Fill and Sign the New York Objections Form

F.C.A. §454(5) Form 4-22-a (Child Support- Determination of Objections to Support Collection Unit Review of Driver’s License Suspension) 10/2012 At a term of Family Court of the State of New York, held in and for the County of , at New York, on , . PRESENT: Hon. Support Magistrate/Family Court Judge _________________________________ In the Matter of a Proceeding for Support Docket No. under Article (4)(5-B) of the Family Court Act 1 ORDER (Commission of Social Services, Assignee, on behalf of , Assignor) (Determination of Petitioner Objections to S.S.#: xxxx-xx- (Assignor) Support Collection Unit Review of Driver's -against- License Suspension) Respondent S.S.#: xxxx-xx- _________________________________ IF THIS ORDER IS ENTERED BY A JUDGE, PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY THE APPELLANT IN COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, OR 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF THE COURT, WHICHEVER IS EARLIEST. IF THIS ORDER IS ENTERED BY A SUPPORT MAGISTRATE, SPECIFIC WRITTEN OBJECTIONS TO THIS ORDER MAY BE FILED WITH THIS COURT WITHIN 30 DAYS OF THE DATE THE ORDER WAS RECEIVED IN COURT OR BY PERSONAL SERVICE, OR IF THE ORDER WAS RECEIVED BY MAIL, WITHIN 35 DAYS OF THE MAILING OF THE ORDER. 1 Use caption of original petition. An order in the above-entitled proceeding, dated , , having been made, and a determination having been made by the Support Collection Unit that the above-named support obligor is in default pursuant to F.C.A . § 458- a on such order and that the driving privileges of the support obligor should therefore be suspended, and A further determination having been made by the Support Collection Unit denying the support obligor's challenge to the notifcation by the Support Collection Unit to the New York State Department of Motor Vehicles to suspend such driving privileges, And timely objections to that determination having been fled by the support obligor with this Court (and rebuttal thereto having been fled by the Support Collection Unit with this Court); and this Court having reviewed the objections (and timely rebuttal) fled herein; NOW, therefore, it is hereby [Check applicable box]:  ORDERED that the determination of the Support Collection Unit is afrmed, the objections are denied and the matter is remanded to the Support Collection Unit for further actions. OR  ORDERED that the determination of the Support Collection Unit is reversed as clearly erroneous, the objections are sustained and the Support Collection Unit is hereby directed not to notify the Department of Motor Vehicles to suspend the support obligor's driving privileges. ENTER  Support Magistrate  Judge of the Family Court Dated: , . Check applicable box:  Order mailed on [specify date(s) and to whom mailed ]:___________________________  Order received in court on [specify date(s) and to whom given]:_____________________