__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
IN THE CIRCUIT COURT OF THE___________________________JUDICIAL CIRCUIT
IN AND FOR _______________________COUNTY, FLORIDA
Case No.: _______________________________
Division: ________________________________
________________________________,
Petitioner,
and
________________________________,
Respondent.
ORDER GRANTING TEMPORARY CUSTODIAL RESPONSIBILITY
DURING DEPLOYMENT
THIS CAUSE came before this Court on a Motion for Temporary Custodial Responsibility During
Deployment. 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. FINDINGS
1. The Court has jurisdiction over the subject matter and the parties, including jurisdiction pursuant to
the Uniform Child Custody Jurisdiction and Enforcement Act.
2. Entry of this Order is not prohibited by the Servicemembers Civil Relief Act, 50, U.S.C. ss. 3901-4043.
3. The last order establishing or modifying parental responsibility, visitation, or time-sharing was
entered on _______________________.
4. The parties dependent or minor children are:
Name Birth date
_________________________________________________________________________________.
SECTION II: DEPLOYMENT
1. _______________________________________________ is being deployed for a period of less
than 18 months pursuant to uniformed service orders.
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
____________________________________________________________________________
_____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. A Notice of Deployment was provided to the Other Parent on_______________________.
3. To the extent it is permissible to provide this information, the destination of the deployment is:
____________________________________________________________________________.
4. To the extent it is permissible to provide this information, the anticipated duration of the
deployment is:
__________________________________________________________________________.
5. To the extent that it is permissible to provide this information, the conditions of the deployment
are __________________________________________________________________________
_____________________________________________________________________________.
SECTION III: TEMPORARY CARETAKING AUTHORITY, DECISIONMAKING AUTHORITY, CONTACT WITH
CHILDREN BETWEEN PARENTS
The parties:
_____ Have filed an Agreement for Temporary Custodial Responsibility During Deployment which
is in the best interests of the children and is adopted by the Court. A copy of the Agreement is
attached as Exhibit ______. The parties, and all those who signed the Agreement, are ordered to
comply with terms of the Agreement.
OR
_____Have NOT filed an Agreement for Temporary Custodial Responsibility During Deployment.
Until this Order terminates pursuant to Section VII, the parents shall comply with the following,
which is in the children’s best interest:
1. Caretaking Authority:
Deploying Parent: _____________________________________________________________
Other Parent: ________________________________________________________________
___________________________________________________________________________.
2. Decisionmaking Authority:
Deploying Parent: ____________________________________________________________
___________________________________________________________________________.
Other Parent: ________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
___________________________________________________________________________
___________________________________________________________________________
_________________________________________________________________
_________________________________________________________________
________________________________________________________________
______________________________________________________________
________________________________________________________________
________________________________________________________________
_________________________________________________________________
________________________________________________________________
________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___________________________________________________________________________
____________________________________________________________________________.
3. Contact with Children-Deploying Parent
a. During Deployment:
i. Frequency:_____________________________________________________
_________________________________________________________________;
ii. Duration:______________________________________________________
________________________________________________________________;
iii. Means, Including Electronic:______________________________________
________________________________________________________________;
iv. Role of Other Parent in Facilitating Contact:__________________________
________________________________________________________________;
v. Role of Agreed Nonparent in Facilitating Contact:_______________________
________________________________________________________________;
vi. Allocation of Any Costs of Contact:____________________________
_______________________________________________________________.
b. While on leave or is otherwise available: __________________________________
___________________________________________________________________.
c. After deployment ends and until termination of order:
_____________________________________________________________________.
4. Contact with Children-Other Parent
___________________________________________________________________________.
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
_________________________________________________________________________
SECTION IV: NONPARENT-TEMPORARY CARETAKING AUTHORITY, DECISIONMAKING AUTHORITY,
CONTACT WITH CHILDREN
A. The parties:
_____ Have filed an Agreement for temporary caretaking authority, decisionmaking authority
and contact by the Nonparent. The Agreement is in the best interests of the children and
is adopted by the Court. Until this Order is terminated pursuant to Section VII, the parties,
and all who signed the Agreement, are ordered to comply with the terms of the
Agreement.
OR
______ Have NOT reached an Agreement for temporary caretaking authority, decisionmaking
authority, and/or contact with the children
B. The Court:
______ Finds that it is NOT in the children’s best interest to establish caretaking authority,
decisionmaking authority, or contact with the children by any Nonparent.
OR
______ Finds that it is in the children’s best interest to establish caretaking authority,
decisionmaking authority, and/or contact with the children by Nonparent(s),
____________________________ who is ______ an adult family member of the child, or
______an adult who is not a family member but a person with whom the children have a close
and substantial relationship.
The full legal name, street address, telephone number, and e-mail address of the Nonparent(s)
is: ______________________________________________________________________
_________________________________________________________________________.
The children’s street address shall not be changed without notification to the Court and all
parties disclosing the new address and contact information.
Until this Order terminates pursuant to Section VII, the parties and the Nonparent(s) shall
comply with the following:
1. Caretaking Authority {If Applicable}
The Court finds caretaking authority by the Nonparent is in the best interest of the children. If
the Nonparent is an adult who is not a family member, but a person with whom the children
have a close and substantial relationship, the best interest of the children has been established
by clear and convincing evidence.
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
{Specific Findings}: _____________________________________________________________
____________________________________________________________________________.
The Nonparent(s) shall have caretaking authority as follows: ___________________________
____________________________________________________________________________.
The caretaking authority does not exceed the amount of time granted to the Deploying Parent
under a permanent custody order. In the absence of a permanent custody order currently in
effect, the caretaking authority does not exceed amount of time the Deploying Parent habitually
cared for the child(ren) before being notified of deployment. Additional travel time may be
added if necessary to transport the children.
2. Decisionmaking Authority {If Applicable}
If due to the operational constraints of the deployment, the Deploying Parent is unable to
exercise decisionmaking authority, the Court finds that it is in the best interest of the children
that the Nonparent(s) exercise the following decisionmaking authority. If the Nonparent(s) is an
adult who is not a family member, but a person with whom the children has/have a close and
substantial relationship, the best interest of the children has been established by clear and
convincing evidence.
{Specific Findings}:______________________________________________________________
____________________________________________________________________________.
The specific decisionmaking powers are: ______________________________________
____________________________________________________________________________.
The duration of the decisionmaking powers is: {Cannot exceed the length of time in which the
Deploying Parent is unable to exercise decision making authority} _______________________
____________________________________________________________________________.
3. Contact {If Applicable}
The Court finds that it is in the best interest of the children for the Nonparent to have contact
as follows. If the Nonparent is an adult who is not a family member with whom the child has a
close and substantial relationship, the best interest of the children has been established by clear
and convincing evidence.
{Specific Findings}: _____________________________________________________________
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________.
Nonparent contact is as follows:______________________________________________
____________________________________________________________________________.
SECTION V. CHILD SUPPORT
1. The Court has jurisdiction under the Uniform Interstate Family Support Act.
2. There _____ is _____ is not an existing child support obligation. ____________________ (Obligor)
is currently ordered to pay ________________________ (Obligee) child support in the amount of
$___________every {specify week, every two weeks, month, or other} _______________________.
3. Temporary Modification of Child Support.
a. _____ The Court does not modify the existing child support obligation.
b. _____The current obligation to pay child support is:
_____ Abated
_____ Suspended
_____ Reduced to $______________ per {specify week, every two weeks, month, or other}
_______________________________________________________________________ until
such time as the custody judgment or time-sharing order previously in effect is reinstated.
c. ______The Court finds that there is a need for temporary establishment or modification of child
support and that ________________________ (Obligor) has the present ability to pay child
support.
d. ______ The amounts in the attached Child Support Guidelines Worksheet, Florida Family Law Rules
of Procedure Form 12.902(e), are correct.
OR
________The Court makes the following findings:
Deploying Parent’s net monthly income is $____________, (Child Support Guidelines ____ %).
Other Parent’s net monthly income is $_____________, (Child Support Guidelines____ %).
Monthly childcare costs are $________________.
Monthly health/dental insurance costs for the child(ren) are $__________________.
4. Amount.
Temporary child support of $____________per month for the _______children {total number of
parties’ minor or dependent children shall be paid commencing _______________ {month, day,
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
___________________________________________________________________________
___________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
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.
The Court establishes the following conditions regarding child support:
____________________________________________________________________________.
If the child support ordered deviates from the guidelines by more than 5%, the factual findings
which support that deviation are: _________________________________________________
_____________________________________________________________________________.
5. 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.
OR
b. _____Both parties have requested and the Court finds that it is in the best interests of the children
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.
6. 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 his/her support obligation until all said support is deducted from his/her income. Until
support payments are deducted from Obligor paycheck, he or she 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 months 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
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
_____________________________________________________________________________
______________________________________________________________________________
__________________________________________________________________________________
_____ 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.
c. Other provisions relating to child support: ___________________________________________
____________________________________________________________________________.
SECTION VI: INSURANCE
1. _____ The Court does not change the previously established insurance provisions.
2. _____ The Deploying Parent shall enroll the children as military dependent(s) with DEERS,
TriCare, or other similar benefits available to military dependents as provided by the Deploying
Parent’s branch of service.
3. _____Reasonable and necessary uninsured medical/dental/prescription drug costs for the
minor children 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.
SECTION VII: TERMINATION
This Order is temporary and terminates automatically 30 days after the Deploying Parent gives notice of
his/her return from deployment to the Other Parent, unless the parties agree otherwise in writing or in a
record, or the Court has already terminated the Order.
SECTION VIII. OTHER
1. Other Provisions. ___________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)
__________________________________________________________________________________
_____________________________________________
______________________________________
_________________________________________________________________________________.
2. The Court reserves jurisdiction to modify and enforce this Order Granting Temporary Custodial
Responsibility During Deployment.
3. Unless specifically modified by this Order, the provisions of all final judgments or orders in effect
remain the same.
ORDERED at _________________________, Florida, on ___________________.
CIRCUIT JUDGE
CERTIFICATE OF SERVICE
I certify that a copy of this Order Granting Temporary Custodial Responsibility During Deployment 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)
_____Nonparent (if applicable)
_____Central Depository
_____State Disbursement Unit
_____Other: _______________________
Florida Supreme Court Approved Family Law Form 12.948(c), Order Granting Temporary Custodial Responsibility
During Deployment. (07/20)