Transcription of FL-350 Stipulation to Establish or Modify Child Support ...
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Form Adopted for Mandatory Use Judicial Council of California FL-350 [Rev. January 1, 2022] Stipulation TO Establish OR Modify Child Support AND ORDERF amily Code, 4065 FL-350 PARTY WITHOUT ATTORNEY OR ATTORNEYSTATE BAR NUMBER:NAME:FIRM NAME:STREET ADDRESS:CITY:STATE:ZIP CODE:TELEPHONE NO.:FAX NO.:E-MAIL ADDRESS:ATTORNEY FOR (name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:PETITIONER:RESPONDENT:OTHER PARTY: Stipulation TO Establish OR Modify Child Support AND ORDERFOR COURT USE ONLYCASE NUMBER:INSTRUCTIONS Use this form if the parents have an agreement about Child Support . After this form is completed and signed by both parents, it must be filed and approved by the court. A court case (for example, a divorce case) must already be open before this form can be used. If the local Child Support agency is involved in your case, a lawyer from their office must also approve and sign the agreement.
b. 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.
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