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FL-615 Form

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父母義務與判斷力之判決或追加判決契約

僅供法庭使用

加州高等法院　郡

父母義務與判斷力之判決或追加判決契約

1. 此事件處理方式如下：

透過書面契約，無需出庭。

透過法院聽證會，出席者如下：

日期：

部門：

司法人員：

請願人/原告出席　 律師出席

答辯人/被告出席　 律師出席

其他父母出席　 律師出席

當地子女撫養機構出席者

其他：

c. 義務人（受命令需支付撫養費的父(母)）為

2. 此命令是依據附件 。

3. 當事人同意

a. 義務人已閱讀並瞭解本表第 4 頁所載之契約權利建議與棄權。義務人放棄這些權利，且自願同意判決可能將依照此契約。

b. 根據準則計算，義務人應支付的撫養金額為：每月 $

我們同意準則撫養金額。

如發生下列事項，準則金額應予以駁回：

(1) 我們已獲悉準則的撫養金額，我們自願同意子女撫養金額為：每月 $ ；協議是以子女的最佳利益著想；此同意的金額將可滿足子女的需求；子女並未獲得公共補助金；無正在等待審核的公共補助金申請；準則適用金額在此案件中不公平且不適當。

(2) 其他駁回因素

c. 附檔為電腦的列印資料，其顯示父母的收入和與兒女共處的時間百分比。列印資料顯示子女撫養費應付金額的計算，並將作為法庭調查結果。

請注意：任何需支付子女撫養費的當事人，必須按法定利率支付逾期款項的利息；目前法定利率為每年 10%。

3. d. 為以下 3e 中所列兒童的父母。

e. 義務人必須支付目前子女的撫養費如下：

姓名 生日 每月撫養費

(1) 其他（請指出）：

(2) 總計：$ ，於每月 支付

開始

(3) 適用低收入調整。
不適用低收入調整因為

(4) 任何撫養費命令在法院作出進一步命令前皆有效，因基於法律而終止的情況除外。

f. 義務人必須支付過去的補助金以及下列的金額。

姓名 生日 補助期 金額

(1) 其他（請指出）：

(2) 總計：$ 應支付：$ 於每月

開始

(3) 利息將依照積欠的整筆本金計算，而非依照積欠的每筆分期金額計算。

g. 若這是 的判決，其不會修正或取代任何先前所作出關於撫養或欠款的判決或命令，除非特別提出。

h. 此判決中無任何限制收取本金（未支付撫養金的總金額），或依法律許可索取和收取利息及罰金之權利的條款。所有判定之款項均可能有所變動。

i. 所有款項需支付給

j. (表單 FL-195/OMB 編號 0970-0154)。

k. 必須 (1)透過雇用或團體計劃，或在無費用或合理費用內，提供並維持子女的健康保險項目，並通知當地子女撫養機構受保的範圍；(2) 若無法取得健康保險，則必須在可取得時提供；(3) 在當地子女撫養機構要求後的 20 天內，填妥並交回健康保險表單；(4) 提供當地子女撫養機構所有替子女取得健康保險服務的必要資訊和表單；(5) 提交索賠申請，以取得其他父母或保母針對子女健康保險服務所產生的款項或賠償；(6) 針對子女健康保險服務，交付任何獲得賠償的權利給其他父母或保母。

若勾選「義務人」方塊，則將發出健康保險範圍指派文件。

簽名

日期：

（書寫或正楷姓名）

（當地子女撫養機構律師簽名）

日期：

（書寫或正楷姓名）

（請願人簽名）

日期：

（書寫或正楷姓名）

（請願人律師簽名）

日期：

（書寫或正楷姓名）

（答辯人簽名）

日期：

（書寫或正楷姓名）

（答辯人律師簽名）

日期：

（書寫或正楷姓名）

（其他父母簽名）

日期：

（書寫或正楷姓名）

（其他父母律師簽名）

契約權利建議與棄權

1. 由律師代表之權利。我瞭解本人擁有自費選擇律師代表本人的權利。若我無法負擔代表本人之律師的費用，本人可要求法庭免費指派代表律師，但必須在本人對在此訴訟中所列名兒童提出爭取監護，且僅限在父母議題上時才可作出此等要求。我瞭解當地子女撫養機構的律師並不代表本人。

2. 審判的權利。我瞭解我有權利請求司法人員：(1) 判定我是否為契約所列兒童的父(母)，(2) 決定我必需支付多少子女撫養費，和 (3) 決定我欠多少款項（未支付之撫養費）的權利。

3. 與證人對質和交叉訊問的權利。我瞭解在審判中針對本人的任何指控都需受到證明。審判過程中，證人作證時我可由律師代表，並對他們詢問問題。我也可以提出證據和證人。

4. 在法律允許下進行親子測試的權利。我瞭解在法律允許的情況下，我有權利取得法庭命令進行親子測試。法庭將決定測試方式。法庭可命令我無需支付測試費用，或部分或全額支付。

5. 權利使用與棄權。我瞭解透過同意此契約條款，即代表本人承認是契約中所列兒童之父(母)，且放棄上述之權利。

6. 當契約包括子女撫養費時。

a. 我瞭解我有責任遵守契約中所列兒童之撫養命令，直到由法院變更命令，或由法律終止命令為止。

b. 我也瞭解若法庭指定由當地子女撫養機構收取撫養費，法庭將命令撫養費款項直接從工資或其他收入中扣除，並交付予該機構。

c. 我已得知準則中的子女撫養費金額，以及該建議子女撫養金額的決定方式。

7. 當契約包括提供健康保險時。我瞭解我必須在擁有保險或可擁有保險時，以免費或合理費用，提供年幼子女健康保險。法院可能發出健康保險指派/國家醫療支援通知的命令給本人，以替子女取得健康保險。

8. 本人在自由且自願的情況下同意此契約之條款。

9. 我瞭解當地子女撫養機構是依法律執行撫養責任的機構。

10. 我瞭解如果我蓄意不提供子女撫養費，則可能遭到刑事訴訟。

11. 撫養費收取。我瞭解我所積欠的任何撫養費，可能從我的任何財產中收取。收款方式可能是從州立或聯邦政府積欠本人的款項（如退稅、失業和殘障津貼，以及樂透獎金）中扣除、沒收本人財產、對財產執行留置權，或任何其他的合法方式。

12. 如果是由律師代表本人，本人的律師已閱讀並向我解釋契約條款和此權利建議與棄權，且本人瞭解這些條款。

我已閱讀並瞭解 或

附檔為此契約權利建議與棄權之翻譯，語言為 。

我瞭解翻譯譯文。　 我瞭解翻譯譯文。

日期：

（書寫或正楷姓名）

（當事人簽名）

日期：

（書寫或正楷姓名）

（當事人簽名）

提供口譯/翻譯者之聲明：下列當事人無法閱讀或瞭解此父母義務與判斷力之判決或追加判決契約，因為

（插入姓名） 的母語是 且其他/她有 並無 閱讀翻譯至此語言的契約。

（插入姓名） 的母語是 且其他/她有 並無 閱讀翻譯至此語言的契約。

我於此保證，並受加州法律之偽證刑罰約束，本人有能力針對上述之母語提供口譯和翻譯的服務，且將盡所能替上述當事人閱讀、口譯或翻譯至當事人的母語。上述當事人表示其在簽署前，已瞭解該條款。

日期：

（書寫或正楷姓名）

（簽名）

日期：

（書寫或正楷姓名）

（簽名）

判決

4. 法院如此命令。

日期：

司法人員：

5. 附加頁數：

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What the FL-615 Form Is and when it applies

The FL-615 Form is a standardized U.S. filing document used to capture structured information and record a formal statement or transaction for administrative or legal processing. This guide treats the FL-615 as a procedural submission form, covering essential fields, supporting documents, signer roles, and how to complete and preserve the record. It also explains electronic completion, e-signature considerations under ESIGN and UETA, and variations that affect notarization, witnesses, and retention across jurisdictions.

Why using a correct FL-615 Form matters

Using the FL-615 Form standardizes information, reduces ambiguity, and documents consent and obligations clearly for all parties involved. Correct completion supports enforceability, creates an auditable record consistent with ESIGN and UETA, and simplifies secure electronic submission and long-term retention.

Why using a correct FL-615 Form matters

Who typically prepares or signs the FL-615 Form

Common users include clerks, attorneys, compliance teams, business managers, and individuals tasked with preparing or responding to formal filings.

  • Courts and court clerks processing procedural filings and docket records.
  • Attorneys and paralegals preparing filings, verifying exhibits, and coordinating signatures.
  • Businesses and compliance officers maintaining audit-ready records and electronic copies for retention.

Core elements of a professional FL-615 Form

A professional FL-615 Form includes clear field labels, required declarations, signature blocks, notarization options, conditional sections, and attachment references for supporting documents.

Field Layout

Arrange fields in reading order with labels and examples. Mark required fields clearly and group related data to reduce entry errors and speed validation during review.

Declarations

Include explicit declarative statements attesting to truthfulness, authority of signers, and scope of the filing. Use plain language to reduce ambiguity and ease legal interpretation.

Signature Block

Provide space for printed name, title, signature, and date. Include a separate block for witness or notary information when needed by state law or institutional policy.

Notarization

Identify whether notarization is required and allow for both in-person and remote online notarization where permitted. Specify the notary block with jurisdiction and commission details.

Conditional Sections

Use conditional fields to show or hide sections based on prior answers. This prevents incomplete submissions and helps streamline reviewer workflows. Ensure validations enforce required dependencies.

Attachments

List required supporting documents, with clear file-naming instructions and maximum file sizes. Recommend PDF/A for archival and provide guidance on redaction where necessary.

Step-by-step: Complete and submit the FL-615 Form

Follow these steps to complete, review, and submit the FL-615 Form in an electronic workflow or in print for notarization.

  • 01
    Prepare Document: Gather required data and supporting attachments before starting.
  • 02
    Fill Fields: Populate all required fields using the MM/DD/YYYY and two-letter state formats.
  • 03
    Review & Verify: Confirm names, dates, and IDs; ensure signatures align with identification.
  • 04
    Submit or Notarize: Choose eSubmission with audit trail or print for in-person notarization.

Typical electronic workflow for FL-615 submissions

Typical electronic submission for FL-615 follows a defined sender-to-signer workflow that captures consent, authentication, signature, and audit evidence.

  • Upload Document: Add the FL-615 PDF or DOCX to the signing platform.
  • Place Fields: Insert signature, initials, date, and conditional fields for optional sections.
  • Authenticate Signer: Use email, SMS code, or advanced methods per form sensitivity.
  • Complete & Archive: Signer finishes, system captures audit trail and returns a copy.

Configure your signing workflow for FL-615

Configure an electronic workflow tailored to FL-615: set fields, authentication, signer order, reminders, and retention policies before sending.

Field Configuration
Signature Field Required; allow e-sign or handwritten
Authentication Email by default; SMS or KBA for higher risk
Signer Order Define sequential or parallel signing roles
Retention Policy Set retention per federal and state rules

Technical requirements for electronic completion and submission

FL-615 electronic handling requires compatible file formats, secure transmission, and integration options for record storage and workflow orchestration.

  • File Types: PDF, DOCX, or readable HTML
  • Integrations: Salesforce, NetSuite, Google Workspace
  • Security: TLS 1.2/1.3 in transit, AES-256 at rest

Security and compliance basics applicable to FL-615 records

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest
Certifications: SOC 2 Type II, ISO 27001, PCI DSS
Privacy: GDPR and CCPA compliance frameworks
Healthcare: HIPAA compliant; BAA available
FDA Regulated: 21 CFR Part 11 support
Accessibility: WCAG 2.0 Level AA

Penalties and risk exposures to avoid

Rejection: Form returned for correction causing delays.
Processing Delay: Delayed filings may miss deadlines.
Invalid Signature: Unsigned or improper e-sign may void form.
Incorrect Date: Wrong dates affect effective obligations.
Missing Notary: Absence of required notarization invalidates filing.
Privacy Breach: Improper handling could violate HIPAA/CCPA.

Common mistakes to avoid when preparing FL-615

  • Leaving conditional sections blank or failing to reveal attachments leads to incomplete submissions and extra processing time; reviewers often return forms for clarifications when required exhibits are missing.
  • Using inconsistent names—initials in one field and full legal name in another—causes identity verification failures and may trigger manual review or rejection.
  • Uploading non-searchable images, incorrect file types, or oversized attachments can prevent archival and delay acceptance; convert to PDF/A and reduce file size where possible.
  • Assuming electronic signatures are acceptable without confirming consumer disclosures or authentication level can undermine legal validity for sensitive consumer or healthcare filings.

Timing expectations and processing windows

Deadlines for FL-615 depend on jurisdiction and filing purpose; verify local filing offices for exact dates and statutory deadlines before submission.

When to File:

File as required by the requesting agency or court; do not delay.

Acknowledgment Time:

Electronic submissions often return acknowledgments within 24–72 hours.

Processing Expectation:

Administrative review may take several business days depending on volume.

Notary Scheduling:

Allow time for appointment or RON session based on state availability.

Retain Copies:

Keep signed originals and electronic copies per retention schedule.

Baseline eSignature pricing and feature comparison

Compare baseline eSignature pricing and feature availability for common providers; signNow is listed first per comparison convention.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Free trial available Free trial available Free plan available Free trial available
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently asked questions about the FL-615 Form

Answers to frequently asked questions about filling, signing, and submitting the FL-615 Form electronically, including authentication, notarization, and record retention.


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