Order Form Of Referral To Parenting Coordinator
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5IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
_________________________________,
Petitioner,
And
_________________________________,
Respondent.
ORDER OF REFERRAL TO PARENTING COORDINATOR
The Court considered the ( ) motion of the court, ( ) joint motion of the parties, ( ) motion of a
party, reviewed the court file, and considered the testimony presented. Based on this information, the
court FINDS that:
A. Appropriateness of Process. This matter is appropriate for parenting coordination and it is in the
best interest of the child(ren).
B. Parenting Coordination Process. Parenting coordination is a child-focused alternative dispute
resolution process whereby a parenting coordinator assists the parents in creating or implementing
their parenting plan by facilitating the resolution of disputes, providing education and making
recommendations to the parents; and, with the prior consent of the parents and approval of the
court, making limited decisions within the scope of this order of referral.
C. Parenting Coordinator. A parenting coordinator is an impartial third person whose role is to assist
the parents in successfully creating or implementing a parenting plan.
D. Selection of Parenting Coordinator. The parenting coordinator was selected by:
[Choose only one]
____ parties' agreement.
____ the court.
E. History of Domestic Violence. Based on testimony and evidence presented and a review of related
court records, the court has determined:
[Choose all that apply]
____ There is no history of domestic violence.
____ There has been a history of domestic violence, and:
____ Each party has had an opportunity to consult with an attorney or domestic violence advocate
before this court has accepted the parties’ consent.
____ Each party has consented to this referral and the consent has been given freely and voluntarily.
Florida Family Law Rules of Procedure Form 12.998, Order of Referral to Parenting Coordinator (01/10)
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