IN THE CIRCUIT COURT OF THE
_____________ JUDICIAL CIRCUIT,
Clear
STATE OF FLORIDA, IN AND FOR
________________ COUNTY
CASE NO.:
DIVISION:
IN THE INTEREST OF
_____________________________________
MINOR CHILD(REN)
ORDER OF COMPLIANCE WITH THE INTERSTATE COMPACT
ON THE PLACEMENT OF CHILDREN (Sections 409.401, et seq., F.S.)
THIS CAUSE came before the court on the _____ day of ___________, _____, on the Motion of the
Department of Children and Family Services (department) for Compliance with the Interstate Compact on the
Placement of Children (Compact), and the court being fully advised in the premises, makes the following
findings:
1. The underlying legal status of the child(ren) on this date is:____________________________________.
2. This court has sufficient jurisdiction over the child(ren) pursuant to Article V(a) of the Compact to invoke
the Compact for the purpose of requesting one or more home studies on resource families from one or
more receiving states.
3. Pursuant to Article III(d) of the Compact, this court will only place, or authorize the department to place,
the child(ren) in an approved home in a receiving state after receipt of written notification from a
receiving state that the proposed placement does not appear to be contrary to the interests of the
child(ren).
4. If the child(ren) is placed pursuant to paragraph 3 above, this court will retain Article V(a) jurisdiction over
the child(ren) sufficient to determine all matters in relation to the custody, supervision, care, and
disposition of the child which it would have had if the child had remained in Florida, and this court will not
terminate jurisdiction over said child(ren), or terminate the supervisory responsibility of the department
over said child(ren), unless written concurrence is received from the receiving state.
5. This court expressly finds that its jurisdiction over said child(ren) includes the power to effect or cause
the return of the child or its transfer to another location and custody pursuant to law, and that the state of
Florida has and will continue to have financial responsibility for support and maintenance of the child
during the period of the placement in the receiving state.
6. This court order provides sufficient authority and direction for the department to immediately return said
child(ren) to Florida within three working days of receipt of written notification from the receiving state
Compact Administrator that placement authorization will not be approved, or that previous placement
approval has been withdrawn by the receiving state for reasons determined by the receiving state.
7. If the child(ren) is sent, or allowed to go, on a visit to a receiving state, this court finds that any visit must
be in compliance with Regulation 9 of the Compact, and furthermore, this court takes judicial notice of
the existence of Regulation 9 and its purpose in defining and regulating a visit under the Compact.
It is thereupon
ORDERED AND ADJUDGED that pursuant to the above findings or statements of judicial intent, the
Juvenile Court of the _____________ Judicial Circuit in and for ______________ County, Florida, has
jurisdiction over the above referenced child(ren) sufficient to invoke the use of the Interstate Compact on the
Placement of Children, will maintain jurisdiction as set forth in Article V of the Compact, authorizes the
department to be the Sending Agency for the above named child(ren), _______________________________,
and further agrees to abide by all provisions of the Compact, sections 409.401, et seq., F.S., and hereby