Circuit 10 - Florida's Center for Child Welfare | Home
DILIGENT SEARCH REQUEST FOR (THE PARENT)
Requested by __________________________________________ Date _____________________
Telephone #:_______________________ ( ) DCF ( ) CHS ( ) Dev ( ) Gulf Coast ( ) OHU
Assigned Attorney: ___________________________________
Caseworker: ___________________________________
Dependency [ ] TPR [ ] Arrg/PCAR Date: __________________
******************************************************************************************
Case Name (list oldest child first) Case No: _________________________________
____________________________________ DOB ____________________
____________________________________ DOB ____________________
____________________________________ DOB ____________________
____________________________________ DOB ____________________
******************************************************************************************
INFORMATION of the PARENT in question:
Name _____________________ _____________________ ___________________
First Middle Maiden Last
A/k/a _____________________________________________________________________________
Race: __________________ DOB:____________________ SS#:__________________________
Last known addresses/locations (include city and/or state even if full address unknown)
________________________________________________________________________________
________________________________________________________________________________
Has parent ever been in jail? Yes [__] No [__] Unknown [__]
If yes, where? ______________________________________________________________________________
______________________________________________________________________________
PLEASE DO NOT SUBMIT A DILIGENT SEARCH REQUEST UNTIL YOU HAVE INQUIRED FROM THE FOLLOWING SOURCES FOR INFORMATION ON THE LOCATION OF THE PARENT IN QUESTION:
Did you contact the child(ren)'s other mother? Yes [__] No [__]
Name: _______________________________
Results: ________________________________________________________________________________
Did you contact the child(ren)'s father? Yes [__] No [__]
Name: ________________________________________________
Results: ________________________________________________________________________________
Did you contact the maternal grandparent(s)? Yes [__] No [__]
Name(s):___________________________
Results: ________________________________________________________________________________
Did you contact the paternal grandparent(s)? Yes [__] No [__]
Name(s):____________________________
Results: ________________________________________________________________________________
Did you contact other relatives? Yes [__] No [__] No relatives/other relatives found [__]
Name(s) & Relation(s):_______________________________________________________________________
Results: ________________________________________________________________________________
Did you contact friends/others? Yes [__] No [__]
Name(s):________________________________________
Results: ________________________________________________________________________________
Child(ren)’s birth certificate(s): Yes [__] No [__]
Results: ______________________________________
Child(ren)’s school records: Yes [__] No [__]
Results: __________________________________________
Military Service (Ask relatives): Yes [__] No [__]
If yes in what branch? _______________________
Polk County Sheriff's Department: Yes [__] No [__]
Results: _________________________________________________________________________
________________________________________________________________________________
Polk County Jail: inquiry.html Yes [__] No [__]
Results: _________________________________________________________________________
________________________________________________________________________________
Hardee County Sheriff's Dept.: Yes [__] No [__]
Results: _________________________________________________________________________
________________________________________________________________________________
Highlands County Sheriff's Dept.: Yes [__] No [__]
Results: _________________________________________________________________________
________________________________________________________________________________
Florida Department of Corrections: dc.state.fl.us/ActiveInmates/search.asp
Yes [__] No [__]
Results: ________________________________________________________________________________
Federal Bureau of Prisons at Yes [__] No [__]
Results: ______________________________________________________________
Telephone book: Yes [__] No [__]
Results: ____________________________________________________
Contact attempted at last known address: Yes [__] No [__]
Results: _________________________________________________________________________
________________________________________________________________________________
Other sources: ____________________________________________________________________________
________________________________________________________________________________
I have searched the above sources for information, but have not been able to contact the parent in question.
____________________________________________ _________________________
Signature of Caseworker Date
PLEASE IMMEDIATELY CONTACT Linda Eldredge if parent is located or you have new information. Phone Number: (863) 519-8900 ext. 210
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