Request For Hearing Form - Santa Rosa County, Florida printable pdf download

Request For Hearing Form - Santa Rosa County, Florida

IN THE CIRCUIT COURT OF THE FIRST JUDICIAL CIRCUIT,

IN AND FOR SANTA ROSA COUNTY, FLORIDA

_______________________________________,

Case Number: __________________

Petitioner

__________________________

Division: _______________________

Address:

__________________________

Vs.

________________________________________,

Respondent

___________________________

Address:

__________________________

Check one:

Type of Case: ( ) Dissolution of Marriage ( ) Modification of Custody/Visitation ( ) Enforcement

( ) Modification of Alimony/Child Support ( ) Establish Visitation ( ) Paternity ( ) Stepparent

( ) Adoption ( ) Temporary Custody ( ) Other Domestic Relations

Check all that apply:

Other pending cases or final judgments: ( ) Child Support Enforcement/Department of Revenue case

( ) Dependency/Department of Children and Families case ( ) Domestic Violence Injunction case

( ) Other: ______________________________________________

Case Number(s): ________________________________________________________________

REQUEST FOR HEARING

I, _____________________________, Petitioner in this case, affirm to the best of my knowledge and belief

that all necessary requirements for a hearing have been met as follows:

{Initial each item below}

_____ All required forms and documents that were listed in the instructions provided to me were filed

with the Clerk of Court. All forms and documents were filled out completely, signed and notarized where

required.

_____ The Petition and forms were properly served on the other party by ( ) Service by Sheriff ( ) Service

by Publication or Posting ( ) Hand Delivery ( ) An Acceptance and Waiver of Service was filed with the

case.

_____ The respondent has filed all the required forms, or I have followed the instructions to request a

Default, and/or Waive or Compel the other party. If an Order to Compel was issued, the time given the

other party to comply has passed.

I understand that my file will be reviewed by court staff within the next three (3) weeks and a Case Status

Report will be provided to me with a court date or further instructions to proceed.

Date signed: ______________________________

Petitioner’s Signature: ____________________________

Daytime Telephone Number: ________________

Request For Hearing Form - Santa Rosa County, Florida