IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA Case No.: 05 - - DR - - XXXX-XX , Petitioner and , Respondent Clock In MOTION FOR TEMPORARY RELIEF The [ one only] ___ Petitioner or Respondent requests the Court grant the following temporary relief: Granting temporary Parental Responsibility of the minor child(ren) of the parties to the [ one only] Petitioner or Respondent because: ___ Ordering the [ one only] Petitioner or Respondent to pay reasonable child support to the [ one only] Petitioner or Respondent, because: ___ Other: because: This motion is based upon the pleadings filed in this action and any exhibits attached hereto. I HEREBY CERTIFY that a true and correct copy of the foregoing instrument has been furnished by U.S. mail service upon , at the address , this day of , 20 . Signature of party Name Address City State Zip Law 1026 ­ rev. 05-17-2013 BAR CODE LABEL American LegalNet, Inc. www.FormsWorkFlow.com