INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE
FORM 12.951(a), PETITION TO DISESTABLISH PATERNITY AND/OR
TERMINATE CHILD SUPPORT OBLIGATION (09/10)
When should this form be used?
This form should be used by a man who wishes to disestablish paternity or terminate a child
support obligation because he is not the biological father of the child(ren). The petition must be
filed
in the circuit court having jurisdiction over the child support obligation; or
if the child support was determined administratively and has not been ratified by a
court, in the circuit court in which the mother or legal guardian or custodian of the
child(ren) resides; or
if the mother or legal guardian or custodian no longer resides in the state, in the circuit
court in the county in which the petitioner resides.
This form should be typed or printed in black ink. After completing the form, you should sign the
form before a notary public or deputy clerk.
A copy of any judgment or order regarding paternity or child support and a copy of any scientific
test results showing that you cannot be the father of the child(ren) must be attached to the
petition and filed with the court.
What should I do next?
The petition must be served on the mother or legal guardian or custodian of the child(ren). If the
child support obligation was determined administratively and has not been ratified by a court,
the petition must also be served on the Department of Revenue.
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 Section 742.18, Florida
Statutes.
Special notes . . .
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.
Instructions for Florida Supreme Court Approved Family Law Form 12.951(a), Petition to Disestablish
Paternity and/or Terminate Child Support Obligation (09/10)
IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT,
IN AND FOR COUNTY, FLORIDA
Case No.: ________________
Division: ________________
,
Petitioner,
and
,
Respondent.
PETITION TO DISESTABLISH PATERNITY AND/OR TERMINATE CHILD SUPPORT OBLIGATION
I, {full legal name} ____________ , certify that
the following information is true.
1. Paternity. My paternity of the child(ren), {name(s) and birth date(s)}
was established by
[Choose only one]
operation of law because I was married to the child(ren)’s mother.
adjudication of paternity, entered by {court}
{date} .
acknowledgment of paternity executed on {date}
other: {specify}
.
_____________
on
A copy of any judgment is attached.
2. Child support. My child support obligation for the child(ren), {name(s) and birth date(s)},
was established by
[Choose only one]
a final judgment of dissolution of marriage, entered by {court} ______ on
{date} .
an administrative proceeding to establish child support in {location}
on {date} .
a paternity proceeding in {court} on {date} .
other {specify} _______
A copy of any judgment is attached.
Florida Supreme Court Approved Family Law Form 12.951(a), Petition to Disestablish Paternity and/or
Terminate Child Support Obligation (09/10)
________________________________________________________________________
________________________________________________________________________
3. Newly discovered evidence. Newly discovered evidence concerning the paternity of
this/these child(ren) has come to my knowledge since the initial paternity determination or
establishment of the child support obligation. {Explain}
4. Scientific tests.
The results of scientific tests that are generally acceptable within the scientific
community to show a probability of paternity, administered within 90 days prior to the
filing of this petition, indicate that I cannot be the father of the child(ren) for whom
support is required. A copy of the test results is attached.
I did not have access to the child(ren) to have scientific testing performed before the
filing of this petition and I request that the court order the child(ren) to be tested.
5. Fulfillment of child support obligation.
[Choose only one]
I am current on all child support payments for the child(ren) for whom relief is sought.
I have substantially complied with my child support obligation for the child(ren) and any
delinquency in my child support obligation for the child(ren) arose from my inability for
just cause to pay the delinquent child support when the delinquent child support
became due.
I ask the court to enter an order to:
[Choose all that apply]
disestablish my paternity to {name(s) of child(ren)} _____________________________
terminate my obligation to pay child support for {name(s) of child(ren)} ____________
other: __________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.951(a), Petition to Disestablish Paternity and/or
Terminate Child Support Obligation (09/10)
I certify that a copy of this document was [Choose only one] ( ) mailed ( ) faxed and
mailed ( ) hand delivered to the person(s) listed below on {date} _______________________.
Respondent or his/her attorney:
Name:
Address:
City, State, Zip:
Fax Number:
I understand that I am swearing or affirming under oath to the truthfulness of the
claims made in this affidavit and that the punishment for knowingly making a false statement
includes fines and/or imprisonment.
Dated:
Signature of Petitioner
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number:
STATE OF FLORIDA
COUNTY OF ___________________
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]
I, {full legal name and trade name of nonlawyer} ,
a nonlawyer, located at {street} , {city} ,
{state} , {phone} , helped {name} ,
who is the [Choose only one] petitioner or respondent, fill out this form.
Florida Supreme Court Approved Family Law Form 12.951(a), Petition to Disestablish Paternity and/or
Terminate Child Support Obligation (09/10)