Free FL-342 Child Support Information and Order Attachment - California

FL-342
PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT:
CASE NUMBER:

CHILD SUPPORT INFORMATION AND ORDER ATTACHMENT Attachment to Findings and Order After Hearing Judgment Other Restraining Order After Hearing (CLETS)

THE COURT USED THE FOLLOWING INFORMATION IN DETERMINING THE AMOUNT OF CHILD SUPPORT: 1. A printout of a computer calculation and findings is attached and incorporated in this order for all required items not filled out below. 2. Income a. Each parent's monthly income is as follows: petitioner/plaintiff: respondent/defendant: other parent: Gross monthly income $ $ $ other parent 3. Net monthly income $ $ $ Receiving TANF/CaIWORKS

b. Imputation of income. The court finds that the

petitioner/plaintiff

respondent/defendant

has the capacity to earn:

$ per: and has based the support order upon this imputed income. Children of This Relationship a. Number of children who are the subjects of the support order (specify): % b. Approximate percentage of time spent with: petitioner/plaintiff % respondent/defendant % other parent Hardships Hardships for the following have been allowed in calculating child support: petitioner/ respondent/ plaintiff defendant Other minor children: a. $ $ Extraordinary medical expenses: $ b. $ c. Catastrophic losses: $ $

4.

other parent $ $ $

Approximate ending time for the hardship

THE COURT ORDERS Low-Income Adjustment 5. a. b. The low-income adjustment applies. The low-income adjustment does not apply because (specify reasons):

6.

Child Support a. Base child support Respondent/defendant must pay child support beginning Other parent Petitioner/plaintiff (date): and continuing until further order of the court, or until the child marries, dies, is emancipated, reaches age 19, or reaches age 18 and is not a full-time high school student, whichever occurs first, as follows: Child's name Date of birth Monthly amount Payable to (name)

Payable

on the 1st of the month other (specify):

one-half on the 1st and one-half on the 15th of the month

b.

Mandatory additional child support (1) Child-care costs related to employment or reasonably necessary job training. % of total or Petitioner/plaintiff must pay: Respondent/defendant must pay: % of total or Other parent must pay: % of total or Costs to be paid as follows (specify): THIS IS A COURT ORDER. $ $ $ per month per month per month child-care costs. child-care costs. child-care costs.

Page 1 of 2 Family Code, §§ 4055­4069 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com

Form Adopted for Mandatory Use Judicial Council of California FL-342 [Rev. July 1, 2008]

CHILD SUPPORT INFORMATION AND ORDER ATTACHMENT

FL-342
PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT:
CASE NUMBER:

THE COURT FURTHER ORDERS 6. b. Mandatory additional child support (continued) (2) Reasonable uninsured health-care costs for the children Petitioner/plaintiff must pay: Respondent/defendant must pay: Other parent must pay: Costs to be paid as follows (specify): c. % of total or % of total or % of total or $ $ $ per month. per month. per month.

Additional child support (1) Costs related to the educational or other special needs of the children Petitioner/plaintiff must pay: Respondent/defendant must pay: Other parent must pay: Costs to be paid as follows (specify): (2) Travel expenses for visitation Petitioner/plaintiff must pay: Respondent/defendant must pay: Other parent must pay: Costs to be paid as follows (specify): % of total or % of total or % of total or $ $ $ per month. per month. per month.

% of total or % of total or % of total or

$ $ $

per month. per month. per month.

Total child support per month: $ 7. Health-Care Expenses a. Health insurance coverage for the minor children of the parties must be maintained by the petitioner/plaintiff respondent/defendant other parent if available at no or reasonable cost through their respective places of employment or self-employment. Both parties are ordered to cooperate in the presentation, collection, and reimbursement of any health-care claims. b. Health insurance is not available to the petitioner/plaintiff respondent/defendant other parent at a reasonable cost at this time. c. The party providing coverage must assign the right of reimbursement to the other party.

8. Earnings Assignment An Income Withholding for Support (form FL-195) must issue. Note: The payor of child support is responsible for the payment of support directly to the recipient until support payments are deducted from the payor's wages, and for any support not paid by the assignment. 9. Non-Guideline Order This order does not meet the child support guideline set forth in Family Code section 4055. A Non-Guideline Child Support Findings Attachment (form FL-342(A)) is attached. Employment Search Order (Family Code, § 4505) Petitioner/plaintiff following terms and conditions: 11. Other Orders (specify): 12. Required Attachments A Notice of Rights and Responsibilities--Health Care Costs and Reimbursement Procedures and Information Sheet on Changing a Child Support Order (form FL-192) must be attached and is incorporated into this order. 13. Child Support Case Registry Form Both parties must complete and file with the court a Child Support Case Registry Form (form FL-191) within 10 days of the date of this order. Thereafter, the parties must notify the court of any change in the information submitted within 10 days of the change by filing an updated form. 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 IS A COURT ORDER.
FL-342 [Rev. July 1, 2008]

10.

Respondent/defendant

Other parent

is ordered to seek employment with the

CHILD SUPPORT INFORMATION AND ORDER ATTACHMENT

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