Fill and Sign the Ca Parentage Form

––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– –– ––––– ––––– –– –– –– ––––– ––––– ––––– ––––––– –– –– –– –– ––––– ––––– –– –– –– –– –– –– –– –– –– –– ––––– ––––– ––––– –– –– ––––– –– –– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– –– –– –– FL- 250 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY 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: RESPONDENT: CASE NUMBER: JUDGMENT 1 . This judgment contains personal conduct restraining orders modifies existing restraining orders. The restraining orders are contained in item(s): of the attachment. They expire on (date): A CLETS form must be attached. 2. a. This matter proceeded as follows: Default or uncontested By declaration Contested b. Date: Dep t.: Roo m: c. Judicial officer (name): Temporary judge d . Petitioner present e . Respondent present Attorney present (name): Attorney present (name): f. Petitioner (1) (2) The petitioner appeared without counsel and was advised of relevant rights. The petitioner signed Advisement and Waiver of Rights Re: Establishment of Parental Relationship (form FL-235). (3) The petitioner is married to the Respondent, and no other action is pending. (4) The petitioner signed a Voluntary Declaration of Paternity. (5) g. Respondent (1) There is a prior judgment of parentage in a family support, juvenile, or adoption court case. The respondent appeared without counsel and was advised of relevant rights. (2 ) The respondent signed Advisement and Waiver of Rights Re: Establishment of Parental Relationship (form FL-235). (3) The respondent is married to the Petitioner, and no other action is pending. (4 ) 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. h. Other parties or attorneys present (specify): 3. THE COURT FINDS Name: Mother Father Name: Mother Father are the parents of the following children: Child's name Date of birth 4. THE COURT ORDERS a . Child custody and visitation are as specified in one or more of the attached forms: ( 1 )(2 ) Child Custody and Visitation Order Attachment (form FL-341) 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] JUDGME NT Family Code, §§ 3120, 3900, (Uniform Parentage Custody and Support) 7600 et seq. ––––– ––––– ––––– –– –– –– –– ––––– –– ––––– ––––– –– –– –– –– –– –– ––––– –– 6. Number of pages attached: ––––– ––PETITIONER: CASE NUMBER: RESPONDENT: 5. THE COURT FURTHER ORDERS a . Child support is as stated in one or more of the attached: ( 1 )(2 ) (3 ) Child Support Information and Order Attachment (form FL-342) Stipulation to Establish or Modify Child Support and Order (form FL-350) 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 (1 ) (2 ) adding the father's name. changing the last name of the children. f . 9 . 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. 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. FL-250 [Rev. January 1, 2004] JUDGMENT Page 2 of 2 (Uniform Parentage-Custody and Support)