COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. INSTRUCTIONS FOR REQUEST TO COMPLETE APPROVED : ALTERNATIVE PARENTING COURSE SUBPOENA JUDICIAL Plaintiff(s) This request may be used to ask the Court to allow you to attend an alternative : (correspondence or on-line) parenting course. You may only make this request if you are unable to attend one of the classroom courses approved by the : Department of Children and Families, which are available throughout the State of .Florida. . . . . . . . . . . . . . . . . . . . . . . . . . . .Defendant(s) . . . . . . .: ......... .......... 1. Fill out the Request to Complete Approved Alternative Parenting Course THE PEOPLE OF check all the appropriate making sure youTHE STATE OF NEW YORK boxes. This request may be neatly handwritten. Provide a copy of the request to the other party. Complete the TO Certificate of Service at the bottom of the form indicating how and when you provided a copy to the other party. GREETINGS: -against- : 2. Type the information on the Order on Request to Complete Approved WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Alternative Parenting Course being certain to includeCourt names, case number and full the Honorable at the division of the top) and thelocated at and addresses of both parties (at the bottom). names County (at in room , on the day of , 20 o'clock in the noon, and at any recessed Make two additional copies of the Order. , at or adjourned date, to testify and give evidence as a witness in this action on the part of the , 3. Return all of the following to the Clerk of Court, Family Law Division, Santa Rosa CountytoCourthouse, 6865 Caroline Street, contempt of court and will make you liable to Milton, FL 32570: Your failure comply with this subpoena is punishable as a the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of yourThe original Request to Complete Approved Alternative Parenting failure to comply. C Witness, Honorable Court in County, Course. , one of the Justices of the day of , 20 C The original and two (2) copies of the Order on Request to Complete Approved Alternative Parenting Course. (Attorney must sign above and type name below) C Two (2) self- addressed, stamped envelopes (one addressed to each party). Attorney(s) for 4. You should receive the signed order in the mail within 2-4 weeks. Once you have received the Order, you should proceed immediately to enroll in the course Office and P.O. Address as ordered by the Court. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : IN THE CIRCUIT COURT OF THE FIRST JUDICIAL CIRCUIT Calendar No. IN AND FOR SANTA ROSA COUNTY, FLORIDA : IN RE: Plaintiff(s) JUDICIAL SUBPOENA -against- , Petitioner Case No: ______________________ : Division: ______________________ and _____ _____ _____ _____ _____ _____ _, Respondent : : REQUEST TO CO M PLETE APPROV ED ALTERNATIVE PAREN TING COURSE Defendant(s) I, the above-named ( )Petitioner ( )Respondent understand that I am :required to take an approved Parent Education and .............. . ... ........... . ............ ..... Family .Stabilization Course.to .meet .the requirements. of. Chapter 61.21(3).Florida Statute. I further acknowledge that per Administrative Order 2004-11, First Judicial Circuit of Florida, I must obtain approval from the Court to take an alternative/distance learning class instead o f an approved classroom c ourse provided by the D epartment of Child ren and Families (D CF). THE PEOPLE OF THE STATE OF NEW YORK I respectfully req uest that the Court enter an order approving my attendance in an alternative Pa rent Education and Family Stabilization Course that is listed on the DCF Distance Learning Statewide Provider List. Grounds for this request would show: TO 1. I am a party to the following pending case before the C ourt: ( ) Dissolution of Marriage with Children ( ) Paternity involving custody o r visitation. ( ) Othe r Do GREETINGS:mestic Relations invo lving custody o r visitation. Spe cify: 2. 3. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before I am re questing approval to take the follo wing co urse from the D CF Statewide D istance Learning List: , the Honorable at the Court located at County ofName of course:_____________________________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed orThe reason I date, to testify and give evidence as a witness in this actionas follows: of the adjourned am requesting approval to take an alternative paren ting course is on the part ) I reside outside the state of Florida in {name of state} , and there is no approved classroom course available. ( ) I am unable to attend a classroo m co urse due to d isability, handicap or other physical imp airment. Spe cify Typ e: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to ( ) I am p whose behalf this subpoena jail issued for and not due to be the party onresently incarce rated at {nam e of wasor prison} a maximum penalty of $50 and all damages sustained as a release d until {estimated . result of your failure to comply. date} ( ) I am presently in the United States Armed Forces and stationed outside of the country in/on {name of country , ship,etc.)______________________________________________________________________ Witness, Honorable , one of the Justices of the ( ) Other {state specific reason not listed above}: ( Court in County, day of , 20 Petitioner/Respondent respectfully requests the Court enter an order granting approval to complete the alternative course as indicated ab ove. (Attorney must sign above and type name below) DA TE : , 20 Signature Name Printed or Typed Attorney(s) for Petitioner's Complete Address Office and P.O. Address CERTIFICATE OF SERVICE I certify a co py of the forego ing was ( ) hand delivered, o r ( ) mailed by U.S. regular mail to the other party at {address} Telephone No.: , this day of , 20 . Facsimile No.: E-Mail Address: Mobile Tel. No.: Petitioner's Signature American LegalNet, Inc. www.USCourtForms.com COURT COUNTY