Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (02/18) IN THE CIRCUIT COURT OF THEJUDICIAL CIRCUIT IN AND FOR COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. SUPPLEMENTAL TEMPORARY JUDGMENT MODIFYING PARENTING ISSUES FOR CHILD(REN) OF A PARENT ACTIVATIED, DEPLOYED, OR TEMPORARILY ASSIGNED TO MILITARY SERVICE This cause came before this Court on a Supplemental Petition for Temporary Modification of Custody or Parenting Plan/Time-Sharing Schedule for Child(ren) of a Parent Activated, Deployed, or Temporarily Assigned to Military Service. The Court, having reviewed the file, heard the testimony, and being otherwise fully advised, makes these findings of fact and reaches these conclusions of law: SECTION I. FINDINGS 1. The Court has jurisdiction over the subject matter and the parties. 2. The last order establishing or modifying parental responsibility, visitation, or time-sharing was entered on {date} . 3. There is clear and convincing evidence that it is in the best interests of the minor child(ren) that the current order establishing parental responsibility, visitation, and time-sharing be temporarily modified as the Petitioner Respondent is activated, deployed, or temporarily assigned to military service. Specifically: . SECTION II. TEMPORARY PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING WITH DEPENDENT OR MINOR CHILD(REN) 1. Jurisdiction. The Court has jurisdiction to determine parental responsibility, to establish or approve a Parenting Plan, and time-sharing with regards to the parties minor child(ren) listed in paragraph 2 American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (02/18) below. 2. The parties dependent or minor child(ren) is (are): Name Birth date 3. Parenting Plan. The parties shall comply with the temporary Parenting Plan which is attached and incorporated herein as Exhibit . SECTION III. CHILD SUPPORT 1. Temporary Modification of Child Support. {Choose one only} a. The current obligation to pay child support is: Abated Suspended Modified to $ per . b. The Court finds that there is a need for temporary modification of child support and that the service member Petitioner Respondent, (hereinafter Obligor), has the present ability to pay child support. The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), filed by Petitioner Respondent are correct OR the Court makes the following findings: net monthly income is $, (Child Support Guidelines %). net monthly income is $, (Child Support Guidelines %). Monthly child care costs are $. Monthly health/dental insurance costs are $. 2. Amount. Child support established at the rate of $per month for the children minor or dependent children} shall be paid commencing {month, day, year} and terminating {month, day, year}. Child support shall be paid in the amount of $ per {week, month, other} Upon the termination of the obligation of child support for one of the partieschildren, child support in the amount of $for the remaining children {total number of American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (02/18) remaining children} shall be paid commencing {month, day, year} and terminating {month, day, year}. This child support shall be paid in the amount of $ per {week, month, other} {Insert schedule for the child support obligation, including the amount, and commencement and termination dates, for the remaining minor or dependent children, which shall be payable as the obligation for each child ceases. Please indicate whether the schedule appears below or is attached as part of this form.} . The Obligor shall pay child support until all of the minor or dependent children: reach the age of 18; become emancipated, marry, join the armed services, die, or become self-supporting; or until further order of the court or agreement of the parties. The child support obligation shall continue beyond the age of 18 and until high school graduation for any child who is dependent in fact, between the ages of 18 and 19, and is still in high school, performing in good faith with a reasonable expectation of graduation before the age of 19. If the child support ordered deviates from the guidelines by more than 5%, the factual findings which support that deviation are: . 3. Retroactive Child Support and/or Arrearages. {Choose one only} a. There is no child support arrearage at the time of this Supplemental Temporary Judgment. OR b. The Petitioner Respondent shall pay to the other party child support in the amount of: $ for retroactive child support, as of {date} . $ for previously ordered unpaid child support, as of {date} . The total of $ in retroactive child support and arrearages shall be paid in the amount of $, per month payable in accordance with Obligors employers payroll cycle, and in any event at least once a month, or other {explain} beginning {date} , until paid in full including statutory interest. American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (02/18) 4. Insurance. a. Health/Dental Insurance. {Choose one only} The service member Petitioner Respondent shall enroll the child(ren) as a military dependent(s) with DEERs, TriCare, or other similar benefits available to military service and federal regulations; OR The Petitioner Respondent shall maintain health and/or dental insurance for the parties minor child(ren), so long as it is reasonable in cost and accessible to the child(ren). The party providing insurance shall be required to convey insurance cards demonstrating said insurance to the other party; OR Health Dental insurance is not reasonable in cost or accessible to the child(ren) at this time. b. Reasonable and necessary uninsured medical/dental/prescription drug costs for the minor child(ren) shall be assessed as follows: Shared equally by both parents. Prorated according to the child support guideline percentages. Other {explain}: As to these uninsured medical/dental/prescription drug expenses, the party who incurs the expense shall submit a request for reimbursement to the other party within 30 days, and the other party, within 30 days of receipt, shall submit the applicable reimbursement for that expense, according to the schedule of reimbursement set out in this paragraph. 5. Life Insurance (to secure payment of support). To secure the child support obligations in this judgment, Petitioner Respondent Each party shall maintain life insurance, in an amount of at least $, on his/her life naming the minor child(ren) as the beneficiary(ies) OR naming the Petitioner Respondent other {name} as Trustee for the minor child(ren), so long as reasonably available. The obligation to maintain the life insurance coverage shall continue until the youngest child turns 18, becomes emancipated, marries, joins the armed services, dies, or otherwise becomes self-supporting. 6. IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren) shall be as follows: . Further, each party shall execute any and all IRS forms necessary to effectuate the provisions of this paragraph. 7. Other provisions relating to child support: . American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(d), Supplemental Temporary Judgment Modifying Parenting Issues for Child(ren) of a Parent Activated, Deployed, or Temporary Assigned to Military Service. (02/18) SECTION IV. METHOD OF PAYMENT Obligor shall pay c