FL 634 Notice Of Change Responsibility For Managing Child Support Case (Governmental) Fl634

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FL-634
FOR COURT USE ONLY

GOVERNMENTAL AGENCY (Under Family Code, §§ 17400, 17406):

TELEPHONE NO.:

FAX NO. (Optional):

To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.

E-MAIL ADDRESS (Optional):

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

PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:

NOTICE OF CHANGE OF RESPONSIBILITY FOR MANAGING
CHILD SUPPORT CASE

CASE NUMBER:

NOTICE
The responsibility for managing your child support case has changed from one county's local child support agency to a
different county's local child support agency. The managing local child support agency listed in item 1 now has the
responsibility for enforcing the child support case. You must direct all future letters, telephone calls, questions, or information
regarding your child support case to the managing local child support agency listed in item 1.
However, the change in managing local child support agency does NOT change the authority of the superior court to hear
matters concerning the child support order. All pleadings and court forms must be filed with the superior court listed in item 3
and served on the local child support agency listed in item 2 and on any other party to the case.
THE COURT AND ALL PARTIES ARE NOTIFIED OF THE FOLLOWING:
1. New Child Support Agency: The Department of Child Support Services of (specify county):

is now the

managing local child support agency responsible for the support activities in this case. If you have any questions or information about
your case, you may contact the local child support agency by telephone at (specify telephone number):

.

You may contact the local child support agency in writing or in person at (specify address):

2. Serving Pleadings: You must continue to serve a copy of any pleadings and court forms on the local child support agency in the
following county (specify name and address):

3. Court Filings: All pleadings and court forms in this action must be filed with the Superior Court of California, County of (specify name
and address):

4. Other (specify):
Date:
(TYPE OR PRINT NAME)

(SIGNATURE )

The local child support agency (listed in item 1) receiving case management responsibilities from another local child support
agency must file with the superior court (listed in item 3) this Notice of Change of Responsibility for Managing Child Support
Case within 10 days of receiving the case management responsibilities. This local child support agency must serve a copy of
the notice on the parties and the local child support agency listed in item 2.
Page 1 of 2
Form Adopted for Mandatory Use
Judicial Council of California
FL-634 [New January 1, 2011]

NOTICE OF CHANGE OF RESPONSIBILITY FOR MANAGING
CHILD SUPPORT CASE
(Governmental)

Family Code, § 17400
www.courtinfo.ca.gov

FL-634
PETITIONER/PLAINTIFF:

CASE NUMBER:

RESPONDENT/DEFENDANT:
OTHER PARENT:

PROOF OF SERVICE BY MAIL
1. I am at least 18 years of age, a resident of or employed in the county where the mailing took place, and not a party to this cause.
2. My residence or business address is:

3. I served a copy of this Notice of Change of Responsibility for Managing Child Support Case by enclosing it in a sealed envelope and
directly in the United States mail with postage paid OR
depositing the envelope
at my place of business for same-day
collection and mailing with the United States mail, following our ordinary business practices, with which I am readily familiar.
a. Date of deposit:
b. Place of deposit (city and state):
c. Addressed as follows:
(1) Local child support agency listed in item 2:

(2) Respondent/defendant:

(3) Other parent:

(4) Other (specify):

4. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:

(SIGNATURE OF PERSON COMPLETING THIS FORM)

(TYPE OR PRINT NAME)
FL-634 [New January 1, 2011]

NOTICE OF CHANGE OF RESPONSIBILITY FOR MANAGING
CHILD SUPPORT CASE

Page 2 of 2

(Governmental)
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