IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT COUNTY, FLORIDA JUVENILE DIVISION In the Interest of a child children ) ) ) ) Case No. ORDER OF ADJUDICATION THIS CAUSE came before this court on , 20 , under Florida Statutes chapter 39, for adjudication of the Petition For Dependency filed by . Present before the court were (check appropriate box and list corresponding name) , Petitioner , Attorney for Petitioner , Attorney for department , Department caseworker , Mother , Attorney for mother , Father of (child): , Attorney for father , Guardian ad litem , Attorney for guardian ad litem , Legal custodian , Attorney for legal custodian , Minor child(ren) , Attorney ad litem for minor child(ren) , Other: The court having heard testimony and argument and being otherwise fully advised in the premises finds: 1. That the minor child(ren) who is/are the subject matter of these proceedings, is/are dependent within the meaning and intent of Florida Statutes, chapter 39, and is/are (a) resident(s) of the State of Florida. 2. The mother, (name) was : was not noticed of this hearing; did not appear, and the court: entered a Consent for failure to appear after proper notice. did not enter a Consent failure to appear after proper notice. appeared with counsel; appeared without counsel and: was was not advised of her right to legal counsel, Order of Adjudication (Dependency) {8.966} Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com knowingly, intelligently, and voluntarily was waived did not waive her right to legal counsel and was not determined to qualify as indigent and was was not appointed an attorney. 3. The father, (name) was : was not noticed of this hearing; did not appear, and the court: entered a Consent for failure to appear after proper notice. did not enter a Consent failure to appear after proper notice. appeared with counsel; appeared without counsel and: was was not advised of his right to legal counsel, knowingly, intelligently, and voluntarily waived did not waive his right to legal counsel and was was not determined to qualify as indigent and was was not appointed an attorney. 4. That the child(ren) is/are dependent within the meaning and intent of Florida Statutes, chapter 39, in that the mother, (name) , abused, neglected or abandoned the minor child(ren) by . These facts were proven preponderance of the evidence clear and convincing evidence. by 5. That the child(ren) is/are dependent within the meaning and intent of Florida Statutes, chapter 39, in that the father, (name) , abused, neglected or abandoned the minor child(ren) by . These facts were proven preponderance of the evidence clear and convincing evidence. by (Use only if child(ren) is/are in out-of-home placement.) 6. That the Court finds that it is in the best interest of the child(ren) to remain in out-of-home care. (Use only if child(ren) is/are in out-of-home placement.) 7. That every reasonable effort was made to eliminate the need for placement of the child(ren) in out-of-home care but the present circumstances of the child(ren) and the mother father are such that out-of-home care is the only way to ensure the health, safety, and well being of the child(ren), in that (Use only if child(ren) is/are in out-of-home placement.) 8. That the child(ren)’s placement in (type of placement) is in a setting which is as family like and as close to the home as possible, consistent with the child(ren)’s best interests and special needs. 9. That returning the minor child(ren) to the custody of (person who had previous legal custody) would be contrary to the best interest and welfare of the minor child(ren). THEREFORE, based on the foregoing findings of fact, it is hereby ORDERED and ADJUDGED that: Order of Adjudication (Dependency) {8.966} Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com 1. The minor child(ren), (name(s)) is/are adjudicated dependent. , 2. The child(ren) shall remain in the care and custody of the department in shelter care other (name:) , pending disposition. 3. This court shall retain jurisdiction over this cause to enter any such further orders that may be deemed necessary for the best interest and welfare of the minor child(ren). 4. All prior orders not inconsistent with the present order shall remain in full force and effect. 5. Disposition is scheduled for , 20 DONE AND ORDERED on , 20 , at .m. . Circuit Judge NOTICE OF HEARING The Juvenile Court hereby gives notice of hearing in the above-styled cause on , 20 , at .m., before (judge) , at (location) , or as soon thereafter as counsel can be heard. In accordance with the Americans with Disabilities Act, persons needing a special accommodation to participate in this proceeding should contact the Office of the Court Administrator no later than 7 days before the proceeding at (telephone number) . PLEASE BE GOVERNED ACCORDINGLY. Copies furnished to: Order of Adjudication (Dependency) {8.966} Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com