FORM 8.980. PETITION FOR TERMINATION OF PARENTAL
RIGHTS BASED ON VOLUNTARY
RELINQUISHMENT

PETITION FOR TERMINATION OF
PARENTAL RIGHTS
Petitioner, .....(name)....., respectfully petitions this Court for
termination of parental rights and permanent commitment of the
minor child(ren), .....(name(s))....., to .....(agency name)..... for the
purpose of subsequent adoption, and as grounds states the
following:

A. PARTIES

1. The child, .....(name)....., is a male/female child born on
.....(date)....., at .....(city, county, state)...... At the time of the filing of
this petition, the child is .....(age)...... A copy of the child’s birth
certificate is attached to this Petition and incorporated as
Petitioner’s Exhibit ......

COMMENT: Repeat above for each child on petition.

2. The child(ren) is/are presently in the care and custody of
.....(name)....., and is/are residing in .................... County, Florida.

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 .....(name)....., who
resides at ....................

5. The natural/alleged/putative father of the child(ren)
.....(name(s))..... is .....(name)....., who resides at ....................

COMMENT: Repeat #5 as necessary.

6. A guardian ad litem ..... has ..... 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. The parents will be informed of the availability of private
placement of the child with an adoption entity as defined in chapter
63, Florida Statutes.

3. The mother, .....(name)....., freely, knowingly, voluntarily,
and ..... with ..... without advice of legal counsel executed an
Affidavit and Acknowledgment of Surrender, Consent, and Waiver of
Notice on .....(date)....., for termination of her parental rights to the
minor child, .....(name)....., under section 39.806(1)(a), Florida
Statutes.

COMMENT: Repeat above as necessary.

4. The father, .....(name)....., freely, knowingly, and
voluntarily, and ..... with ..... without advice of legal counsel
executed an Affidavit and Acknowledgment of Surrender, Consent,
and Waiver of Notice on .....(date)....., for termination of his parental
rights to the minor child, .....(name)....., under section 39.806(1)(a),
Florida Statutes.

COMMENT: Repeat above as necessary.

5. Under the provisions of chapter 39, Florida Statutes, it is
in the manifest best interest of the child(ren) for parental rights to
be terminated for the following reasons:

..... allegations which correspond to sections 39.810(1)–
(11), Florida Statutes.

6. A copy of this petition shall be served on the natural
mother, .....(name).....; the father(s), .....(name(s)).....; the custodian,
.....(name).....; and the guardian ad litem, .....(name)......

7. This petition is filed in good faith and under oath.

WHEREFORE, the petitioner respectfully requests that this
court grant this petition; find that the parents have voluntarily
surrendered their parental rights to 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 the .....(name).....
for subsequent adoption.



.....(petitioner’s name and
identifying information).....
Verification

.....(attorney’s name).....
.....(address and telephone
number).....
.....(email address(es).....
.....(Florida Bar number).....


Certificate of Service