessary transportation
arrangements. If you and your spouse have reached an agreement, you should file a Parenting Plan,
Florida Supreme Court Approved Family Law Form 12.995(a), a Safety-Focused Parenting Plan, Florida
Supreme Court Approved Family Law Form 12.995(b), or a Relocation/Long-Distance Parenting Plan,
Florida Supreme Court Approved Family Law Form 12.995(c), which addresses the time-sharing schedule
for the child(ren). If you have not reached an agreement, a proposed Parenting Plan may be filed. If the
parties are unable to agree, a Parenting Plan will be established by the court.
Final Judgment Form. These family law forms contain a Final Judgment of Dissolution of Marriage with
Dependent or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.990(c)(1), which
the judge may use if your case is contested. If you and your spouse reach an agreement on all of the issues,
the judge may use a Final Judgment of Dissolution of Marriage with Dependent or Minor Child(ren)
(Uncontested), Florida Supreme Court Approved Family Law Form 12.990(b)(1). You should check with
the clerk, family law intake staff, or judicial assistant to see if you need to bring a final judgment with you
to the hearing. If so, you should type or print the heading, including the circuit, county, case number,
division, and the parties’ names, and leave the rest blank for the judge to complete at your hearing or
trial.
Instructions for Florida Supreme Court Approved Family Law Form 12.950(c) Petition for Dissolution of Marriage
with Dependent or Minor Child(ren) and Relocation (02/18)
Nonlawyer. 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 a 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.
Instructions for Florida Supreme Court Approved Family Law Form 12.950(c) Petition for Dissolution of Marriage
with Dependent or Minor Child(ren) and Relocation (02/18)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
In Re: The Marriage of
________________________________________,
Petitioner ,
And
_______________________________________,
Respondent.
PETITION FOR DISSOLUTION OF MARRIAGE
WITH DEPENDENT OR MINOR CHILD(REN) AND RELOCATION
I, {full legal name} , the
Petitioner, being sworn, certify that the following statements are true:
1. JURISDICTION/RESIDENCE
_____ Petitioner _____ Respondent _____ Both Spouses has/have lived in Florida for at least six (6)
months before the filing of this Petition for Dissolution of Marriage.
2. Petitioner {Choose only one} _____ is _____ is not a member of the military service.
Respondent {Choose only one} _____ is _____ is not a member of the military service.
3. MARRIAGE HISTORY
Date of marriage: {month, day, year}________________________________________________.
Place of marriage: {city, county, state}_______________________________________________.
Date of separation: {month, day, year}______________________ _____ ( Indicate if approximate).
4. DEPENDENT OR MINOR CHILD(REN)
{Indicate all that apply}
a. _____ Petitioner is pregnant. Baby is due on: {date} ________________________________
b. _____ Respondent is pregnant. Baby is due on: {date} _________________________________
c. _____ The minor (under 18) child(ren) common to both parties are:
Name(s) Birth Date(s)
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
d. _____The minor child(ren) born or conceived during the marriage who are not common to
both parties are:
Name(s) Birth Date(s)
The birth parent(s) of the above minor child(ren) is/are {name(s) and address(es)}:
e. _____ The child(ren) common to both parties who are 18 or older but who are dependent
upon the parties due to a mental or physical disability are:
Name(s) Birth Date(s)
5. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b)
or (c) {Choose only one}____ has been filed or ____ will be filed.
6. A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida
Supreme Court Approved Family Law Form 12.902(d), is filed with this petition. (You must complete
and attach this form in a dissolution of marriage with minor child(ren)).
7. A completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form
12.902(j), is filed with this petition.
8. This petition for dissolution of marriage should be granted because:
{Choose only one}
a. _____ The marriage is irretrievably broken.
OR
b. _____ One of the parties has been adjudged mentally incapacitated for a period of 3 years prior
to the filing of this petition. A copy of the Judgment of Incapacity is attached to this Petition.
SECTION I. MARITAL ASSETS AND LIABILITIES
{Choose only one}
1. _____ There are no marital assets or liabilities.
OR
2. _____ There are marital assets or liabilities. All marital and nonmarital assets and liabilities are (or
will be) listed in the financial affidavits, Florida Family Law Rules of Procedure Form 12.902(b) or (c),
to be filed in this case.
{Choose all that apply}
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
a. _____ All marital assets and liabilities have been divided by a written agreement between the
parties, which is attached, to be incorporated into the final judgment of dissolution of marriage.
(The parties may use Marital Settlement Agreement for Dissolution of Marriage with Dependent
or Minor Child(ren), Florida Supreme Court Approved Family Law Form 12.902(f)(1)).
b. _____ The Court should determine how the assets and liabilities of this marriage are to be
distributed, under section 61.075, Florida Statutes.
c. Petitioner should be awarded an interest in the other spouse’s property because:
______________________________________________________________________________.
SECTION II. SPOUSAL SUPPORT (ALIMONY)
{Choose only one}
1. ____ Petitioner forever gives up any right to spousal support (alimony) from Respondent.
OR
2. _____ Petitioner requests that the Court order Respondent to pay spousal support (alimony) to
Petitioner, who claims that he or she has a need for the support that he or she is requesting and
that Respondent has the ability to pay that support. Spousal support (alimony) is requested in the
amount of $ ________ every _____ week _____ other week _____month, or ____ other
___________________, beginning {date} _________________ and continuing until {date or
event} ________________________________________________________________________.
Explain why the Court should order the other spouse to pay and any specific request(s) for type of
alimony (temporary, permanent, bridge-the-gap, durational, rehabilitative, and/or lump sum):
_________________________________________________________________________________.
{Indicate if applicable} _____ Petitioner requests life insurance on the other spouse’s life, provided
by that spouse, to secure such support.
SECTION III. RELOCATION
1. Petitioner seeks to relocate his/her residence to a place more than 50 miles from his/her place of
residence at the time of filing of the Petition. The change of location is for a period of at least
consecutive 60 days, not including a temporary absence from the principal residence for purposes of
vacation, education, or the provision of health care for the child(ren).
2. {If applicable} The following other person is an individual who is not a parent but with whom the
child resides pursuant to a court order, or who has the right of access to, time-sharing with, or
visitation with the child(ren)__________________________________________________________.
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
3. Pursuant to Section 61.13001(3), Florida Statutes, the following information is provided:
a. The location of the intended new residence, including the state, city, and physical address, if
known, is:
b. The mailing address of the new physical residence, if not the same as the physical address, is:
c. The home telephone number of the intended new residence, if known, is: _________________.
d. The date of the intended move or proposed relocation is: ______________________________.
e. The specific reasons for the proposed relocation are:
______________________________________________________________________________.
Attach additional sheets, if necessary.
f. One of the reasons for the proposed relocation is a job
_____ Yes _____ No. A copy of the written job offer is attached to this Petition.
4. The relocation and time-sharing have been agreed to by the parties. {Choose only one} _____ Yes
_____ No. If yes, attach a copy of the Agreement for Relocation to the Petition.
Failure to obtain an Order prior to the relocation renders the petition to relocate legally insufficient.
SECTION IV. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING
1. The minor child(ren) currently reside(s) with _____ Petitioner _____ Respondent _____ Other
Person: {explain} _________________________________________________________________.
2. Parental Responsibility.
It is in the child(ren)’s best interests that parental responsibility be: {Choose only one}
a. ____ shared by both parents;
b. ____ awarded solely to _____ Petitioner _____ Respondent. 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). For purposes
of a Parenting Plan, the Petitioner will be referred to as Parent {name or designation}
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________,and the Respondent will be referred to as Parent {name or designation}
__________________. Petitioner states that it is in the best interests of the child (ren) that:
{Choose only one}
a. _____ The attached proposed Parenting Plan should be adopted by the court.
The parties: {Choose only one} _____ have _____ have not agreed to the Parenting Plan.
b. _____ Each child will have time-sharing with both parents as follows: __________________
(_____ Indicate if a separate sheet is attached.)
c. _____ The court should establish a Parenting Plan with the following provisions for:
{Insert name or designation of the appropriate parent in the space provided}
_____ No time-sharing for Parent ____________
_____ Limited time-sharing with Parent ________
_____ Supervised Time-Sharing for Parent __________ .
_____ Supervised or third-party exchange of the child(ren)
_____ Time-Sharing Schedule as follows:
______________________________________________________________________________.
4. The proposed post-relocation transportation arrangements are as follows: _____________________
_________________________________________________________________________________.
5. Explain why the relocation time-sharing schedule is in the best interests of the child(ren): _________
_________________________________________________________________________________.
SECTION V. CHILD SUPPORT
{Indicate all that apply}
1. _____ Petitioner requests that the Court award child support as determined by Florida’s child
support guidelines, section 61.30, Florida Statutes. A completed Child Support Guidelines
Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), is, or will be filed. Such support
should be ordered retroactive to:
a. ____ the date of separation {date} _____________________
b. ____ the date of the filing of this petition.
c. ____ other {date}_________________ {explain} ______________________________________
2. _____ Petitioner requests that the Court award child support to be paid beyond the age of 18 years
because:
a. _____ the following child(ren): {name(s)} _____________________________________________
is (are) dependent because of a mental or physical incapacity which began before the age of 18.
{explain}_______________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
b. _____ the following child(ren): {name(s)} ____________________________________________
is (are) dependent in fact; is (are) in high school; between the ages of 18 and 19; and is (are)
performing in good faith with reasonable expectation of graduation before the age of 19.
3. _____Petitioner requests that the Court award a child support amount that is more than or less than
Florida’s child support guidelines. Petitioner understands that Motion to Deviate from Child Support
Guidelines, Florida Supreme Court Approved Family Law Form 12.943, must be filed before the
court will consider this request.
4. _____Petitioner requests that medical/dental insurance for the minor child(ren) be provided by:
{Choose only one}
a. ____ Petitioner
b. ____ Respondent
5. ____Petitioner requests that uninsured medical/dental expenses for the child(ren) be paid:
{Choose only one}
a. ____by Petitioner;
b. ____by Respondent;
c. ____by the parties equally {each spouse pays one-half};
d. ____according to the percentages in the Child Support Guidelines Worksheet, Florida Family
Law Rules of Procedure Form 12.902(e);
e. ____Other {explain}: _____________________________________________________________
6. _____ Petitioner requests that life insurance to secure child support be provided by:
a. ____Petitioner;
b. ____Respondent;
c. ____Both.
SECTION VI. OTHER
1. _____ Petitioner requests to be known by the following former name, which was
{full legal name}_______________________________________________________________.
2. Other relief {specify}:
_________________________________________________________________________________.
SECTION VII. REQUEST
{This section summarizes what you are asking the Court to include in the final judgment of dissolution of
marriage.}
_____Petitioner requests that the Court enter an order dissolving the marriage and:
{Indicate all that apply}
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
1. _____distribute marital assets and liabilities as requested in Section I of this petition;
2. _____award spousal support (alimony) as requested in Section II of this petition;
3. _____adopt or establish a Parenting Plan containing provisions for parental responsibility and time-
sharing for the dependent or minor child(ren) common to both parties, as requested in Section IV of
this petition;
4. _____permit relocation in accordance with Section III of this petition;
5. _____establish child support for the dependent or minor child(ren) common to both parties, as
requested in Section V of this petition;
6. _____restore Petitioner’s former name as requested in Section VI of this petition;
7. _____award other relief as requested in Section VI of this petition; and any other terms the Court
deems necessary.
A RESPONSE TO THE PETITION OBJECTING TO THE RELOCATION MUST BE MADE IN WRITING, FILED
WITH THE COURT, AND SERVED ON THE SPOUSE SEEKING TO RELOCATE WITHIN 20 DAYS AFTER
SERVICE OF THIS PETITION TO RELOCATE. IF YOU FAIL TO TIMELY OBJECT TO THE RELOCATION, THE
RELOCATION WILL BE ALLOWED, UNLESS IT IS NOT IN THE BEST INTERESTS OF THE CHILD, WITHOUT
FURTHER NOTICE AND WITHOUT A HEARING.
The Response is in the form of an Answer and it must be sworn to under oath and must include the
specific factual basis supporting the reasons for objecting to the relocation, including a statement of the
amount of participation or involvement you currently have or have had in the life of the child(ren).
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
_____________________________________________
_____________________________________________
_____________________________________________
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.
Dated: ______________________
STATE OF FLORIDA
COUNTY OF ____________________
Signature of Petitioner
Printed Name: _________________________________
Address: _____________________________________
City, State, Zip: ________________________________
Telephone Number: _____________________________
Fax Number: __________________________________
Designated E-mail Address(es):____________________
Sworn to or affirmed and signed before me on ____________ by _______________________________.
NOTARY PUBLIC or DEPUTY CLERK
_____________________________________________
[Print, type, or stamp commissioned name of notary or
deputy clerk.]
____ Personally known
____ Produced identification
____ Type of identification produced ________________________________
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 Petitioner.
This form was completed with the assistance of:
{name of individual} ________________________________________________________________,
{name of business}__________________________________________________________________,
{address} _________________________________________________________________________,
{city} ________________,{state} ____, {zip code}__________,{telephone number} ______________.
Florida Supreme Court Approved Family Law Form 12.950(c), Petition for Dissolution of Marriage with Dependent
or Minor Child(ren) and Relocation (02/18)
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FORM 12.950(c),: INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED (Florida)

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Completed 10 January 2021

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