Fl 350 Form PDF Details

The FL-350 form, officially termed as "Stipulation to Establish or Modify Child Support and Order," is a crucial document within the Superior Court of California that serves the purpose of establishing or altering child support arrangements. Designed for use by both parties, whether represented by attorneys or not, this comprehensive form covers various aspects crucial to ensuring the financial welfare of children involved. Key sections allow parties to document each parent's disposable income, delineate the times each parent is responsible for the children, and detail any hardships that might affect financial capabilities. Furthermore, it enables the specification of the child support amount agreed upon, based on California's child support guidelines or through mutual agreement if circumstances warrant a deviation. Provisions are also made for additional financial responsibilities such as child care, healthcare costs, and education needs. Critical to ensuring compliance, the form includes instructions for maintaining health insurance for the child, outlines the procedure for expenses not covered by insurance, and specifies the conditions under which an earnings assignment order may be issued or stayed. Importantly, this document binds parties to inform each other about significant changes that could affect support arrangements and ensures that all decisions are made knowingly and without coercion. Once ratified by a judge, the stipulations within the FL-350 form become enforceable orders, highlighting its significance in the realm of child support within California's legal framework.

QuestionAnswer
Form NameFl 350 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesstipulation order forms, california fl 350 form, child stipulation form, child support stipulation agreement

Form Preview Example

FL-350

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

TELEPHONE NO.:

FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

 

ATTORNEY FOR (Name):

 

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

STIPULATION TO ESTABLISH OR MODIFY

CHILD SUPPORT AND ORDER

FOR COURT USE ONLY

CASE NUMBER:

1.

a.

 

 

 

 

 

Mother’s net monthly disposable income: $

 

 

 

 

 

 

 

 

 

 

 

 

 

Father’s net monthly disposable income: $

 

 

 

 

 

 

 

 

-OR-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

 

A printout of a computer calculation of the parents’ financial circumstances is attached.

 

 

 

2.

 

 

 

 

 

Percentage of time each parent has primary responsibility for the children: Mother:

%

Father:

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

per month because of (specify):

 

3.

a.

 

 

 

 

 

A hardship is being experienced by the mother $

 

 

 

 

 

 

 

 

 

 

The hardship will last until (date):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A hardship is being experienced by the father $

 

 

 

 

b.

 

 

 

 

 

 

per month because of (specify):

 

 

 

 

 

 

 

 

 

The hardship will last until (date):

 

 

 

 

 

 

 

 

 

4.

The amount of child support payable by (name):

 

, referred to as “the parent ordered to

 

 

pay support,” as calculated under the guideline is: $

per month.

 

 

 

5.

 

 

 

 

 

We agree to guideline support.

 

 

 

 

 

 

 

 

 

6.

 

 

 

 

 

The guideline amount should be rebutted because of the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.

 

 

 

 

We agree to child support in the amount of $

 

per month; the agreement is in the best interest of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

the children; the needs of the children will be adequately met by the agreed amount; and application of the guideline

 

 

 

 

 

 

 

 

 

 

 

 

 

would be unjust or inappropriate in this case.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

Other rebutting factors (specify):

 

 

 

 

 

7.

The parent ordered to pay support must pay child support as follows beginning (date):

 

 

 

 

a. BASIC CHILD SUPPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Child’s name

 

Monthly amount

 

Payable to (name):

 

 

 

Total: $

 

payable

 

on the first of the month

 

 

other (specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

b.

 

 

 

 

In addition, the parent ordered to pay support must pay the following:

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

 

 

 

 

per month for child care costs to (name):

 

 

 

on (date):

 

 

 

 

 

$

 

 

 

 

 

 

(2)

 

 

 

 

 

per month for health-care costs not deducted from gross income

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to (name):

 

 

 

 

 

 

 

on (date):

 

 

(3)

 

 

 

 

 

per month for special educational or other needs of the children

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

to (name):

 

 

 

 

 

 

 

on (date):

 

 

(4)

 

 

 

 

 

 

other (specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Total monthly child support payable by the parent ordered to pay support will be: $

 

 

 

 

 

 

payable

 

 

on the first of the month

 

 

other (specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 1 of 2

Form Adopted for Mandatory Use

Judicial Council of California FL-350 [Rev. July 1, 2010]

STIPULATION TO ESTABLISH OR MODIFY

CHILD SUPPORT AND ORDER

Family Code, § 4065 www.courtinfo.ca.gov

11.
12.
13.

FL-350

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

CASE NUMBER:

8.a.

b.

c.

9.a.

b.

Health insurance will be maintained by (specify name):

The parent ordered to provide health insurance must seek continuation of coverage for the child after the child attains the age when the child is no longer considered eligible for coverage as a dependent under the insurance contract, if the child is incapable of self-sustaining employment because of a physically or mentally disabling injury, illness, or condition and is chiefly dependent upon the parent providing health insurance for support and maintenance.

A health insurance coverage assignment will issue if health insurance is available through employment or other group plan or otherwise is available at reasonable cost. Both parents are ordered to cooperate in the presentation, collection, and reimbursement of any medical claims.

Any health expenses not paid by insurance will be shared: Mother:

%

Father:

%

An earnings assignment order is issued.

 

 

 

We agree that service of the earnings assignment be stayed because we have made the following alternative arrangements to ensure payment (specify):

10.In the event that there is a contract between a party receiving support and a private child support collector, the party ordered to pay support must pay the fee charged by the private child support collector. This fee must not exceed 33 1/3 percent of the total amount in arrears nor may it exceed 50 percent of any fee charged by the private child support collector. The money judgment created by this provision is in favor of the private child support collector and the party receiving support, jointly.

Travel expenses for visitation will be shared: Mother: % Father: %

We agree that we will promptly inform each other of any change of residence or employment, including the employer’s name, address, and telephone number.

Other (specify):

14.We agree that we are fully informed of our rights under the California child support guidelines.

15.We make this agreement freely without coercion or duress.

16.The right to support

a.

 

has not been assigned to any county, and no application for public assistance is pending.

 

 

 

 

 

b.

 

has been assigned or an application for public assistance is pending in (county name):

If you checked b., an attorney for the local child support agency must sign below, joining in this agreement.

Date:

 

 

 

 

 

 

 

 

 

 

 

(TYPE OR PRINT NAME)

(SIGNATURE OF ATTORNEY FOR LOCAL CHILD SUPPORT AGENCY)

Notice: If the amount agreed to is less than the guideline amount, no change of circumstances need be shown to obtain a change in the support order to a higher amount. If the order is above the guideline, a change of circumstances will be required to modify this order. This form must be signed by the court to be effective.

Date:

Date:

(TYPE OR PRINT NAME)

 

 

 

 

 

 

Date:

(TYPE OR PRINT NAME)

 

 

 

 

 

 

Date:

(TYPE OR PRINT NAME)

 

 

 

 

 

 

 

(TYPE OR PRINT NAME)

 

THE COURT ORDERS

(SIGNATURE OF PETITIONER)

(SIGNATURE OF RESPONDENT)

(SIGNATURE OF ATTORNEY FOR PETITIONER)

(SIGNATURE OF ATTORNEY FOR RESPONDENT)

17. a.

 

The guideline child support amount in item 4 is rebutted by the factors stated in item 6.

b.Items 7 through 13 are ordered. All child support payments must continue until further order of the court, or until the child marries, dies, is emancipated, or reaches age 18. The duty of support continues as to an unmarried child who has attained the age of 18 years, is a full-time high school student, and resides with a parent, until the time the child completes the 12th grade or attains the age of 19 years, whichever first occurs. Except as modified by this stipulation, all provisions of any previous orders

made in this action will remain in effect.

Date:

JUDGE OF THE SUPERIOR COURT

NOTICE: Any party required to pay child support must pay interest on overdue amounts at the “legal” rate, which is currently 10 percent per year. This can be a large added amount.

FL-350 [Rev. July 1, 2010]

STIPULATION TO ESTABLISH OR MODIFY

CHILD SUPPORT AND ORDER

Page 2 of 2

How to Edit Fl 350 Form Online for Free

fl 350 can be filled in with ease. Just try FormsPal PDF tool to complete the job promptly. Our editor is consistently developing to give the very best user experience attainable, and that's thanks to our commitment to continuous enhancement and listening closely to customer comments. By taking some basic steps, you can begin your PDF journey:

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As for the fields of this specific form, here's what you want to do:

1. The fl 350 needs specific information to be entered. Make certain the next blank fields are complete:

child stipulation form conclusion process outlined (portion 1)

2. Once your current task is complete, take the next step – fill out all of these fields - The hardship will last until date, The amount of child support, pay support as calculated under, per month, referred to as the parent ordered, We agree to guideline support The, We agree to child support in the, per month the agreement is in the, The parent ordered to pay support, a BASIC CHILD SUPPORT Childs name, Monthly amount, Payable to name, Total, payable, and on the first of the month with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

child stipulation form conclusion process outlined (portion 2)

3. This next part is about other specify, per month for healthcare costs not, on date, c Total monthly child support, payable, on the first of the month, other specify, Form Adopted for Mandatory Use, Judicial Council of California FL, STIPULATION TO ESTABLISH OR MODIFY, CHILD SUPPORT AND ORDER, Page of, and Family Code wwwcourtinfocagov - fill in all these blank fields.

Judicial Council of California FL, STIPULATION TO ESTABLISH OR MODIFY, and Page of inside child stipulation form

You can potentially make a mistake while completing the Judicial Council of California FL, and so ensure that you reread it before you send it in.

4. This fourth subsection comes next with these particular form blanks to consider: PETITIONERPLAINTIFF, RESPONDENTDEFENDANT, CASE NUMBER, a Health insurance will be, The parent ordered to provide, A health insurance coverage, c Any health expenses not paid by, Mother, Father, a b, An earnings assignment order is, We agree that service of the, In the event that there is a, Travel expenses for visitation, and Mother.

Writing part 4 of child stipulation form

5. The document should be completed by filling out this segment. Further you can see a full list of fields that require specific information for your form usage to be faultless: We agree that we are fully, a b If you checked b an attorney, has not been assigned to any, Date, TYPE OR PRINT NAME, SIGNATURE OF ATTORNEY FOR LOCAL, Notice If the amount agreed to is, Date, Date, Date, TYPE OR PRINT NAME, SIGNATURE OF PETITIONER, TYPE OR PRINT NAME, SIGNATURE OF RESPONDENT, and TYPE OR PRINT NAME.

Filling out section 5 in child stipulation form

Step 3: Check what you have typed into the blanks and then hit the "Done" button. Get the fl 350 once you subscribe to a free trial. Instantly view the form within your personal account page, with any modifications and adjustments all kept! With FormsPal, you'll be able to fill out forms without being concerned about personal information incidents or records getting distributed. Our secure software ensures that your personal information is stored safe.

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