FL 250 JUDGMENT (Uniform Parentage—Custody And Support) Fl250

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FL-250
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

TELEPHONE NO.:

FOR COURT USE ONLY

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seeing what you entered on
your form, please press the
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end of the form when finished.

FAX NO.:

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:

PETITIONER:
RESPONDENT:
CASE NUMBER:

JUDGMENT
1.

2. a.
b.
c.
d.
e.
f.

This judgment
modifies existing restraining orders.
contains personal conduct restraining orders
The restraining orders are contained in item(s):
of the attachment.
They expire on (date):
A CLETS form must be attached.
This matter proceeded as follows:
Default or uncontested
By declaration
Contested
Date:
Dept.:
Room:
Temporary judge
Judicial officer (name):
Petitioner present
Attorney present (name):
Respondent present
Attorney present (name):
The petitioner appeared without counsel and was advised of relevant rights.
(1)
Petitioner
The petitioner signed Advisement and Waiver of Rights Re: Establishment of Parental Relationship
(2)
(form FL-235).
(3)
The petitioner is married to the Respondent, and no other action is pending.
(4)
(5)

The petitioner signed a Voluntary Declaration of Paternity.
There is a prior judgment of parentage in a family support, juvenile, or adoption court case.

(4)

The respondent appeared without counsel and was advised of relevant rights.
The respondent signed Advisement and Waiver of Rights Re: Establishment of Parental Relationship
(form FL-235).
The respondent is married to the Petitioner, and no other action is pending.
The respondent signed a Voluntary Declaration of Paternity.

(5)

There is a prior judgment of parentage in a family support, juvenile or adoption court case.

g. Respondent (1)
(2)
(3)

h. Other parties or attorneys present (specify):
3. THE COURT FINDS
Name:
Name:

Mother
Mother

are the parents of the following children:
Child's name

Father
Father

Date of birth

4. THE COURT ORDERS
a.
Child custody and visitation are as specified in one or more of the attached forms:
(1)
Child Custody and Visitation Order Attachment (form FL-341)
(2)
Stipulation for Order for Child Custody and/or Visitation of Children (form FL-355)
(3)
Other (specify):

Page 1 of 2
Form Adopted for Mandatory Use
Judicial Council of California
FL-250 [Rev. January 1, 2004]

JUDGMENT
(Uniform Parentage—Custody and Support)

Family Code, §§ 3120, 3900,
7600 et seq.
www.courtinfo.ca.gov

PETITIONER:

CASE NUMBER:

RESPONDENT:

5. THE COURT FURTHER ORDERS
a.

Child support is as stated in one or more of the attached:
(1)
Child Support Information and Order Attachment (form FL-342)
(2)
Stipulation to Establish or Modify Child Support and Order (form FL-350)
(3)
Other (specify):

b. 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 judgment. Thereafter, the parents must notify the court of any change in the information submitted, within 10 days of the
change.
c. The form Notice of Rights and Responsibilities—Health Care Costs and Reimbursement Procedures and Information Sheet on
Changing a Child Support Order (form FL-192) is attached.
d.
The last names of the children are changed to (specify):
e.

The birth certificates must be amended to conform to this court order by
adding the father's name.
(1)
changing the last name of the children.
(2)

f.
g.
h.

Attorney fees and costs are as stated in the attachment.
Reasonable expenses of pregnancy and birth are as stated in the attachment.
Other (specify):

Continued on Attachment 3h.
6. Number of pages attached: _____

Date:
JUDICIAL OFFICER
SIGNATURE FOLLOWS LAST ATTACHMENT

NOTICE: Any party required to pay child support must pay interest on overdue amounts at the "legal" rate,
which is currently 10 percent.

JUDGMENT

FL-250 [Rev. January 1, 2004]

Page 2 of 2

(Uniform Parentage—Custody and Support)
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