Florida Form 12.902(d): Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit

Start with the free official Form 12.902(d)

Florida Courts currently lists Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, dated February 2018. The official PDF contains eight pages: two instruction pages followed by the six-page affidavit.

Source checked October 1, 2026. The current Florida Courts download matched the reviewed source file exactly. Always confirm the form number and revision before relying on a saved copy.

What the official instructions say about this affidavit

The packet says the affidavit should be used in any case involving parental responsibility for, custody of, time-sharing with, or visitation with a minor child. It says the affidavit is required even when those issues are not disputed.

What information appears on Form 12.902(d)?

1. Match the caption and identify the affiant

The affidavit begins with the judicial circuit, county, case number, division, petitioner, and respondent. The opening statement separately asks for the full legal name of the person swearing to the affidavit.

Use the existing court record for factual caption information. This guide does not decide party labels, venue, jurisdiction, or who should sign the affidavit.

2. Organize each child's five-year residence history

Section 1 asks for the number of minor children involved. The printed affidavit then provides sections for three children. For each child, it displays blanks for full legal name, place and date of birth, sex, and a residence table covering the past five years.

Each residence row asks for dates, the address where the child lived, the name and present address of the person the child lived with, and that person's relationship to the child. The first row runs through the present; later rows display beginning and ending dates.

3. Read sections 2 and 3 as different questions

Section 2 presents two choices about whether the affiant has participated as a party, witness, or in another capacity in other custody litigation concerning a child in the current proceeding. Its detail lines ask for each child, type of proceeding, court and state, and date of any order or judgment.

Section 3 presents two choices about whether the affiant has information concerning a pending parental-responsibility, custody, time-sharing, or visitation proceeding other than one already identified in section 2. Its detail lines also include a case number.

This guide does not identify which events qualify, classify another matter, interpret the scope of either statement, or choose between the printed answers.

4. Separate nonparty information from prior child-support information

Section 4 asks whether any person outside the current case has physical custody or claims parental responsibility, custody rights, time-sharing, or visitation regarding a child in the proceeding. If the second statement is selected, the form provides three person blocks with name and address, printed claim choices, child names, and relationship.

Section 5 separately asks whether the children described in the affidavit are subject to existing child-support orders. Its detail lines ask for each child, type of proceeding, court and address, order or judgment date, and the amount ordered and by whom.

Sun State does not decide whether a person or order belongs in either section, characterize anyone's rights, or interpret an existing order.

5. Do not overlook the continuing disclosure statement

Section 6 contains a printed acknowledgment of a continuing duty to advise the court about specified proceedings concerning the children when information is obtained during the case. This guide can identify that statement but cannot explain its legal scope, determine what later event must be disclosed, or provide a deadline or method for a particular case.

6. Treat addresses and confidential information carefully

The official instructions say a Notice of Confidential Information within Court Filing is filed with the affidavit. They also state that a petitioner in a domestic-violence injunction case who has filed Form 12.980(h), Request for Confidential Filing of Address, should write “confidential” in spaces requesting the current residential address.

The affidavit itself states in section 7 that a completed Notice of Confidential Information within Court Filing is filed with it.

7. Review service, oath, signature, and notarization separately

The affidavit includes a certificate of service with e-service, mail, fax-and-mail, and hand-delivery choices, followed by information for the other party or attorney. It then contains an oath concerning truthfulness, a warning about knowingly making a false statement, the party's date, signature and contact information, and a notary-public or deputy-clerk block.

Completing a PDF does not sign it, administer an oath, notarize it, file it, serve it, or establish that the service statement is accurate. This guide does not select a service method or recipient.

8. Read the 2018 procedural instructions in current context

The packet discusses filing, e-filing, service, e-service, mailing or delivery, confidentiality, and related forms. Those passages describe the official February 2018 packet, but statewide rules, form names, portal procedures, and local requirements can change.

Florida Courts' current self-help guidance ↗ says self-represented parties are responsible for current statewide rules, local rules, administrative orders, required documents, and deadlines. Court self-help personnel may provide permitted administrative and procedural information, but they do not act as a filer's lawyer.

Nonlawyer assistance has a separate disclosure block

The packet says a nonlawyer who helps complete the form must provide Form 12.900(a), Disclosure from Nonlawyer, before helping and must place identifying information at the bottom of the last page. Form 12.902(d) includes those blanks below the notarization section.

Sun State does not decide jurisdiction, select disclosure answers, classify proceedings or claims, interpret orders, advise about confidential addresses, or tell a customer how the law applies to personal circumstances.

Common factual questions

Official information and independent help

Prepared by Sun State Legal Forms. Published and substantively reviewed October 1, 2026 using the complete official Florida Courts packet and current official form listing. Read our content and source-review standards.