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DEPENDENCY COURT REPRESENTATION REPORT <br /> Court Appointed Counsel for Indigent Parents <br /> Fiscal Year <br /> CIRCUIT <br /> REPORTING FOR DEPENDENCY COURT DATA FOR <br /> QUARTER ENDING , <br /> COUNTY TOTAL NUMBER ACCEPTED AS CONTRACT ATTORNEY <br /> DEPENDENCY PETITIONS INDIGENT FEES <br /> FILED <br /> Please remit the completed form to: Justice Administration Commission <br /> Attention: Accounting Director <br /> Post Office Box 1654 <br /> Tallahassee, Florida 32302 <br /> I certify that the above information presented in this report is true and correct. The case data reflects the appointment of counsel in dependency actions from the <br /> initiation of filing shelter petitions. It does not include cases where termination of parental rights(TPR)has been initiated. <br /> Typed Name: Court Administrator Telephone Number <br /> Signature: Court Administrator Date <br /> Person Completing Form/Title Date <br /> I:\Child Dependency\Dependency Court Qtrly Report Form.doc <br /> Last printed 10/23/2002 11:31 AM <br />