Fl. R. Juv. P. form 8.932

As amended through January 1, 2025

Form 8.932 - APPLICATION FOR COUNSEL AND ORDER

APPLICATION FOR COUNSEL AND ORDER

STATE OF FLORIDA

COUNTY OF ....................

Before me, the undersigned authority, personally appeared affiant, who, being duly sworn, says:

1. That I understand a delinquency complaint has been made against me and, being advised of my right to an attorney, now request appointment of counsel.

2. Being without sufficient funds, property or assets of any kind, I will be deprived of my right to representation unless I am adjudged insolvent and counsel appointed to represent me.

3. That I have been informed that a lien for the value of the legal services rendered to me by the public defender may be imposed by law on any property I now or may hereafter have in this state.

Dated: ....................

__________________

Affiant Child

STATEMENT OF PARENT(S)

The undersigned are informed and understand that liability for cost of representation of this child by the public defender can be assessed against the parent(s) by court order in an amount not to exceed the amount provided by law.

__________________

Parent

__________________

Parent

ORDER

The court finds that this child is indigent, as defined by law, and is desirous of counsel; it is, therefore,

ORDERED

1. That this child is declared to be insolvent.

2. That ...................., Public Defender for the .....Judicial

Circuit, State of Florida, is hereby appointed as counsel to represent this child in all matters in defense of the delinquency complaint herein made.

DONE AND ORDERED in the circuit court in and for .................... County, Florida, on .....(date)......

__________________

Circuit Judge

Fl. R. Juv. P. form 8.932

Amended effective 7/1/2023; amended by 783 So.2d 138, effective 1/1/2001; amended by 589 So.2d 818, effective 7/1/1991.