IN THE CIRCUIT COURT OF THE ___________ JUDICIAL CIRCUIT IN AND FOR ___________________ COUNTY, FLORIDA JUVENILE DIVISION In the Interest of a child ) ) ) ) Case No. PETITION FOR TERMINATION OF PARENTAL RIGHTS Petitioner, , respectfully petitions this Court for termination of parental rights and permanent commitment of the minor child(ren), , to (agency name) for the purpose of subsequent adoption, and as grounds states the following: A. PARTIES 1. The child, county, state) petition, the child is .(age) Petitioner’s Exhibit , is a , at (city, At the time of the filing of this A copy of the child’s birth certificate is attached to this Petition and incorporated as . The child, (city, county, state) filing of this petition, the child is .(age) incorporated as Petitioner’s Exhibit The child, (city, county, state) filing of this petition, the child is .(age) incorporated as Petitioner’s Exhibit The child, (city, county, state) filing of this petition, the child is .(age) incorporated as Petitioner’s Exhibit male female child born on , is a male female child born on , is a male female child born on , is a male female child born on , at At the time of the A copy of the child’s birth certificate is attached to this Petition and . , at At the time of the A copy of the child’s birth certificate is attached to this Petition and . , at At the time of the A copy of the child’s birth certificate is attached to this Petition and . 2. The child(ren) is/are presently in the care and custody of in County, Florida. , and is/are residing 3. An affidavit under the Uniform Child Custody Jurisdiction and Enforcement Act is attached to this as Petitioner’s Exhibit . 4. The natural mother of the child(ren) is 5. The natural alleged is , who resides at . putative father of the child(ren) Petition For Termination Of Parental Rights (Involuntary){8.981} , who resides at Page 1 of 4 American LegalNet, Inc. www.FormsWorkflow.com . The The The natural natural natural 6. A guardian ad litem alleged is putative father of the child(ren) alleged is putative father of the child(ren) alleged is putative father of the child(ren) has , who resides at . , who resides at . , who resides at . has not been appointed to represent the interests of the child(ren) in this cause. B. GROUNDS FOR TERMINATION 1. The parent(s) have been advised of their right to legal counsel at all hearings that they attended. 2. On or about (date(s)) , the following occurred: 3. The mother has (grounds for TPR) the minor child(ren) within the meaning and intent of Florida Statutes § 39.806, in that: (allegations which form the statutory basis for grounds) 4. The father has (grounds for TPR) the minor child(ren) within the meaning and intent of Florida Statutes § 39.806, in that: (allegations which form the statutory basis for grounds) 5. Under the provisions of Florida Statutes §§ 39.806(1)–(11), it is in the manifest best interests of the child(ren) for parental rights of to be terminated for the following reasons: (allegations for each statutory factor in the manifest best interest test) Petition For Termination Of Parental Rights (Involuntary){8.981} Page 2 of 4 American LegalNet, Inc. www.FormsWorkflow.com 6. A copy of this petition shall be served on the natural mother, , and the guardian ad litem, , father(s), , the custodian, . 7. This petition is filed by the petitioner in good faith and under oath. WHEREFORE, the petitioner respectfully requests that this court grant this petition; find that the parents have abused, neglected, or abandoned the minor child(ren); find that termination of parental rights is in the manifest best interests of this/these child(ren); and that this court enter an order permanently committing this/these child(ren) to (agency) for subsequent adoption. _______________________________________ Petitioner _______________________________________ _______________________________________ Address _______________________________________ Telephone number VERIFICATION STATE OF FLORIDA COUNTY OF Before me, the undersigned authority, personally appeared , who, being sworn, says is filed in good faith and on information, knowledge, and belief is true. Sworn to and subscribed before me on ______________________________________ (Title) Attorney’s name Attorney’s address Attorney’s telephone number Florida Bar number Petition For Termination Of Parental Rights (Involuntary){8.981} Page 3 of 4 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF SERVICE I certify that a copy of (document) has been furnished to the following: by U.S. mail hand delivery fax on , 20 . _____________________________________ (Title) Petition For Termination Of Parental Rights (Involuntary){8.981} Page 4 of 4 American LegalNet, Inc. www.FormsWorkflow.com