IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA. Case No.: IN RE: The Marriage of __________________________________, Husband and , Wife MOTION FOR DRUG TESTING The [ ] Husband [ ] Wife requests drug testing be performed as follows and states: 1. This action involved: [ ] dissolution of marriage [ ] post dissoltuion of marriage [ ] primary residence of child(ren) [ ] parental responsibility for child(ren) 2. It is in the best interests of the child(ren) that the: [ ] husband be tested to determine whether he is, or has been, using drugs. [ ] wife be tested to determine wheher she is, or has been, usingt drugs.3. The costs of such testing: [ ] should be paid by the Husband who is able to pay. [ ] should be paid by the Wife who is able to pay. [ ] should be waived as affidavit of suspension of fees and costs are attached. 4. The type of drug testing requested is: (specify) ________________________________________________________________________ ______ ________________________________________________________________________ ______ ________________________________________________________________________ ______ Law 1007 - rev. 12/2004 American LegalNet, Inc. www.USCourtForms.com>>>> 2Page 2 Law 1007 5. The testing should be performed no later than _________________________________. _______________________________________ ____________________________________Signature of Moving Party Date Name__________________________________ Address________________________________ Telephone No.___________________________ I CERTIFY that I have ___ mailed, ___ telefaxed and mailed, or ___ hand delivered a copy of this motion on _____________________________, to: Opposing Party: Name_________________________________ Address_______________________________ Telefax No.____________________________ Law 1007 - rev. 12/2004 American LegalNet, Inc. www.USCourtForms.com