
995 So.2d 407 (2008)
In re AMENDMENTS TO FLORIDA FAMILY LAW RULES.
No. SC08-92.
Supreme Court of Florida.
October 16, 2008.
Robyn L. Vines, Chair, Family Law Rules Committee, Fort Lauderdale, FL, Raymond T. McNeal, Past Chair, Family Law Rules Committee, Ocala, FL, and John F. Harkness, Jr., Executive Director, The Florida Bar, Tallahassee, FL, for Petitioner.
Thomas J. Mato, Chief Counsel, Florida Department of Revenue Child Support Enforcement Program, Tallahassee, FL, Responding with comments.
PER CURIAM.
We have for consideration the regular-cycle report of proposed rule amendments filed by the Florida Bar's Family Law Rules Committee. We have jurisdiction. See art. V, § 2(a), Fla. Const.

BACKGROUND
The Family Law Rules Committee submitted its regular-cycle report recommending various amendments to the Florida Family Law Rules of Procedure and family law forms. The committee proposed amendments to rules 12.015, Family Law Forms; 12.040, Attorneys; 12.310, Depositions Upon Oral Examination; 12.400, Confidentiality of Records and Proceedings; 12.410, Subpoena; 12.490, General Magistrates; 12.610, Injunctions for Domestic, Repeat, Dating, and Sexual Violence; 12.650, Override of Family Violence *408 Indicator; and 12.750, Family Self-Help Programs. The committee also proposes new forms 12.900(g), Agreement Limiting Representation, and 12.900(h), Notice of Related Cases, as well as amendments to forms 12.930(c), Standard Family Law Interrogatories for Modification Proceedings, 12.982(c), Petition for Change of Name (Minor Children), and 12.982(f), Petition for Change of Name (Family). The proposals were published for comment in The Florida Bar News on March 1, 2008. The Florida Department of Revenue filed a comment with regard to the proposed amendment to rule 12.040 and proposed new form 12.900(h) and a request for oral argument. Oral argument was heard in this matter on June 10, 2008.

AMENDMENTS
After consideration of the committee's report, the comments filed, and the parties' presentations at oral argument, we adopt the amendments to the Florida Family Law Rules as proposed by the committee with one exception. In 2003, the Court adopted Florida Family Law Rule 12.040, Attorneys, in Amendments to the Rules Regulating the Florida Bar & the Family Law Rules of Procedure (Unbundled Legal Services), 860 So.2d 394 (Fla.2003). The main purpose of rule 12.040 is to provide the appropriate procedure to allow a litigant in a family law case to retain an attorney for limited representation. The rule requires an attorney who is providing such representation to file a notice of limited appearance, the purpose of which is to provide notice to the court and to opposing parties of the limited scope of the attorney's representation of the litigant. After adopting the rule, the Court requested that the committee clarify whether the rule applied to attorneys for the Department of Revenue. In its report in this case, the committee responded that it intended that the rule apply to attorneys for the Department when the Department is involved in Title IV-D proceedings to determine paternity or establish, enforce, or modify an obligation of support or whenever the Department intervenes in a non-IV-D proceeding. In addition, the committee proposed adding new subdivision (c)(2) to the rule to provide:
(2) An attorney for the IV-D child support enforcement agency who appears in a family law matter governed by these rules, whether in an initial proceeding or in any subsequent modification or enforcement action in the proceeding, shall file a notice [of limited appearance] in compliance with subdivisions (c)(1) and (e) which shall also state: whether the recipient of IV-D services is a party to the case; any limits on the legal services being performed for the recipient of IV-D services; any limits on the issues that may be addressed by the attorney during the proceeding.
The Department of Revenue filed a comment objecting to this proposed amendment. While the Department does not object to the committee's determination that rule 12.040 applies to its attorneys under the stated circumstances, the Department's position is that the attorney represents only the IV-D agency and not the recipient of the IV-D services and thus, the notice of limited representation filed by the attorney should clarify the attorney's representation of the IV-D agency only and the limited issues the attorney is authorized to address in representing the IV-D agency as a party in the proceeding. In light of its position, the Department has proposed alternative language for new subdivision (c)(2) as follows:
An attorney for the State's Title IV-D child support enforcement agency who appears in a family law matter governed by these rules shall file a notice informing the recipient of Title IV-D *409 services and other parties to the case that the IV-D attorney represents only the Title IV-D agency and not the recipient of IV-D services. The notice must state that the IV-D attorney may only address issues concerning determination of paternity, and establishment, modification, and enforcement of support obligations. The notice may be incorporated into a pleading, motion, or other paper filed with the court when the attorney first appears.
We adopt this alternative language as proposed by the Department of Revenue.
As noted, other amendments to the Family Law Rules are adopted as proposed by the committee. A committee note is added to rules 12.310, Depositions Upon Oral Examination, and 12.410, Subpoena, to draw attention to the requirements of rule 12.407, Testimony and Attendance of Minor Child, which requires court approval before a child is deposed or is subpoenaed to appear at a hearing. Subdivision (f) of rule 12.490, General Magistrates, is amended to clarify that exceptions to a general magistrate's report should be "filed" within 10 days of service of the report. Similarly, subdivision (g) of rule 12.492, Special Magistrates, is amended to clarify that exceptions to a special magistrate's report must be "filed" within ten days of service of the report, and that cross-exceptions be filed within five days of the "filing" of the exceptions.
Along with the rule amendments discussed above, two new forms are adopted, forms 12.900(g), Agreement Limiting Representation, and 12.900(h), Notice of Related Cases. Form 12.900(g) is a retainer agreement for unbundled legal services and is intended to be used as a "rider" or supplemental agreement, in addition to a standard attorney-client fee agreement. New form 12.900(h) is for use in complying with Florida Rule of Judicial Administration 2.545(d), which requires the petitioner in a family law case to file with the court a notice of related cases.[1]
Several existing forms are also amended. Item 4.d.(4) of form 12.903(c), Standard Family Law Interrogatories for Modification Proceedings, is amended to request the "present" value of the party's interest in a pension. The instructions to and the introductory portion of form 12.982(c), Petition for Change of Name (Minor Children), are amended to require that the petitioner's, not the child's, fingerprints be attached to the petition. Similarly, the instructions to and the introductory portion of form 12.982(f), Petition for Change of Name (Family), are amended to require that each adult family member's fingerprints be attached to the petition.[2]

CONCLUSION
The Florida Family Law Rules of Procedure are hereby amended as set forth in the appendix to this opinion. New language is indicated by underscoring; deletions are indicated by struck-through type. The committee notes are offered for explanation only and are not adopted as an official part of the rules. The amended *410 family law forms are set forth fully engrossed and ready for use. The amendments shall become effective January 1, 2009, at 12:01 a.m.
It is so ordered.
QUINCE, C.J., and WELLS, ANSTEAD, PARIENTE, and LEWIS, JJ., concur.
QUINCE, C.J., specially concurs with an opinion.
CANADY and POLSTON, JJ., did not participate.
QUINCE, C.J., specially concurring.
While I agree with the majority concerning the adoption of the changes to the rules and the forms, I write to urge the Legislature to clear up the ambiguity in section 68.07, Florida Statutes (2007), concerning petitions for change of name. Subsection (2) of the statute requires a set of the petitioner's fingerprints. In the case of a change of name for a minor child, the petitioner is one or both of the child's parents. Thus, the statute is being interpreted to require a set of the fingerprints of the parent or parents.
However, it seems that the intent of the statute is to require the fingerprints of the person whose name will be changed. Such intent is understandable because it is a way to track and identify in the future the person who has changed her or his name. However, if the fingerprints of the parents are given in a petition to change the name of a minor child, the intent is undermined because one would not be able to track and identify the person whose name was actually changed. Thus, I believe the statute should clearly indicate that the child's fingerprints must be attached to the petition when the change of name is sought for a child.

APPENDIX

RULE 12.015. FAMILY LAW FORMS
(a) Forms Adopted as Rules. The forms listed in this rule shall be adopted by the rulemaking process in Fla. R. Jud. Admin. 2.1302.140. The Family Law Rules Committee of The Florida Bar shall propose amendments to these forms and any associated instructions. These forms shall be designated "Florida Family Law Rules of Procedure Forms." Forms coming under this provision are:
(1) 12.900(a), Disclosure From Nonlawyer;
(2) 12.900(b), Notice of Limited Appearance;
(3) 12.900(c), Consent to Limited Appearance by Attorney;
(4) 12.900(d), Termination of Limited Appearance;
(5) 12.900(e), Acknowledgment of Assistance by Attorney;
(6) 12.900(f), Signature Block for Attorney Making Limited Appearance;
(7) 12.900(g), Agreement Limiting Representation;
(8) 12.900(h), Notice of Related Cases;
(79) 12.901(a), Petition for Simplified Dissolution of Marriage;
(810) 12.902(b), Family Law Financial Affidavit (Short Form);
(911) 12.902(c), Family Law Financial Affidavit;
(1012) 12.902(e), Child Support Guidelines Worksheet;
(1113) 12.902(f)(3), Marital Settlement Agreement for Simplified Dissolution of Marriage;
(1214) 12.910(a), Summons: Personal Service on an Individual;
*411 (1315) 12.913(b), Affidavit of Diligent Search and Inquiry;
(16) 12.913(c), Affidavit of Diligent Search;
(1417) 12.920(a), Motion for Referral to General Magistrate;
(1518) 12.920(b), Order of Referral to General Magistrate;
(1619) 12.920(c), Notice of Hearing Before General Magistrate;
(1720) 12.930(a), Notice of Service of Standard Family Law Interrogatories;
(1821) 12.930(b), Standard Family Law Interrogatories for Original or Enforcement Proceedings;
(1922) 12.930(c), Standard Family Law Interrogatories for Modification Proceedings;
(2023) 12.932, Certificate of Compliance with Mandatory Disclosure; and
(2124) 12.990(a), Final Judgment of Simplified Dissolution of Marriage.
(b) Other Family Law Forms. All additional Supreme Court approved forms shall be adopted by opinion of the Supreme Court of Florida and outside of the rulemaking procedures required by rule 2.1302.140. These forms shall be designated "Florida Supreme Court Approved Family Law Forms."

Commentary
2000 Adoption. To help the many people in family law court cases who do not have attorneys to represent them (pro se litigants), the Florida Supreme Court added simplified forms and directions to the Florida Family Law Rules of Procedure when adopting the rules in 1995. These forms initially had been adopted by the Court in In re Family Law Rules of Procedure, 663 So.2d 1049 (Fla.1995); In re Petition for Approval of Forms Pursuant to Rule 10-1.1(b) of the Rules Regulating the Florida BarStepparent Adoption Forms, 613 So.2d 900 (Fla. 1992), and Rules Regulating The Florida BarApproval of Forms, 581 So.2d 902 (Fla.1991).
In 1997, in an effort to fulfill the spirit of the Court's directives to simplify the process of litigation in family law matters, the Family Court Steering Committee completely revised the existing forms and added new forms and instructions. The rules and forms then constituted more than 500 pages.
This rule was adopted in recognition that the forms would require continuous updating and that the rulemaking process was too cumbersome for such an undertaking.

RULE 12.040. ATTORNEYS
(a)-(b) [No Change]
(c) Scope of Representation.
(1) If an attorney appears of record for a particular limited proceeding or matter, as provided by this rule, that attorney shall be deemed "of record" for only that particular proceeding or matter. Any notice of limited appearance filed shall include the name, address, and telephone number of the attorney and the name, address, and telephone number of the party. At the conclusion of such proceeding or matter, the attorney's role terminates without the necessity of leave of court, upon the attorney filing a notice of completion of limited appearance. The notice, which shall be titled "Termination of Limited Appearance," shall include the names and last known addresses of the person(s) represented by the withdrawing attorney.
(2) An attorney for the State's Title IV-D child support enforcement agency who appears in a family law matter governed by these rules shall file a notice informing the recipient of Title IV-D services and other parties to the case that the *412 IV-D attorney represents only the Title IV-D agency and not the recipient of IV-D services. The notice must state that the IV-D attorney may only address issues concerning determination of paternity, and establishment, modification, and enforcement of support obligations. The notice may be incorporated into a pleading, motion, or other paper filed with the court when the attorney first appears.
(d) Preparation of Pleadings or Other Documents. A party who files a pleading or other document of record pro se with the assistance of an attorney shall certify that the party has received assistance from an attorney in the preparation of the pleading or other document. The name, address, and telephone number of the party shall appear on all pleadings or other documents filed with the court.
(e)-(f) [No Change]

RULE 12.310. DEPOSITIONS UPON ORAL EXAMINATION
[No Change]

Committee Note
2008 Amendment. The provisions of Fla. R. Civ. P. 1.310(b)(8) do not alter the requirements of Rule 12.407 that a court order must be obtained before deposing a minor child.

RULE 12.400. CONFIDENTIALITY OF RECORDS AND PROCEEDINGS
(a) Closure of Proceedings or Records. Closure of court proceedings or sealing of records may be ordered by the court only as provided by Florida Rule of Judicial Administration 2.0512.420.
(b) [No Change]
(c) Conditional Sealing of Financial Information.
(1) [No Change]
(2) Notice of conditional sealing shall be as required by Florida Rule of Judicial Administration 2.051(c)(9)(D)2.420(d).
(3) [No Change]

Commentary
[No Change]

RULE 12.410. SUBPOENA
[No Change]

Committee Note
2008 Amendment. The provisions of Fla. R. Civ. P. 1.410(h) do not alter the requirements of Rule 12.407 that a court order must be obtained before a minor child may be subpoenaed to appear at a hearing.

RULE 12.490. GENERAL MAGISTRATES
(a)-(c) [No Change]
(d) Hearings.
(1) [No Change]
(2) The general magistrate shall take testimony and establish a record which may be by electronic means as provided by Florida Rule of Judicial Administration 2.0702.535(g)(3) or by a court reporter. The parties may not waive this requirement.
(3) The general magistrate shall have authority to examine under oath the parties and all witnesses upon all matters contained in the reference, to require production of all books, papers, writings, vouchers, and other documents applicable to it, and to examine on oath orally all witnesses produced by the parties. The general magistrate may take all actions concerning evidence that can be taken by the circuit court and in the same manner. The general magistrate shall have the same powers as a circuit judge to utilize communications equipment as defined and regulated by Florida Rule of Judicial Administration 2.0712.530.
*413 (4)-(5) [No Change]
(e) [No Change]
(f) Filing Report; Notice; Exceptions. The general magistrate shall file the report and recommendations and serve copies on all parties. The parties may servefile exceptions to the report within 10 days from the time it is served on them. Any party may file cross-exceptions within 5 days from the service of the exceptions, provided, however, that the filing of cross-exceptions shall not delay the hearing on the exceptions unless good cause is shown. If no exceptions are filed within that period, the court shall take appropriate action on the report. If exceptions are filed, they shall be heard on reasonable notice by either party or the court.
(g) [No Change]

Commentary

[No Change]

Committee Note

[No Change]

RULE 12.491. CHILD SUPPORT ENFORCEMENT
(a)-(d) [No Change]
(e) General Powers and Duties. The support enforcement hearing officer shall be empowered to issue process, administer oaths, require the production of documents, and conduct hearings for the purpose of taking evidence. A support enforcement hearing officer does not have the authority to hear contested paternity cases. Upon the receipt of a support proceeding, the support enforcement hearing officer shall:
(1) [No Change]
(2) take testimony and establish a record, which record may be by electronic means as provided by Florida Rule of Judicial Administration 2.0702.535(g)(3);
(3)-(4) [No Change]
(f)-(h) [No Change]

Commentary

[No Change]

Committee Note

[No Change]

RULE 12.492. SPECIAL MAGISTRATES
(a) Special Magistrates. The court may appoint members of The Florida Bar as special magistrates for any particular service required by the court in a family law matter other than those involving domestic, repeat, dating, and sexual violence. The special magistrates shall be governed by all the provisions of law and rules relating to general magistrates except as otherwise provided by this rule. Additionally, they shall not be required to make oath or give bond unless specifically required by the order appointing them. Upon a showing that the appointment is advisable, a person other than a member of The Florida Bar may be appointed.
(b)-(f) [No Change]
(g) Filing Report; Notice; Exceptions. The special magistrate shall file the report and recommendations and serve copies on the parties. The parties may servefile exceptions to the report within 10 days from the time it is served on them. If no exceptions are filed within that period, the court shall take appropriate action on the report. Any party may file cross-exceptions within 5 days from the service-filing of the exceptions, provided, however, that the filing of cross-exceptions shall not delay the hearing on the exceptions unless good cause is shown. If exceptions are filed, they shall be heard on reasonable notice by either party. The party seeking *414 to have exceptions heard shall be responsible for the preparation of the transcript of proceedings before the special magistrate.
(h) [No Change]

Commentary

[No Change]

Committee Note

[No Change]

RULE 12.610. INJUNCTIONS FOR DOMESTIC, REPEAT, DATING, AND SEXUAL VIOLENCE
(a) [No Change]
(b) Petitions.
(1) [No Change]
(2) Service of Petitions.
(A) [No Change]
(B) Repeat Violence, Dating Violence, and Sexual Violence. Personal service by a law enforcement agency is required. The clerk of the court shall furnish a copy of the petition for an injunction for protection against repeat violence, dating violence, or sexual violence, temporary injunction (if one has been entered), and notice of hearing to the appropriate sheriff or law enforcement agency of the county where the respondent resides or can be found for expeditious service of process.
(C) [No Change]
(3) [No Change]
(4) Forms.
(A) [No Change]
(B) Confidential Filing of Address. A petitioner's address may be furnished to the court in a confidential filing separate from a petition or other form if, for safety reasons, a petitioner believes that the address should be concealed. The ultimate determination of a need for confidentiality must be made by the court as provided in Florida Rule of Judicial Administration 2.0512.420.
(c) [No Change]

Commentary

[No Change]

Committee Note

[No Change]

RULE 12.650. OVERRIDE OF FAMILY VIOLENCE INDICATOR
(a)-(e) [No Change]
(f) Review of Information by the Court. The court shall conduct an in-camera examination of the contents of the sealed envelope from the Federal Parent Locator Service.
(1) [No Change]
(2) If the information from the sealed envelope includes an address for the respondent or the respondent's employer, the court shall issue an order to show cause to the respondent, the department, the Florida Department of Law Enforcement (FDLE), and the state entity that placed the family violence indicator on the record. The order to show cause shall
(A)-(F) [No Change]
(3) [No Change]
(g) [No Change]
(h) Hearing on Order to Show Cause.
(1) [No Change]
(2) Notwithstanding the provisions of Florida Rule of Judicial Administration 2.0712.530, the court may conduct a hearing on the order to show cause by means of communications equipment without consent of the parties and without a limitation on the time of the hearing. The communications equipment shall be configured to *415 ensure that the location of the respondent is not disclosed.
(i) [No Change]

Commentary

[No Change]

Committee Note

[No change]

RULE 12.750. FAMILY SELF-HELP PROGRAMS
(a)-(k) [No Change]
(l) Records. All records made or received in connection with the official business of a self-help program are judicial records and access to such records shall be governed by Florida Rule of Judicial Administration 2.0512.420.
(m) [No Change]

Commentary

[No Change]
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.900(g), AGREEMENT LIMITING REPRESENTATION (01/09)

When should this form be used?
This form should be used as a "rider" or supplemental agreement, in addition to an Attorney-Client fee agreement, between the attorney and client when the attorney is making a limited appearance under Rules Regulating Florida Bar 4-1.2(c), 4-4.2(b), and 4-4.3(b) and Florida Family Law Rule of Procedure 12.040. A limited appearance means the attorney is not handling the whole case for the client, but is only being retained to do a specific part of the case.

Where can I look for more information?
See Rules Reg. Fla. Bar 4-1.2(c), 4-4.2(b), and 4-4.3(b) and Fla.Fam.L.R.P. 12.040.

AGREEMENT LIMITING REPRESENTATION
(This agreement is supplemental to the Attorney-Client fee agreement and is limited to addressing the consequences of Limited Legal Representation by an attorney in Florida)
TO THE CLIENT: THIS IS A LEGALLY BINDING CONTRACT. PLEASE READ IT CAREFULLY AND MAKE CERTAIN THAT YOU UNDERSTAND ALL OF THE TERMS AND CONDITIONS. YOU MAY TAKE THIS CONTRACT HOME WITH YOU, REVIEW IT WITH ANOTHER ATTORNEY IF YOU WISH, AND ASK ANY QUESTIONS YOU MAY HAVE BEFORE SIGNING.
EMPLOYMENT OF AN ATTORNEY FOR LIMITED REPRESENTATION REQUIRES THAT THE ATTORNEY AND CLIENT CAREFULLY AND THOROUGHLY REVIEW THE DUTIES AND RESPONSIBILITIES EACH WILL ASSUME. ANY LIMITED REPRESENTATION AGREEMENT SHOULD DESCRIBE, IN DETAIL, THE ATTORNEY'S DUTIES IN THE CLIENT'S INDIVIDUAL CASE.
1. SERVICES/LIMITED SCOPE OF REPRESENTATION: Client, {name} _____________, employs Attorney, {name} ________________ to provide representation only in the limited matter(s) described as follows: ________ ____________________________ ____________________________
2. COMPLIANCE WITH CHAPTER 4 OF THE RULES REGULATING *416 THE FLORIDA BAR: Although legal assistance is limited, an attorney-client relationship exists, and the client is entitled to the standards of professional responsibility established by Chapter 4 of the Rules Regulating the Florida Bar, including confidentiality, competence, and diligence.
3. COMPLIANCE WITH FLORIDA FAMILY LAW RULE OF PROCEDURE 12.040: An Attorney hired to provide limited representation in court must comply with Florida Family Law Rule of Procedure 12.040, as follows:
a. The attorney will file with the court a Notice of Limited Appearance, Florida Family Law Rules of Procedure Form 12.900(b), signed by the client, specifically limiting the attorney's appearance to the particular proceeding or matter in which the attorney appears.
b. If the attorney seeks to withdraw from representation before the conclusion of a limited appearance, the attorney must:
(1) File a motion with the court setting forth the reasons and serve that motion on the client and interested persons, and
(2) Obtain approval of the court.
c. At the conclusion of the proceeding or matter, the attorney's role terminates without the necessity of leave of court, on the attorney filing Termination of Limited Appearance, Florida Family Law Rules of Procedure Form 12.900(d). The notice shall include the names and last known addresses of the person(s) represented by the withdrawing attorney.
d. THE CLIENT IS ADVISED THAT ANY OBJECTION TO THE ATTORNEY'S "TERMINATION OF LIMITED APPEARANCE" MUST BE MADE IN WRITING BY THE CLIENT BY PROVIDING THE JUDGE, THE ATTORNEY, AND EACH OTHER INTERESTED PERSON (OR THEIR ATTORNEY) A COPY AND FILING THE ORIGINAL WITH THE CLERK OF COURT.
4. ADDITIONAL SERVICES/REPRESENTATION: The attorney and client may later determine that the attorney should provide additional limited services or assume full representation. The attorney may decline to provide additional services.
a. If the attorney agrees to provide additional services, those additional services should be specifically listed in an amendment to this agreement, signed and dated by both the attorney and the client.
b. If the attorney and client agree that the attorney shall serve as the client's attorney of record on all matters related to handling the client's case, the client and the attorney should indicate that agreement in an amendment to this agreement, signed and dated by both the attorney and the client.
c. In either case, additional compliance with the notice requirement of Rule 12.040 will be required by the attorney.
d. THE ATTORNEY AND THE CLIENT SHOULD NOT RELY ON VERBAL DISCUSSIONS OR VERBAL AGREEMENTS WHEN CHANGING THE TERMS OF THE ATTORNEY'S RESPONSIBILITY FOR REPRESENTATION.
5. ATTORNEYS' FEES AND COURT COSTS: The attorney and the client have made a separate agreement *417 in writing as to payment of attorneys' fees and all costs associated with the case and the attorney's representation.
BY SIGNING THIS AGREEMENT YOU ACKNOWLEDGE THAT YOU HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL OF THE FOREGOING TERMS, AND YOU INTEND TO BE LEGALLY BOUND BY THEM.
______________________   _____________________
Attorney                 Client
Name:                    Name:
______________________   _____________________
Address:                 Address:
______________________   _____________________
City, State, Zip         City, State, Zip
______________________   _____________________
Telephone Number:        Telephone Number:
______________________   _____________________
Florida Bar Number:
______________________
Date:                    Date:
______________________   _____________________
I HAVE BEEN PROVIDED A FULLY EXECUTED COPY OF THIS AGREEMENT LIMITING REPRESENTATION
______________________
Client
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW RULES OF PROCEDURE FORM 12.900(h), NOTICE OF RELATED CASES (01/09)

When should this form be used?
Florida Rule of Judicial Administration 2.545(d) requires the petitioner in a family law case to file with the court a notice of related cases, if any. Your circuit may also require this form to be filed even if there are no related cases. A case is considered related if
 it involves the same parties, children, or issues and is pending when the family law case is filed; or
 it affects the court's jurisdiction to proceed; or
 an order in the related case may conflict with an order on the same issues in the new case; or
 an order in the new case may conflict with an order in the earlier case.
This form is used to provide the required notice to the court.
This form should be typed or printed in black ink. It must be filed with the clerk of the circuit court with the initial pleading in the family law case.

What should I do next?
A copy of the form must be served on the presiding judges and either the chief judge or the family law administrative judge. You should also keep a copy for your records.

Where can I look for more information?
See Florida Rule of Judicial Administration 2.545(d).

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 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 must also 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.
IN THE CIRCUIT COURT OF THE __________________ JUDICIAL CIRCUIT,
         IN AND FOR ______________ COUNTY, FLORIDA
*418
                              Case No.: __________________________
                              Division: __________________________
___________________________,
                 Petitioner,
           and
___________________________,
                 Respondent.
                     NOTICE OF RELATED CASES
  1. Petitioner submits this Notice of Related Cases as required by Florida Rule of Judicial
     Administration 2.545(d). A related case may be an open or closed civil, criminal,
     guardianship, domestic violence, juvenile delinquency, juvenile dependency, or domestic
     relations case. A case is "related" to this family law case if it involves any of the same
     parties, children, or issues and it is pending at the time the party files a family case; if
     it affects the court's jurisdiction to proceed; if an order in the related case may conflict
     with an order on the same issues in the new case; or if an order in the new case may
     conflict with an order in the earlier litigation.
[√ one only]
   ____ There are no related cases.
   ____ The following are the related cases (add additional pages if necessary):
Related Case No. 1
Case Name(s): ____________________________________________________________________________
Petitioner _______________________________________________________________________________
Respondent _______________________________________________________________________________
Case No.: _________________________________ Division: ____________________________________
Type of Proceeding: [√ all that apply]
   ____ Dissolution of Marriage          ____ Paternity
   ____ Custody                          ____ Adoption
   ____ Child Support                    ____ Modification/Enforcement/Contempt
Proceedings
   ____ Juvenile Dependency              ____ Juvenile Delinquency
   ____ Termination of Parental Rights   ____ Criminal
   ____ Domestic/Sexual/Dating/Repeat    ____ Other {specify} _________
   ____ Violence Injunctions
   ____ Mental Health
State where case was decided or is pending: ___ Florida ___ Other: {specify} ______
Name of Court where case was decided or is pending (for example, Fifth Circuit Court,
Marion County, Florida): ____________________________________________________
Title of last Court Order/Judgment (if any): _____________________________________
Date of Court Order/Judgment (if any): ___________________________________________
Relationship of cases [√ all that apply]:
   ____ pending case involves same parties, children, or issues;
   ____ may affect court's jurisdiction;
   ____ order in related case may conflict with an order in this case;
   ____ order in this case may conflict with previous order in related case.
   Statement as to the relationship of the cases: ________________________________
   _______________________________________________________________________________
*419
Related Case No. 2
Case Name(s): ____________________________________________________________________
Petitioner: ______________________________________________________________________
Respondent: ______________________________________________________________________
Case No.: _________________________________ Division: ____________________________
Type of Proceeding: [√ all that apply]
   ____ Dissolution of Marriage          ____ Paternity
   ____ Custody                          ____ Adoption
   ____ Child Support                    ____ Modification/Enforcement/Contempt
Proceedings
   ____ Juvenile Dependency              ____ Juvenile Delinquency
   ____ Termination of Parental Rights   ____ Criminal
   ____ Domestic/Sexual/Dating/Repeat    ____ Other {specify} ______________
   ____ Violence Injunctions
   ____ Mental Health
State where case was decided or is pending: ___ Florida ___ Other: {specify} ______
Name of Court where case was decided or is pending (for example, Fifth Circuit Court,
Marion County, Florida): ____________________________________________________
Title of last Court Order/Judgment (if any): _____________________________________
Date of Court Order/Judgment (if any): ___________________________________________
Relationship of cases [√ all that apply]:
   ____ pending case involves same parties, children, or issues;
   ____ may affect court's jurisdiction;
   ____ order in related case may conflict with an order in this case;
   ____ order in this case may conflict with previous order in related case.
   Statement as to the relationship of the cases: ________________________________
   _______________________________________________________________________________
Related Case No. 3
Case Name(s): ____________________________________________________________________
Petitioner: ______________________________________________________________________
Respondent: ______________________________________________________________________
Case No.: _____________________________________ Division: ________________________
Type of Proceeding: [√ all that apply]
   ____ Dissolution of Marriage          ____ Paternity
   ____ Custody                          ____ Adoption
   ____ Child Support                    ____ Modification/Enforcement/Contempt
Proceedings
   ____ Juvenile Dependency              ____ Juvenile Delinquency
   ____ Termination of Parental Rights   ____ Criminal
   ____ Domestic/Sexual/Dating/Repeat    ____ Other {specify} _____________
   ____ Violence Injunctions
   ____ Mental Health
State where case was decided or is pending: ___ Florida ___ Other: {specify} ______
Name of Court where case was decided or is pending (for example, Fifth Circuit Court,
Marion County, Florida): ____________________________________________________
Title of last Court Order/Judgment (if any): _____________________________________
Date of Court Order/Judgment (if any): ___________________________________________
Relationship of cases [√ all that apply]:
*420
  ____ pending case involves same parties, children, or issues;
  ____ may affect court's jurisdiction;
  ____ order in related case may conflict with an order in this case;
  ____ order in this case may conflict with previous order in related case.
  Statement as to the relationship of the cases: _________________________________
  ________________________________________________________________________________
2. [√ one only]
   ____ I do not request coordination of litigation in any of the cases listed above.
   ____ I do request coordination of the following cases: ______________
   _______________________________________________________________________________
   _______________________________________________________________________________
3. [√ all that apply]
   ____ Assignment to one judge
   ____ Coordination of existing cases
   will conserve judicial resources and promote an efficient determination of these cases
   because: _____________________________________________________________________________.
4. The Petitioner acknowledges a continuing duty to inform the court of any cases in this
or any other state that could affect the current proceeding.
   Dated: __________      _______________________________________
                          Petitioner's Signature
                          Printed Name: _________________________
                          Address: ______________________________
                          City, State, Zip: _____________________
                          Telephone Number: _____________________
                          Fax Number: ___________________________
                          CERTIFICATE OF SERVICE
  I CERTIFY that I delivered a copy of this Notice of Related Cases to the ______
County Sheriff's Department or a certified process server for service on the Respondent, and
[√ one only] ( ) mailed ( ) hand delivered a copy to ( )
{name} __________, who is the [√ all that apply] ( ) judge assigned to new case, ( ) chief
judge or family law administrative judge, ( ) {name} ___________________,
a party to the related case, ( ) {name} ___________________, a party to the related case on
{date} ___________.
                                                      ___________________________________
                                                      Petitioner/Attorney for Petitioner
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 Petitioner, fill out this form.


*421 INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.930(c), STANDARD FAMILY LAW INTERROGATORIES FOR MODIFICATION PROCEEDINGS (01/09)

When should this form be used?
This form should be used to ask the other party in your case to answer certain standard questions in writing. These questions are called interrogatories, and they must relate to your case. If the other party fails to answer the questions, you may ask the judge to order the other party to answer the questions. (You cannot ask these questions before the petition has been filed.)
The questions in this form should be used in modification proceedings and are meant to supplement the information provided in the Financial Affidavits, Florida Family Law Rules of Procedure Form 12.902(b) or (c). You should read all of the questions in this form to determine which questions, if any, the other party needs to answer in order to provide you with information not covered in the financial affidavit forms. If there are questions to which you already know the answer, you may choose not to ask them.
This form should be typed or printed in black ink. You must complete the box at the beginning of this form to indicate which questions you are requesting that the other party answer. You should send two copies of this form and the Notice of Service of Standard Family Law Interrogatories, Florida Family Law Rules of Procedure Form 12.930(a), to the other party. You should also keep a copy for your records. You do not need to file this form with the clerk of the circuit court. However, you must file the Notice of Service of Standard Family Law Interrogatories, Florida Family Law Rules of Procedure Form 12.930(a), to tell the court that you have sent this form to the other party.

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 the instructions for Notice of Service of Standard Family Law Interrogatories, Florida Family Law Rules of Procedure Form 12.930(a), rules 12.280, 12.285, 12.340, and 12.380, Florida Family Law Rules of Procedure and rules 1.280, 1.340, and 1.380, Florida Rules of Civil Procedure.

Special notes . . .
In addition to the standard questions in this form, you may ask up to 10 additional questions. You should type or print your additional questions on a separate sheet of paper and attach it to this form. If you want to ask more than 10 additional questions, you will need to get permission from the judge.
You may want to inform the other party of the following information: As a general rule, within 30 days after service of interrogatories, the other party must answer the questions in writing and mail (have postmarked) the answers to you. His or her answers shall be written in the blank space provided after each separately numbered interrogatory. If sufficient space is not provided, the answering party may attach additional papers with the answers and refer to them in the space provided in the interrogatories. He or she should be sure to make a copy for him/herself. All answers to these questions are *422 made under oath or affirmation as to their truthfulness. Each question must be answered separately and as completely as the available information permits. The original of the answers to the interrogatories is to be provided to the requesting party. Do not file the original or a copy with the clerk of the circuit court except as provided by Florida Rule of Civil Procedure 1.340(e). The other party may object to a question by writing the legal reason for the objection in the space provided. He or she may also ask the court for a protective order granting him or her permission not to answer certain questions and protecting him or her from annoyance, embarrassment, apprehension, or undue burden or expense. If the other party fails to either answer or object to the questions within 30 days, he or she may be subject to court sanctions.
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.
         IN THE CIRCUIT COURT OF THE _____________ JUDICIAL CIRCUIT,
                  IN AND FOR _______________ COUNTY, FLORIDA
                                        Case No.: _______________________
                                        Division: ________________________
_______________________________,
                      Petitioner
               and
_______________________________,
                     Respondent.
                    STANDARD FAMILY LAW INTERROGATORIES
                        FOR MODIFICATION PROCEEDINGS
*423
  The answers to the following questions are intended to supplement the information
provided in the Financial Affidavits, Florida Family Law Rules of Procedure Form 12.902(b)
or (c). You should answer the group of questions indicated in the above shaded box. The
questions should be answered in the blank space provided below each separately numbered
question. If sufficient space is not provided, you may attach additional papers with the
answers and refer to them in the space provided in the interrogatories. You should be sure
to make a copy for yourself. Each question must be answered separately and as completely
as the available information permits. All answers are to be made under oath or affirmation
as to their truthfulness.
  I, {name of person answering interrogatories} ___________________________,
being sworn, certify that the following information is true:
  1. BACKGROUND INFORMATION:
     a. State your full legal name and any other name by which you have been known.
     b. State your present residence and telephone numbers.
     c. State your place and date of birth.
  2. EDUCATION:
     a. List all business, commercial, and professional licenses that you have obtained since the entry
        of the Final Judgment sought to be modified.
     b. List all of your education since the entry of the Final Judgment sought to be modified
        including, but not limited to, vocational or specialized training, including the following:
        (1) name and address of each educational institution.
        (2) dates of attendance.
        (3) degrees or certificates obtained or anticipated dates of same.
  3. EMPLOYMENT:
     a. For each place of your employment or self-employment since the entry of the Final Judgment
        sought to be modified, state the following:
        (1) name, address, and telephone number of your employer.
        (2) dates of employment.
        (3) job title and brief description of job duties.
        (4) starting and ending salaries.
        (5) name of your direct supervisor.
        (6) all benefits received, including, for example, health, life, and disability insurance; expense
            account; use of automobile or automobile expense reimbursement; reimbursement for
            travel, food, or lodging expenses; payment of dues in any clubs or associations; and
            pension or profit sharing plans.
     b. Other than as an employee, if you have been engaged in or associated with any business,
        commercial, or professional activity since the entry of the Final Judgment sought to be
        modified that was not detailed above, state for each such activity the following:
        (1) name, address, and telephone number of each activity.
        (2) dates you were connected with such activity.
        (3) position title and brief description of activities.
        (4) starting and ending compensation.
        (5) name of all persons involved in the business, commercial, or professional activity with you.
        (6) all benefits and compensation received, including, for example, health, life, and disability
            insurance; expense account; use of automobile or automobile expense reimbursement;
            reimbursement for travel, food, or lodging expenses; payment of dues in any clubs or
            associations; and pension or profit sharing plans.
     c. If you have been unemployed at any time since the entry of the Final Judgment sought to be
        modified, state the dates of unemployment. If you have not been employed at any time since
*424
        the entry of the Final Judgment sought to be modified, give the information requested above
        in question 3.a for your last period of employment.
  4. ASSETS:
     a. Real Estate. State the street address, if any, and if not, the legal description of all real
        property that you own or owned during the last 3 years, or since the entry of the Final
        Judgment sought to be modified, if shorter. For each property, state the following:
        (1) the names and addresses of any other persons or entities holding any interest and their
            percentage of interest.
        (2) the present fair market value.
     b. Tangible Personal Property. List all items of tangible personal property that are owned by
        you or in which you have had any interest during the last 3 years, or since the entry of the
        Final Judgment sought to be modified, if shorter, including, but not limited to, motor vehicles,
        tools, furniture, boats, jewelry, art objects or other collections, and collectibles whose fair
        market value exceeds $100. For each item, state the following:
        (1) the percentage and type interest you hold.
        (2) the names and addresses of any other persons or entities holding any interest.
        (3) the present fair market value.
     c. Intangible Personal Property. Other than the financial accounts (checking, savings, money
        market, credit union accounts, retirement accounts, or other such cash management accounts)
        listed in the answers to interrogatories 4.d and 4.e below, list all items of intangible personal
        property that are owned by you or in which you have had any ownership interest (including
        closed accounts) within the last 3 years, or since the entry of the Final Judgment sought to be
        modified, if shorter, including, but not limited to, partnership and business interests (including
        good will), deferred compensation accounts unconnected with retirement, including but not
        limited to stock options, sick leave, and vacation pay, stocks, stock funds, mutual funds, bonds,
        bond funds, real estate investment trusts, receivables, certificates of deposit, notes, mortgages,
        and debts owed to you by another entity or person. For each item, state the following:
        (1) the percentage and type interest you hold.
        (2) the names and addresses of any other persons or entities holding any interest and the
            names and addresses of the persons and entities who are indebted to you.
        (3) the present fair market value or the amounts you claim are owned by or owed to you, at
            the time of answering these interrogatories.
You may comply with this interrogatory (4.c) by providing copies of all periodic (monthly,
quarterly, semi-annual, or annual) account statements for each such account for the preceding 3
years, or since the entry of the Final Judgment sought to be modified, if shorter. However, if
the date of acquisition, the purchase price, and the market valuations are not clearly reflected in
the periodic statements which are furnished, then these questions must be answered separately.
You do not have to resubmit any periodic statements previously furnished under rule 12.285
(Mandatory Disclosure).
     d. Retirement Accounts: List all information regarding each retirement account/plan, including
        but not limited to defined benefit plans, 401k, 403B, IRA accounts, pension plans, Florida
        Retirement System plans (FRS), Federal Government plans, money purchase plans, HR10
        (Keogh) plans, profit sharing plans, annuities, employee savings plans, etc. that you have
        established and/or that have been established for you by you, your employer or any previous
        employer. For each account, state the following:
        (1) the name and account number of each account/plan and where it is located.
        (2) the type of account/plan.
        (3) the name and address of the fiduciary plan administrator/service representative
        (4) the present fair market value of your interest in each account/plan.
        (5) whether you are vested or not vested; and if vested, in what amount, as of a certain date
            and the schedule of future vesting.
        (6) the date at which you became/become eligible to receive some funds in this account/plan.
        (7) monthly benefits of the account/plan if no fair market value is ascertained.
*425
        (8) beneficiary(ies) and/or alternate payee(s).
     e. Financial Accounts. For all financial accounts (checking, savings, money market, credit
        union accounts, or other such cash management accounts) listed in your Financial Affidavit, in
        which you have had any legal or equitable interest, regardless of whether the interest is or
        was held in your own name individually, in your name with another person, or in any other
        name, give the following:
        (1) name and address of each institution.
        (2) name in which the account is or was maintained.
        (3) account numbers.
        (4) names of each person authorized to make withdrawals from the accounts.
        (5) highest balance within each of the preceding 3 years, or since the entry of the Final
            Judgment sought to be modified, if shorter.
        (6) lowest balance within each of the preceding 3 years, or since the entry of the Final
            Judgment sought to be modified, if shorter.
You may comply with this interrogatory (4.e) by providing copies of all periodic (monthly,
quarterly, semi-annual, or annual) account statements for each such account for the preceding 3
years, or since the entry of the Final Judgment sought to be modified, if shorter. You do not
have to resubmit account statements previously furnished under rule 12.285 (Mandatory
Disclosure).
     f. Closed Financial Accounts. For all financial accounts (checking, savings, money market,
        credit union accounts, or other such cash management accounts) closed within the last 3 years,
        or since the entry of the Final Judgment sought to be modified, if shorter, in which you have
        had any legal or equitable interest, regardless of whether the interest is or was held in your
        own name individually, in your name with another person, or in any other name, give the:
        (1) name and address of each institution.
        (2) name in which the account is or was maintained.
        (3) account numbers.
        (4) name of each person authorized to make withdrawals from the accounts.
        (5) date account was closed.
     g. Trust. For any interest in an estate, trust, insurance policy, or annuity, state the following:
        (1) if you are the beneficiary of any estate, trust, insurance policy, or annuity, give for each
            one the following:
            (a) identification of the estate, trust, insurance policy, or annuity.
            (b) the nature, amount, and frequency of any distributions of benefits.
            (c) the total value of the beneficiaries' interest in the benefit.
            (d) whether the benefit is vested or contingent.
        (2) if you have established any trust or are the trustee of a trust, state the following:
            (a) the date the trust was established.
            (b) the names and addresses of the trustees.
            (c) the names and addresses of the beneficiaries.
            (d) the names and addresses of the persons or entities who possess the trust documents.
            (e) each asset that is held in each trust, with its fair market value.
     h. Name of Accountant, Bookkeeper, or Records Keeper. State the names, addresses, and
        telephone numbers of your accountant, bookkeeper, and any other persons who possess your
        financial records, and state which records each possesses.
  5. LIABILITIES:
*426
     a. Loans, Liabilities, Debts, and Other Obligations. For all loans, liabilities, debts, and other
        obligations (other than credit cards and charge accounts) listed in your Financial Affidavit,
        indicate for each the following:
        (1) name and address of the creditor.
        (2) name in which the obligation is or was incurred.
        (3) loan or account number, if any.
        (4) nature of the security, if any.
        (5) payment schedule.
        (6) present balance and current status of your payments.
        (7) total amount of arrearage, if any.
You may comply with this interrogatory (5.a) by providing copies of all periodic (monthly,
quarterly, semi-annual, or annual) account statements for each such account for the preceding 3
years, or since the entry of the Final Judgment sought to be modified, if shorter. You do not
have to resubmit account statements previously furnished under rule 12.285 (Mandatory
Disclosure).
     b. Credit Cards and Charge Accounts. For all financial accounts (credit cards, charge
        accounts, or other such accounts) listed in your Financial Affidavit, in which you have had any
        legal or equitable interest, regardless of whether the interest is or was held in your own name
        individually, in your name with another person, or in any other name, give the following:
        (1) name and address of the creditor.
        (2) name in which the account is or was maintained.
        (3) name of each person authorized to sign on the accounts.
        (4) account numbers.
        (5) present balance and current status of your payments.
        (6) total amount of arrearage, if any.
        (7) highest and lowest balance within each of the preceding 3 years, or since the entry of the
            Final Judgment sought to be modified, if shorter.
You may comply with this interrogatory (5.b) by providing copies of all periodic (monthly,
quarterly, semi-annual, or annual) account statements for each such account for the preceding 3
years, or since the entry of the Final Judgment sought to be modified, if shorter. You do not
have to resubmit account statements previously furnished under rule 12.285 (Mandatory
Disclosure).
     c. Closed Credit Cards and Charge Accounts. As to all financial accounts (credit card, charge
        accounts, or other such accounts) closed with no remaining balance, within the last 3 years, or
        since the entry of the Final Judgment sought to be modified, if shorter, in which you have had
        any legal or equitable interest, regardless of whether the interest is or was held in your own
        name individually, in your name with another person, or in any other name, give the following:
        (1) name and address of each creditor.
        (2) name in which the account is or was maintained.
        (3) account numbers.
        (4) name of each person authorized to sign on the accounts.
        (5) date the balance was paid off.
        (6) amount of final balance paid off.
You may comply with this interrogatory (5.c) by providing copies of all periodic (monthly,
quarterly, semi-annual, or annual) account statements for each such account for the preceding 3
years, or since the entry of the Final Judgment sought to be modified, if shorter. You do not
have to resubmit account statements previously furnished under rule 12.285 (Mandatory
Disclosure).
*427
  6. MISCELLANEOUS:
     a. If you are claiming a diminished earning capacity since the entry of the Final Judgment
        sought to be modified as grounds to modify alimony or deviate from the child support
        established in your case, describe in detail how your earning capacity is lowered and state all
        facts upon which you rely in your claim. If unemployed, state how, why, and when you lost
        your job.
     b. If you are claiming a change in a mental or physical condition since the entry of the Final
        Judgment sought to be modified as grounds to modify alimony or change the child support
        established in your case, describe in detail how your mental and/or physical capacity has
        changed and state all facts upon which you rely in your claim. Identify the change in your
        mental and/or physical capacity, and state the name and address of all health care providers
        involved in the treatment of this mental or physical condition.
     c. If you are requesting a change in shared or sole parental responsibility, the parenting plan, or
        any combination thereof, for the minor child(ren), describe in detail the change in circumstances
        since the entry of the Final Judgment sought to be modified that you feel justify the
        requested change. State when the change of circumstances occurred, how the change of
        circumstances affects the child(ren), and why it is in the best interests of the child(ren) that
        the Court make the requested change. Attach your proposed parenting plan.
     d. If you do not feel the requested change in shared or sole parental responsibility, the parenting
        plan, or any combination thereof, for the minor child(ren) is in their best interests, describe in
        detail any facts since the entry of the Final Judgment sought to be modified that you feel
        justify the Court denying the requested change. State, in your opinion, what change, if any,
        in shared or sole parental responsibility, or of the parenting plan is justified or agreeable to
        you and why it is in the best interests of the child(ren).
        (7) LONG FORM AFFIDAVIT: If you filed the short form affidavit, Florida Family Law
            Rules of Procedure Form 12.902(b), and you were specifically requested in the Notice of
            Service of Standard Family Law Interrogatories to file the Long Form Affidavit, Form
            12.902(c), you must do so within the time to serve the answers to these interrogatories.
  I certify that a copy of this document was [√ one only] ( ) mailed ( ) faxed and mailed ( ) hand
delivered to the person(s) listed below on {date} _____________.
Other party 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
answers to these interrogatories and that the punishment for knowingly making a false
statement includes fines and/or imprisonment.
Dated: ____________
                                ___________________________________________
                                Signature of Party
                                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 _______________.
*428
                                ___________________________________________
                                NOTARY PUBLIC or DEPUTY CLERK
                                ___________________________________________
                                [Print, type, or stamp commissioned name of
                                notary or 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 [√ one only] ___ petitioner or ___ respondent, fill out this form.

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.982(c), PETITION FOR CHANGE OF NAME (MINOR CHILD(REN)) (01/09)

When should this form be used?
This form should be used when parents want the court to change the name of their minor child(ren). For the purposes of this proceeding, a person under the age of 18 is a minor. This form is not to be used in connection with an adoption or paternity action. If you want a change of name for your child(ren) because of an adoption or paternity action that is not yet final, the change of name should be done as part of that case.
This form should be typed or printed in black ink. The primary petition should only be completed for one child. If you wish to change the names of more than one child, you should complete and file a Supplemental Form for Petition for Change of Name (Minor Child) for each child. The supplemental form is an attachment to the petition. Be sure that the bottom of each page of each supplemental form is initialed by the petitioner(s). You must obtain a copy of the petitioner(s)'s fingerprints taken by a law enforcement agency and attach it to the petition. There may be a charge for the fingerprinting which you will have to pay. 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.

What should I do next?
If both parents agree to the change of name and live in the county where the change of name is sought, you may both file as petitioners. In this situation, service is not necessary, and you need only to set a hearing. You should ask the clerk of court, family law intake staff, or judicial assistant about the local procedure for setting a hearing.
If only one parent is a resident of the county where the change of name(s) is sought or only one parent asks for the child(ren)'s name(s) to be changed, the other parent must be notified and his or her consent obtained, if possible. If the other parent consents to the change of name, a Consent for Change of Name (Minor Child(ren)), Florida Supreme *429 Court Approved Family Law Form 12.982(d), should be filed.
If the other parent does not consent to the change of name, you may still have a hearing on the petition if you have properly notified the other parent about your petition and the hearing. If you know where he or she lives, you must use personal service. If you absolutely do not know where he or she lives, you may use constructive service. For more information about personal and constructive service, you should refer [to] the "General Instructions for Self-Represented Litigants" found at the beginning of these forms and the instructions to Florida Family Law Rules of Procedure Forms 12.910(a) and 12.913(b) and Florida Supreme Court Approved Family Law Form 12.913(a). However, the law regarding constructive service is very complex and you may wish to consult an attorney regarding that issue.
Next, you must obtain a final hearing date for the court to consider your request. You should ask the clerk of court, family law intake staff, or judicial assistant about the local procedure for setting a hearing. You may be required to attend the hearing. Included in these forms is a Final Judgment of Change of Name (Minor Child(ren)), Florida Supreme Court Approved Family Law Form 12.982(e), which may be used when a judge grants a change of name for a minor child(ren). If you attend the hearing, you should take the final judgment with you. You should complete the top part of the form, including the circuit, county, case number, division, and the name(s) of the petitioner(s) and leave the rest blank for the judge to complete. It should be typed or printed in black ink.
If the judge grants your petition, he or she will sign this order. This officially changes your child(ren)'s name(s). The clerk can provide you with certified copies of the signed order. There will be charges for the certified copies, and the clerk can tell you how much those charges are.

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 68.07, Florida Statutes.

Special notes ...
The heading of the form calls for the name(s) of the petitioner(s). This is the parent(s) who is (are) requesting the change of their child(ren)'s name(s). The judicial circuit, case number, and division may be obtained from the clerk of court's office when you file the petition.
It may be helpful to compile a list of all of the people and places that will need a copy of the final judgment. This list may include the driver's license office, social security office, banks, schools, etc. A list will help you know how many copies of your order you should get from the clerk of court after your hearing.
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.
      IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT,
*430
              IN AND FOR _______________ COUNTY, FLORIDA
                                      Case No.: _______________________
                                      Division: _______________________
IN RE: THE NAME CHANGE OF
__________________________________,
                 Petitioner/Father,
___________________________________,
                  Petitioner/Mother.
      PETITION FOR CHANGE OF NAME (MINOR CHILD(REN))
  I/We, {full legal name(s)} ___________________________, being sworn, certify that
the following information is true:
  I am/We are the birth or legal parent(s) of the minor child(ren) named in this petition.
[√ only one]
  a. ___ There is only one minor child named in this petition.
  b. ___ There are {enter number of children} _________ children named in this
         petition. The information on the first child is entered below. I/We have
attached the completed supplemental forms for each other child.
A copy of the petitioner(s)'s fingerprints taken by a law enforcement agency is attached to
this petition.
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD #  1: :
  1.  Minor child's complete present name is:
      ______________________________________________________________________________________________________
      I/We request that this minor child's name be changed to:
      ______________________________________________________________________________________________________
  2.  The minor child lives in ______ County, Florida, at {street address} ________________________
      _____________________________________________________________________________________________________.
  3.  The minor child was born on {date} _________, in {city, county, state, country} ____
      _____________________________________________________________________________________________________.
  4.  The minor child's father's full legal name: _________________________________________________________.
      The minor child's mother's full legal name: _________________________________________________________.
      The minor child's mother's maiden name: _____________________________________________________________.
  5.  The minor child has lived in the following places since birth:
      Dates (to/from) Address
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
*431
  6.  [√ one only]
___   The minor child is not married.
___   The minor child is married to: {full legal name} ___________________________________________.
  7.  [√ one only]
___   The minor child has no children.
___   The minor child is the parent of the following child(ren): {enter full name(s) and
date(s) of birth} ___________________________________________________________________________
      ______________________________________________________________________________________________________
  8.  Former names.
  [√ all that apply]
___   The minor child's name has never been changed by a court.
___   The minor child's name previously was changed by court order from _________________________
      to ________ on {date} ______________________________________________________________________,
      by {court, city, and state} ________________________________________________________________.
      A copy of the court order is attached.
___   The minor child's name previously was changed by marriage from ____________________________
      to __________ on {date} ____________________________________________________________________,
      in {city, county, and state} _______________________________________________________________.
      A copy of the marriage certificate is attached.
___   The minor child has never been known or called by any other name.
___   The minor child has been known or called by the following other name(s): {list
name(s) and explain where child was known or called by such name(s)} ________________________
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
  9.  The minor child is not employed in an occupation or profession, does not own and
      operate a business, and has received no educational degrees. If the minor child has a
      job, explain: ________________________________________________________________________________________
      ______________________________________________________________________________________________________
  10. Criminal History.
  [√ one only]
___   The minor child has never been arrested for or charged with, pled guilty or nolo
      contendere to, or been found to have committed a criminal offense, regardless of
      adjudication.
___   The minor child has a criminal history. In the past, the minor child was arrested for
      or charged with, pled guilty or nolo contendere to, or been found to have committed a
      criminal offense, regardless of adjudication. The details of the criminal history are:
             Date    City/State          Event (arrest, charge, plea, or adjudication)
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  11. Money Judgments.
  [√ one only]
___   The minor child has never been adjudicated bankrupt, and no money judgment has
      ever been entered against him or her.
___   The following money judgment(s) has been entered against him or her:
      Date Amount Creditor Court entering judgment and case number √ if Paid
      ____ ______ ________ _______________________________________ []
      ____ ______ ________ _______________________________________ []
THE FOLLOWING INFORMATION IS TRUE ABOUT PETITIONER(S):
  12. Petitioner(s) live in ______ County, Florida, at {street address} ___________________________
      ______________________________________________________________________________________________________
*432
  13. I/We have no ulterior or illegal purpose for filing this petition, and granting it will not
      in any manner invade the property rights of others, whether partnership, patent,
      good will, privacy, trademark, or otherwise.
  14. My/our civil rights have never been suspended, or, if ever suspended, they have been
      fully restored.
  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: ________                  _________________________________________
                                 Signature of Petitioner/Father
                                 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 clerk.]
___   Personally known
___   Produced identification
      Type of identification produced _____________________________
  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: ________                 __________________________________________
                                Signature of Petitioner/Mother
                                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
*433
                                       _____________________________________________
                                       [Print, type, or stamp commissioned name of
                                       notary or 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(s)} _____________________,
who is (are) the petitioner(s), fill out this form.
PETITIONER(S) MUST INITIAL HERE __________
         SUPPLEMENTAL FORM FOR PETITION FOR CHANGE
                    OF NAME (MINOR CHILD(REN))
                                       Case No.: ___________________________________________________________
THE FOLLOWING INFORMATION IS TRUE ABOUT CHILD # _______:
  1.  Minor child's complete present name is:
      ______________________________________________________________________________________________________
      I/We request that minor child's name be changed to:
      ______________________________________________________________________________________________________
  2.  The minor child lives in _______ County, Florida, at {street address} _______________________
      _____________________________________________________________________________________________________.
  3.  The minor child was born on {date} ______, in {city, county, state, country} _______
      _____________________________________________________________________________________________________.
  4.  The minor child's father's full legal name: _________________________________________________________.
      The minor child's mother's full legal name: _________________________________________________________.
      The minor child's mother's maiden name: _____________________________________________________________.
  5.  The minor child has lived in the following places since birth:
      Dates (to/from) Address
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  6.  [√ one only]
  ___ The minor child is not married.
  ___ The minor child is married to: {full legal name} ___________________________________________.
  7.  [√ one only]
  ___ The minor child has no children.
  ___ The minor child is the parent of the following child(ren): {enter name(s) and date(s)
of birth} ___________________________________________________________________________________
      ______________________________________________________________________________________________________
*434
  8.  Former names
  [√ all that apply]
___   The minor child's name has never been changed by a court.
___   The minor child's name previously was changed by court order from _________________________
      to ___________ on {date} ___________________________________________________________________,
      by {court, city, and state} ________________________________________________________________.
      A copy of the court order is attached.
___   The minor child's name previously was changed by marriage from ____________________________
      to ___________ on {date} ___________________________________________________________________,
      in {city, county, and state} _______________________________________________________________.
      A copy of the marriage certificate is attached.
___   The minor child has never been known or called by any other name.
___   The minor child has been known or called by the following other name(s): {list
name(s) and explain where child was known or called by such name(s)} ________________________
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
  9.  The minor child is not employed in an occupation or profession, does not own and
      operate a business, and has received no educational degrees. If the minor child has a
      job, explain: ________________________________________________________________________________________
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
  10. Criminal History
  [√ one only]
___   The minor child has never been arrested for or charged with, pled guilty or nolo
      contendere to or been found to have committed a criminal offense, regardless of
      adjudication.
___   The minor child has a criminal history. In the past, the minor child was arrested for
      or charged with, pled guilty or nolo contendere to, or been found to have committed a
      criminal offense, regardless of adjudication. The details of the criminal history are:
               Date     City/State         Event (arrest, charge, plea, or adjudication)
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  11. Money Judgments
  [√ one only]
___   The minor child has never been adjudicated bankrupt, and no money judgment has
      ever been entered against him or her.
___   The following money judgment(s) has (have) been entered against him or her:
      Date   Amount  Creditor  Court entering judgment and case number √ if Paid
      ____   ______  ________  _________________________________________ []
      ____   ______  ________  _________________________________________ []
PETITIONER(S) MUST INITIAL HERE ________


*435 INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.982(f), PETITION FOR CHANGE OF NAME (FAMILY) (01/09)

When should this form be used?
This form should be used when a family wants the court to change its name. This form is not to be used in connection with a divorce, paternity, or adoption action. If you want a change of name because of a dissolution of marriage, paternity, or adoption action that is not yet final, the change of name should be done as part of that case.
This form should be typed or printed in black ink. The petition should only be completed for one adult. If you wish to change the name(s) of another adult and/or child(ren), you should complete and file a Supplemental Form for Petition for Change of Name (Family) for each additional family member and file the supplemental form(s) as an attachment to the petition. Be sure that the bottom of each child's supplemental form is initialed. A copy of the fingerprints of each adult family member who is petitioning to have his or her name changed, taken by a law enforcement agency, must be attached to the petition. There may be a charge for the fingerprinting which you will have to pay. After completing this form, it should be signed before a notary public or deputy clerk. You should then file the original with the clerk of the circuit court in the county where you live and keep a copy for your records.

What should I do next?
If any of the children for whom you are requesting this change of name are not the legal children of both adults filing this petition, you must obtain the consent of the legal parent(s). A parent not named as a petitioner in this action may consent by submitting a Consent for Change of Name (Minor Child(ren)), Florida Supreme Court Approved Family Law Form 12.982(d).
If the other parent does not consent to the change of name, you may still have a hearing on the petition if you have properly notified the other parent about your petition and the hearing. If you know where he or she lives, you must use personal service. If you absolutely do not know where he or she lives, you may use constructive service. For more information about personal and constructive service, you should refer to the "General Instructions for Self-Represented Litigants" found at the beginning of these forms and the instructions to Florida Family Law Rules of Procedure Forms 12.910(a) and 12.913(b) and Florida Supreme Court Approved Family Law Form 12.913(a). The law on constructive service is very complex and you may wish to consult an attorney regarding constructive service.
Next, you must obtain a final hearing date for the court to consider your request. You should ask the clerk of court, family law intake staff, or judicial assistant about the local procedure for setting a hearing. You may be required to attend the hearing. Included in these forms is a Final Judgment of Change of Name (Family), Florida Supreme Court Approved Family Law Form 12.982(g), which may be used when a judge grants a change of name for a family. If you attend the hearing, you should take the final judgment form with you. You should complete the top part of this form, including the circuit, county, case number, division, the name(s) of the petitioner(s) and leave the *436 rest blank for the judge to complete. It should be typed or printed in black ink.
If the judge grants your petition, he or she will sign this order. This officially changes your family's name. The clerk can provide you with certified copies of the signed order. There will be charges for the certified copies, and the clerk can tell you how much those charges are.

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 68.07, Florida Statutes.

Special notes ...
The heading of the form calls for the name(s) of the petitioner(s). This is (are) the parent(s) who are requesting the change of their family's name(s). The judicial circuit, case number, and division may be obtained from the clerk of court's office when you file the petition.
It may be helpful to compile a list of all of the people and places that will need a copy of the final judgment. This list may include the driver's license office, social security office, banks, schools, etc. A list will help you know how many copies of your order you should get from the clerk of court after your hearing.
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.
      IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT,
               IN AND FOR _______________ COUNTY, FLORIDA
                                      Case No.: _______________________
                                      Division: _______________________
IN RE: THE NAME CHANGE OF
___________________________________,
                  Petitioner/Father,
___________________________________,
                  Petitioner/Mother.
      PETITION FOR CHANGE OF NAME (FAMILY)
  I/We, {full legal name(s)} ___________________________, being sworn, certify that
the following information is true:
There are {enter number} ___ adults named in this petition. A supplemental form is
attached for each adult not set out below.
*437
There are {enter number} ___ children named in this petition. I am/We are the birth or
legal parents of the minor child(ren) named in this petition. I/We have attached a
completed supplemental form for each minor child.
A copy of the fingerprints of each adult person seeking a name change in this petition, taken
by a law enforcement agency, is attached.
THE FOLLOWING INFORMATION IS TRUE ABOUT PETITIONER
( ) HUSBAND ( ) WIFE:
  1.  My complete present name is:
      _____________________________________________________________________________________________________.
      I request that my name be changed to:
      _____________________________________________________________________________________________________.
  2.  I live in ______ County, Florida, at {street address} _______________________________________
      _____________________________________________________________________________________________________.
  3.  I was born on {date} ______, in {city} ________, {county} ________________,
      {state} _______________, {country} ________________________________________________.
  4.  My father's full legal name: ________________________________________________________________________.
      My mother's full legal name: ________________________________________________________________________.
      My mother's maiden name: ____________________________________________________________________________.
  5.  I have lived in the following places since birth:
      Dates (to/from) Address
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  6.  Family
  [√ all that apply]
      a. ___ I am not married.
      b. ___ I am married. My spouse's full legal name is: ________________________________________________.
      c. ___ I do not have child(ren).
      d. ___ The name(s), age(s), and address(es) of my child(ren) are as follows (all
         children, including those over 18, must be listed):
      Name {last, first, middle initial}    Age  Address, City, State
      ___________________________________  ___  ____________________________________________________________
      ___________________________________  ___  ____________________________________________________________
      ___________________________________  ___  ____________________________________________________________
      ___________________________________  ___  ____________________________________________________________
      ___________________________________  ___  ____________________________________________________________
      ___________________________________  ___  ____________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  7.  Former names
  [√ all that apply]
      ___ My name has never been changed by a court.
      ___ My name previously was changed by court order from ____________________________________
           to ____________________ on {date} _____________________________________________________,
*438
           by {court, city, and state} ___________________________________________________________.
           A copy of the court order is attached.
      ___ My name previously was changed by marriage from _______________________________________
           to _________________ on {date} ________________________________________________________,
           in {city, county, and state} __________________________________________________________.
           A copy of the marriage certificate is attached.
      ___ I have never been known or called by any other name.
      ___ I have been known or called by the following other name(s): {list name(s) and
explain where you were known or called by such name(s)} _________________________________
          __________________________________________________________________________________________________
          __________________________________________________________________________________________________
  8.  Occupation
      My occupation is: ___________________________________________________________________________________.
      I am employed at: {company and address} _____________________________________________________
      _____________________________________________________________________________________________________.
      During the past 5 years, I have had the following jobs:
      Dates (to/from)  Employer and employer's address
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
         /    ___________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  9.  Business
  [√ one only]
      ___ I do not own and operate a business.
      ___ I own and operate a business. The name of the business is: ______________________________________.
            The street address is: ________________________________________________________________________.
            My position with the business is: _____________________________________________________________.
            I have been involved with the business since: {date} _________________________________.
  10. Profession
  [√ one only]
      ___ I am not in a profession.
      ___ I am in a profession. My profession is: _________________________________________________________.
            I have practiced this profession:
          Dates (to/from)  Place and address
             /    _______________________________________________________________________________
             /    _______________________________________________________________________________
             /    _______________________________________________________________________________
             /    _______________________________________________________________________________
             /    _______________________________________________________________________________
          [] Check here if you are continuing these facts on an attached page.
  11.  Education
       I have graduated from the following school(s):
            Degree        Date of
           Received     Graduation   School
          __________   ____________  _______________________________________________________________________
          __________   ____________  _______________________________________________________________________
          __________   ____________  _______________________________________________________________________
          [] Check here if you are continuing these facts on an attached page.
*439
  12. Criminal History
  [√ one only]
      ___ I have never been arrested for or charged with, pled guilty or nolo contendere to,
            or have been found to have committed a criminal offense, regardless of
            adjudication.
      ___ I have a criminal history. In the past I have been arrested for or charged with,
            pled guilty or nolo contendere to, or been found to have committed a criminal
            offense, regardless of adjudication. The details of my criminal history are:
              Date     City/State       Event (arrest, charge, plea, or adjudication)
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
      ______________________________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  13. Bankruptcy
  [√ one only]
      ___ I have never been adjudicated bankrupt.
      ___ I was adjudicated bankrupt on {date} _________, in {city} _____________________,
          {county} _________, {state} ___________________________________________________.
      [] Check here if you have had additional bankruptcies, and explain on an attached
         page.
  14. Creditor(s)' Judgments
  [√ one only]
      ___ I have never had a money judgment entered against me by a creditor.
      ___ The following creditor(s)' money judgment(s) have been entered against me:
      Date  Amount  Creditor  Court entering judgment and case number √ if Paid
      ____  ______  ________  _______________________________________      []
      ____  ______  ________  _______________________________________      []
      ____  ______  ________  _______________________________________      []
      ____  ______  ________  _______________________________________      []
      [] Check here if these facts are continued on an attached page.
  15. I have no ulterior or illegal purpose for filing this petition, and granting it will not in
      any manner invade the property rights of others, whether partnership, patent, good
      will, privacy, trademark, or otherwise.
  16. My civil rights have never been suspended, or, if my civil rights have been suspended,
      they have been fully restored.
  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: ________               _____________________________________________
                              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 __________________.
*440
                              _____________________________________________
                              NOTARY PUBLIC or DEPUTY CLERK
                              _____________________________________________
                              [Print, type, or stamp commissioned name of
                              notary or 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 petitioner, fill out this form.
         ADULT SUPPLEMENTAL FORM FOR PETITION FOR CHANGE
                      OF NAME (FAMILY)
                                      Case No.: ___________________________
THE FOLLOWING INFORMATION IS TRUE ABOUT PETITIONER
( ) HUSBAND ( ) WIFE:
  1.  My complete present name is:
      _____________________________________________________________________________________________________.
      I request that my name be changed to:
      _____________________________________________________________________________________________________.
  2.  I live in ______ County, Florida, at {street address} _______________________________________
      _____________________________________________________________________________________________________.
  3.  I was born on {date} ______, in {city} _________, {county} _______________,
      {state} ______________, {country} _________________________________________________.
  4.  My father's full legal name: ________________________________________________________________________.
      My mother's full legal name: ________________________________________________________________________.
      My mother's maiden name: ____________________________________________________________________________.
  5.  I have lived in the following places since birth:
      Dates  (to/from)    Address
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
         /    __________________________________________________________________________________
      [] Check here if you are continuing these facts on an attached page.
  6.  Family
  [√ all that apply]
      a. ___ I am not married.
      b. ___ I am married. My spouse's full legal name is: ________________________________________________.
*441
     c. ____ I do not have child(ren).
     d. ____ The name(s), age(s), and address(es) of my child(ren) are as follows (all
        children, including those over 18, must be listed):
     Name {last, first, middle initial} Age Address, City, State
     _______________________ ________ ______________________________________________
     _______________________ ________ ______________________________________________
     _______________________ ________ ______________________________________________
     _______________________ ________ ______________________________________________
     [] Check here if you are continuing these facts on an attached page.
7. Former names
[√ all that apply]
____ My name has never been changed by a court.
____ My name previously was changed by court order from ______________
     to _______________________________ on {date} ______________________,
     by {court, city, and state} ______________________________________.
     A copy of the court order is attached.
____ My name previously was changed by marriage from _____________
     to _________________ on {date} ______________________________________________,
     in {city, county, and state} ________________________________________________.
     A copy of the marriage certificate is attached.
____ I have never been known or called by any other name.
____ I have been known or called by the following other name(s): {list name(s) and
     explain where you were known or called by such name(s)} ____________________
     ___________________________________________________________________________
     ___________________________________________________________________________.
8. Occupation
   My occupation is: ___________________________________________________________.
   I am employed at: {company and address} ____________________________
   _____________________________________________________________________________.
   During the past 5 years, I have had the following jobs:
   Dates (to/from)   Employer and employer's address
      /     _________________________________________________________
      /     _________________________________________________________
      /     _________________________________________________________
      /     _________________________________________________________
      /     _________________________________________________________
      /     _________________________________________________________
   [] Check here if you are continuing these facts on an attached page.
9. Business
[√ one only]
____ I do not own and operate a business.
____ I own and operate a business. The name of the business is: _________________.
     The street address is: _____________________________________________________.
     My position with the business is: __________________________________________.
     I have been involved with the business since: {date} ______________.
10. Profession
[√ one only]
____ I am not in a profession.
____ I am in a profession. My profession is: ____________________________________.
     I have practiced this profession:
*442
     Dates (to/from)                                Place and address
        /     ________________________________________________________
        /     ________________________________________________________
        /     ________________________________________________________
        /     ________________________________________________________
        /     ________________________________________________________
     [] Check here if you are continuing these facts on an attached page.
 11. Education
     I have graduated from the following school(s):
          Degree     Date of
         Received   Graduation   School
     __________ ________________ ________________________________________________
     __________ ________________ ________________________________________________
     __________ ________________ ________________________________________________
     [] Check here if you are continuing these facts on an attached page.
12. Criminal History
[√ one only]
____ I have never been arrested for or charged with, pled guilty or nolo contendere to, or
     been found to have committed a criminal offense, regardless of adjudication.
____ I have a criminal history. In the past I have been arrested for or charged with, pled
     guilty or nolo contendere to, or been found to have committed a criminal offense,
     regardless of adjudication. The details of my criminal history are:
       Date   City/State       Event (arrest, charge, plea, or adjudication)
     ____________________________________________________________________________
     ____________________________________________________________________________
     ____________________________________________________________________________
     [] Check here if you are continuing these facts on an attached page.
13. Bankruptcy
[√ one only]
____ I have never been adjudicated bankrupt.
____ I was adjudicated bankrupt on {date} _____, in {city} ____,
     {county} _______, {state} ________________________________.
     [] Check here if you have had additional bankruptcies, and explain on an attached
        page.
14. Creditor(s)' Judgments
[√ one only]
____ I have never had a money judgment entered against me by a creditor.
____ The following creditor(s)' money judgment(s) have been entered against me:
     Date   Amount   Creditor  Court entering judgment and case number √     if Paid
     ________    _______________    ______________    ___________________________ []
     ________    _______________    ______________    ___________________________ []
     ________    _______________    ______________    ___________________________ []
     ________    _______________    ______________    ___________________________ []
     [] Check here if these facts are continued on an attached page.
15. I have no ulterior or illegal purpose for filing this petition, and granting it will not in
    any manner invade the property rights of others, whether partnership, patent, good
    will, privacy, trademark, or otherwise.
16. My civil rights have never been suspended, or, if my civil rights have been suspended,
    they have been fully restored.
*443
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: ____________
                              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 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 petitioner, fill out this form.
PETITIONER(S) MUST INITIAL HERE________
CHILD SUPPLEMENTAL FORM FOR PETITION FOR CHANGE OF NAME (FAMILY)
                                        Case No.:_________________________________
THE FOLLOWING INFORMATION IS TRUE ABOUT MINOR CHILD #________:
1.   Minor child's complete present name is:
     ______________________________________________________________________________
     I/We request that minor child's name be changed to:
     ______________________________________________________________________________
2.   The minor child lives in ________ County, Florida, at {street address} ______
     ______________________________________________________________________________
3.   The minor child was born on ______, in {city, county, state, country} ________
     ______________________________________________________________________________
4.   The minor child's father's full legal name: __________________________________
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     The minor child's mother's full legal name: __________________________________
     The minor child's mother's maiden name: ______________________________________
5.   The minor child has lived in the following places since birth:
     Dates (to/from) Address
        /     __________________________________________________________
        /     __________________________________________________________
        /     __________________________________________________________
        /     __________________________________________________________
        /     __________________________________________________________
        /     __________________________________________________________
        /     __________________________________________________________
     [] Check here if continuing these facts on an attached page.
6. [√ one only]
____ The minor child is not married
____ The minor child is married to: {full legal name}
7. [√ one only]
____ The minor child has no children.
____ The minor child is the parent of the following child(ren): {enter name(s) and date(s)
of birth} ___________________________________________________________
8. Former names
[√ all that apply]
____ The minor child's name has never been changed by court order.
____ The minor child's name previously was changed by court order from ______
     to ______ on {date} ______________________________________________________
     by {court, city, and state} ______________________________________________
     A copy of the court order is attached.
____ The minor child's name previously was changed by marriage from _______________
     to ________ on {date} ____________________________________________________,
     in {city, county, and state} _____________________________________________.
____ The minor child has never been known or called by any other name.
____ The minor child has been known or called by the following other name(s): {list
name(s) and explain where child was known or called by such name(s)} ______
9. The minor child is not employed in an occupation or profession, does not own and
     operate a business, and has received no educational degrees. If the minor child has a
     job, explain: _____________________________________________________________________
     ______________________________________________________________________________
     ______________________________________________________________________________
10. Criminal History
[√ one only]
____ The minor child has never been arrested for or charged with, pled guilty or nolo
     contendere to, or been found to have committed a criminal offense, regardless of
     adjudication.
____ The minor child has a criminal history. In the past, the minor child was arrested for
     or charged with, pled guilty or nolo contendere to, or been found to have committed a
     criminal offense, regardless of adjudication. The details of the criminal history are:
      Date   City/State   Event (arrest, charge, plea, or adjudication)
      ___________________________________________________________________________
      ___________________________________________________________________________
      ___________________________________________________________________________
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     [] Check here if you are continuing these facts on an attached page.
11.  Money Judgments
[√ one only]
____ The minor child has never been adjudicated bankrupt, and no money judgment has
     ever been entered against him or her.
____ The following money judgment(s) has been entered against him or her:
     Date Amount Creditor Court entering judgment and case number √ if Paid
     ________ ________ ________ ______________________________________________ []
     ________ ________ ________ ______________________________________________ []
PETITIONER(S) MUST INITIAL HERE ______
NOTES
[1]  Rule 12.015, Family Law Forms, contains a list of Family Law Rules of Procedure Forms. This rule is amended to add the two new forms adopted in this case, form 12.900(g), Agreement Limiting Representation, and 12.900(h), Notice of Related Cases, and to add form 12.913(c), Affidavit of Diligent Search, which was previously adopted by the Court in In re Amendments to the Florida Family Law Rules of Procedure, 962 So.2d 302 (Fla.2007).
[2]  Minor editorial amendments are also made to a number of rules, including amendments to correct references to the Florida Rules of Judicial Administration, which have been renumbered.
