Statutes, codes, and regulations
Florida Court Rules
Florida Rules of Juvenile ProcedurePart VI - FORMS FOR USE WITH RULES OF JUVENILE PROCEDURE
JUDICIAL WAIVER OF PARENTAL NOTICE OF TERMINATION OF PREGNANCY FORMS
Form 8.988 - SWORN STATEMENT OF TRUE NAME AND PSEUDONYM

Fl. R. Juv. P. form 8.988

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As amended through January 1, 2025
Form 8.988 - SWORN STATEMENT OF TRUE NAME AND PSEUDONYM

SWORN STATEMENT OF TRUE NAME AND PSEUDONYM

NOTICE TO THE CLERK OF COURT: A CERTIFIED COPY OF THIS DECLARATION WITH THE CASE NUMBER NOTED ON IT SHALL BE GIVEN TO THE MINOR AFTER SHE SIGNS IT.

THE ORIGINAL SHALL IMMEDIATELY BE PLACED IN A SEALED ENVELOPE WHICH SHALL BE FILED UNDER SEAL AND KEPT UNDER SEAL AT ALL TIMES.

(1) My true name is, and my address is.

(print your name)

(print your address)

(2) My date of birth is.
(3) I have filed a Petition for Judicial Waiver of Parental Notice and Consent or Consent Only to Termination of Pregnancy under the name or initials __________on_________.

(date)

I understand that by signing this form I am swearing to or affirming the truthfulness of the information herein and that the punishment for knowingly making a false statement includes fines, imprisonment or both.

Dated:

Signature:_____________________

(You must sign your true name.)

Fl. R. Juv. P. form 8.988

Amended effective 7/1/2023; amended by 302 So. 3d 746, effective 3/4/2021; amended by SC20-873, effective 3/4/2021; added by 907 So.2d 1161, effective 6/30/2005.