Fl. R. Juv. P. form 8.976
PROPOSED RELATIVES FOR PLACEMENT
Pursuant to Chapter 39, Florida Statutes, the .....mother/father.....hereby provides the court and the parties with the names and location of relatives who might be considered for placement of the child(ren). The .....mother/father.....will continue to inform the court and the parties of any relative who should be considered for placement of the child(ren) with the filing of subsequent forms.
MATERNAL
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
PATERNAL
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
Name: .............
Address: ............
Phone number: ...........
Relationship to child: .......
The above information is true and correct to the best of my knowledge.
Dated ....................
_____________________
(Mother's Signature)
Printed name
.......................
_____________________
(Father's Signature)
Printed name
.......................
Fl. R. Juv. P. form 8.976