Parenting Coordinator Request For Status Conference - Florida Circuit Court Page 2
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3IN THE CIRCUIT COURT OF THE _____________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
_________________________________,
Petitioner,
and
_________________________________,
Respondent.
PARENTING COORDINATOR REQUEST FOR STATUS CONFERENCE
The undersigned Parenting Coordinator requests a status conference in this case:
(choose all that apply)
1. _____ To request direction from the court concerning _____________________________________
____________________________________________________________________________.
2. _____ To request resolution by the court regarding _______________________________________
___________________________________________________________________________.
3. _____ To report ____ petitioner’s____ respondent’s noncompliance with the Order of Referral to
Parenting Coordinator, orders for psychological evaluation, counseling ordered by the court
or recommended by a health care provider, or for substance abuse testing or treatment.
4. _____ To report that the case is no longer appropriate for parenting coordination.
5. _____ To report that the undersigned parenting coordinator is not qualified to address or resolve
certain issues in this case and a more qualified successor parenting coordinator should be
appointed.
6. _____ The undersigned parenting coordinator is unable or unwilling to continue to serve and a
successor parenting coordinator should be appointed.
Florida Family Law Rules of Procedure Form 12.984(d) Parenting Coordinator Request for Status Conference
(07/14)
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