JUDGMENT AND RESTITUTION ORDER
THIS CAUSE was heard on .....(date)....., on the state's motion for an order requiring the child, born .....(date)....., or .....his/her..... parent(s), to pay restitution costs for the benefit of the victim pursuant to sections 985.0301(5)(i), 985.437, and 775.089, Florida Statutes.
Name of victim: ....................
Attorney or Advocate: ....................
Address: ....................
The court being fully advised in the premises, it is ORDERED AND ADJUDGED:
The state's motion is granted and the .....child/ child's parent(s), .....(name(s))....., shall pay restitution for the benefit of the victim named above as follows:
..... $..... for medical and related services and devices relating to physical, psychiatric, and psychological care, including nonmedical care rendered in accordance with a recognized method of healing.
..... $ for necessary physical and occupational therapy and rehabilitation.
..... $ to reimburse the victim for income lost as a result of the offense.
..... $..... for necessary funeral and related services, if the offense caused bodily injury resulting in the death of the victim.
..... $..... for damages resulting from the offense.
..... $..... for .....................
The total amount of restitution due is $......
Payment shall be made to the clerk of the circuit court.
Payment schedule:
..... Installment payments of $..... payable on a
.....weekly/monthly.....basis.
..... Payment is due in full.
..... The court finds that the .....child/child's parent(s).....
.....is/are.....unable to pay and orders the child to perform ..... hours of community service in lieu of .....partial/total..... restitution.
The court retains jurisdiction over this child beyond .....his/her.....nineteenth birthday in order to enforce the provisions of this order and retains jurisdiction to modify the restitution in this case.
Other, specified conditions: ....
IT IS FURTHER ORDERED AND ADJUDGED that the clerk of the court shall provide the victim named above a certified copy of this order for the victim to record this judgment as a lien, pursuant to section 55.10, Florida Statutes.
IT IS FURTHER ORDERED AND ADJUDGED that this judgment may be enforced by the state or the victim in order to receive restitution in the same manner as a judgment in a civil action. Execution shall issue for all payments required under this order.
DONE AND ORDERED AT .....(city)....., .....(county)....., Florida, on .....(date)......
________________________
Circuit Judge
Copies to:
State Attorney
Counsel for Child
Victim
Department of Juvenile Justice
Parent(s)
Fl. R. Juv. P. form 8.950