
Instructions for Florida Supreme Court Approved Family Law Form 12.941(d), Emergency Verified Motion
for Child Pick-Up Order (11/15)
To serve and receive documents by e-mail, you must designate your e-mail addresses by using the
Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form
12.915, and you must provide your e-mail address on each form on which your signature appears. Please
CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme Court
Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida Supreme
Court Approved Family Law Form 12.915; and Florida Rule of Judicial Administration 2.516.
What should I do next?
If the court enters an order without advance notice to the other party, you should take a certified copy of
the ode to the sheiff’s office for further assistance. You ust hae this fo ad the out’s ode
served by personal service on the other party. You should ead the out’s ode aefully. The order
may require the sheriff to place the child(ren) somewhere other than in your physical possession. Look
for directions in the order that apply to you and note the time and place of the hearing scheduled in the
order. You should go to the hearing with whatever evidence you have regarding your motion.
If the court will not enter an order without advance notice to the other side, you should check with the
clerk of court, judicial assistant, or family law intake staff for information on the local procedure for
scheduling a hearing on your motion, unless the court sets a hearing in its order denying your request for
an ex parte hearing. When you know the date and time of your hearing, you should file Notice of
Hearing (General), Florida Supreme Court Approved Family Law Form 12.923, and use personal service
to notify the othe paty of you otio, the out’s ode, if ay, ad the hearing.
Special notes...
With this form you must also file the following:
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court
Approved Family Law Form 12.902(d).
A certified copy of the court order showing that you have legal custody of or time-sharing with the
child(ren), if any.
OR
A certified copy of the hilde’s birth certificate(s), if you are the birth mother of a child born out of
wedlock and no court order addressing paternity exists.
OR
A certified copy of any judgment establishing paternity, time-sharing with or custody of the minor
child(ren).
Order These family law forms contain an Order to Pick-Up Minor Child(ren), Florida Supreme Court
Approved Family Law Form 12.941(e), which the judge may use. You should check with the clerk, family
law intake staff, or judicial assistant to see if you need to bring a blank order form with you to the hearing.
If so, you should type or print the heading, including the circuit, county, case number, division, and the
paties’ aes, ad leae the est lak fo the judge to oplete at you hearing.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out
these forms, that person must give you a copy of Disclosure from Nonlawyer, Florida Family Law Rules
of Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fill out these forms
also must put his or her name, address, and telephone number on the bottom of the last page of every
form he or she helps you complete.