8.904 Affidavit for Order to Take into Custody

AFFIDAVIT

STATE OF FLORIDA

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

Before me, the undersigned authority, personally appeared affiant, who, being sworn, made the following allegation of facts: .................... and requested that the court issue an order to take into custody the below-.....named/described..... children.

Name(s) ....................

Age(s) .......... Sex ..........

Date(s) of Birth ....................

Race ..........

Address ........................................

Identifying Description ....................

Parent/Custodian ....................

Address ....................

__________________
Affiant

.....Address.....