Instructions For Florida Supreme Court Approved Family Law Form 12.983(E), Motion For Scientific Paternity Testing (11/15) Page 3
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4IN THE CIRCUIT COURT OF THE _______________________ JUDICIAL CIRCUIT,
IN AND FOR ________________________ COUNTY, FLORIDA
Case No.: ______________________________
Division: __________________________________________________________________________________ _
__________________________________,
Petitioner,
and
__________________________________,
Respondent,
MOTION FOR SCIENTIFIC PATERNITY TESTING
I, {choose only one}
Petitioner
Respondent certifies that the following information is true:
1. At this time, other than testimony, very little or no substantial proof of paternity or nonpaternity is
available in this action.
2. I request, under section 742.12, Florida Statutes, that the Court enter an order for appropriate
scientific testing of the biological samples of Petitioner and Respondent and the minor child(ren) listed
below, so that a determination of paternity of the minor child(ren) can be made to a reasonable
degree of medical certainty:
Name
Birth Date
(1) ____________________________________________________________________________
(2) ____________________________________________________________________________
(3) ____________________________________________________________________________
(4) ____________________________________________________________________________
(5) ____________________________________________________________________________
(6) ____________________________________________________________________________
3. I request that the costs of the scientific testing initially be borne by (
) Petitioner (
) Respondent
( ) both Petitioner and Respondent.
I certify that a copy of this document was (
) mailed (
) faxed and mailed (
) e-mailed (
) hand
delivered to the person(s) listed below on {date}
.
Petitioner or his/her attorney:
Respondent or his/her attorney:
Name: _____________________________________
Address: ___________________________________
City, State, Zip: ______________________________
Fax Number: _______________________________
Designated E-mail Address(es): ________________
___________________________________________
Florida Supreme Court Approved Family Law Form 12.983(e), Motion for Scientific Paternity Testing (11/15)
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