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IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT,
IN AND FOR __________________COUNTY, FLORIDA
Case No:__________________________
Division: __________________________
____________________________,
Petitioner,
and
____________________________,
Respondent.
WRIT OF BODILY ATTACHMENT
(Child Support)
TO ALL AND SINGULAR SHERIFFS AND OTHER AUTHORIZED LAW ENFORCEMENT PERSONNEL OF
THE STATE OF FLORIDA
YOU ARE ORDERED to take into custody __________________________________________
{see attached Description Sheet} and confine him/her in the county jail. The individual failed to
appear before the court as ordered, failed to appear at a properly noticed hearing, and/or
failed to comply with the previous order of the court which is attached and incorporated
herein.
Service of this writ may be made on any day of the week and any time of the night or day,
including Sunday and holidays.
YOU ARE FURTHER DIRECTED to bring this person before the court within 48 hours of execution
of the writ for a hearing to determine the individual’s present ability to pay support and, if so,
whether the failure to pay such support is willful, pursuant to Rule 12.615(c)(2)(B), Florida
Family Law Rules of Procedure.
NOTICE OF EXECUTION OF THIS WRIT SHALL IMMEDIATELY BE GIVEN TO THE FOLLOWING:
{Indicate all that apply}
_____ The Office of the Judge/General Magistrate/Child Support Hearing Officer:
_____ Counsel for the Department of Revenue:
_____ Department of Revenue:
_____ Other:
Florida Supreme Court Approved Family Law Form 12.962, Writ of Bodily Attachment (Child Support) (03/15)
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________________________________
IT IS FURTHER ORDERED that the individual may purge this contempt and be immediately
released from custody at any time by the payment of the sum of $_______________________,
which includes (if applicable):
$ ___________________, to be applied to unpaid support,
$ ___________________, Sheriff’s fee,
$___________________, Department of Revenue costs.
$ ___________________, other
The court previously found in this proceeding that the individual had the ability to pay said sum.
The Sheriff, or other authorized law enforcement personnel, executing this writ or having
custody of the individual is authorized to assess and collect the actual costs associated with
service of this writ and transportation of the individual pursuant to Section 61.11(2)(a), Florida
Statutes.
PAYMENT SHALL BE MADE to the Sheriff of ___________________________ County, Florida
and shall be in the form of cash, cashier’s check, certified funds, or money order. The purge
payment, clearly marked with the individual’s name and case number, and denoted as a purge
payment shall be remitted to:
{Indicate which are applicable}:
_____ The Office of the Clerk of Circuit Court for ________________________, County,
_____ Other ____________________________________________________________.
The Sheriff’s office, or other authorized law enforcement personnel’s office, receiving payment
shall provide the individual with a written receipt acknowledging payment. The receipt must be
carried by the individual for a period of at least 30 days as proof of payment.
If the individual pays the purge and secures his/her release, the Sheriff shall immediately notify:
_____________________________________________________________________________.
THIS ORDER SUPERSEDES ALL PRIOR CONFLICTING ORDERS.
DONE AND ORDERED in ____________ County, Florida this _____day of ___________, 20____.
CIRCUIT JUDGE
Florida Supreme Court Approved Family Law Form 12.962, Writ of Bodily Attachment (Child Support) (03/15)
I certify that a copy of this {name of document}____________________________________________
was ( ) mailed ( ) faxed and mailed ( ) e-mailed ( ) hand-delivered to the parties or entities listed
below on {date}___________________________.
by___________________________________
{clerk of court or designee}
Petitioner (or his/her attorney)
Respondent (or his/her attorney)
Department of Revenue
Sheriff of ____________________County
Other:____________________________
Florida Supreme Court Approved Family Law Form 12.962, Writ of Bodily Attachment (Child Support) (03/15)
______________________________________________________________________________
______________________________________________________________________________
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DESCRIPTION SHEET
NAME: _________________________________________ DATE OF BIRTH: _______________
OTHER NAMES THE INDIVIDUAL GOES BY (ALIASES OR NICKNAMES): ______________________
ADDRESS: _____________________________________________________________________
ALTERNATE ADDRESS: ___________________________________________________________
TELEPHONE: _________________________ ALTERNATE PHONE: _________________________
SOCIAL SECURITY NUMBER: ______________________ GENDER: ________ RACE: ___________
HEIGHT: _____________ WEIGHT: ____________ EYE COLOR: ____________
HAIR COLOR, LENGTH, STYLE: _____________________________________________________
DISTINGUISHING MARKS, SCARS, TATTOOS: _____________________________________
OTHER CHARACTERISTICS: ________________________________________________________
EMPLOYER: ____________________________________ EMPLOYER PHONE: _______________
EMPLOYER ADDRESS: ____________________________________________________________
VEHICLE (MAKE/MODEL): ________________________________________________________
FLORIDA DRIVERS LICENSE NUMBER: _______________________________________________
Please use the space below for any additional information you would like to provide.
Florida Supreme Court Approved Family Law Form 12.962, Writ of Bodily Attachment (Child Support) (03/15)