RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 1 of 10
Superior Court of Washington, County of
In re parentage:
Petitioner (person who started this case) :
And Respondents:
(parent / presumed parent / possible genetic parents)
No.
Final Parentage Order
(JDOEP)
[ ] Clerk’s action required: 1, 2, 3, 8, 13 , 14, 15
Final Parentage Order
1. Money Judgment Summary
[ ] No money judgment is ordered.
[ ] Summarize any money judgments from sections 9 and 12 in the table below. Do not
duplicate any judgments from previous orders.
Judgment for Debtor’s name
(person who must
pay money)
Creditor’s name
(person who must
be paid)
Amount Interest
Past due child support
from to
$ $
Past due medical support
from to
$ $
Past due child ’s expenses
from to
$ $
Fees and costs (section 11 ) $ $
Other amounts (describe) :
$ $
Yearly Interest Rate for child support, medical support, and children’s expenses: 12%.
For other judgments: ____% (12% unless otherwise listed) .
Lawyer (name): represents (name):
Lawyer (name): represents (name):
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
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The court approved Findings and Conclusions for this case and now orders:
2. Child
This case is about the parentage of:
Child’s name (first, middle, last) Born (month/day/year) Lives in (county and state)
Important! Don’t list more than one child unless they have all the same parents or possible parents. If they
have (or may have ) different parents, fill out a separate Petition for each child. If multiple children are listed,
change “child” to “children” in this form as needed.
3. Parent age Decision
[ ] Parent – (Full name): is a legal parent of
the child with all the rights and responsibilities of natural or adoptive parent based on
(check one) :
[ ] Summary Judgment Order [ ] Order on Motion for Default
[ ] Agreement [ ] Ord er after Sexual Assault Fact -Finding Hearing
[ ] Trial
[ ] Parent – (Full name): is a legal parent of
the child with all the rights and responsibilities of natural or adoptive parents based on
(check one) :
[ ] Summary Judgment Order [ ] Order on Motion for Default
[ ] Agreement [ ] Order after Sexual Assault Fact -Finding Hearing
[ ] Trial
[ ] Not a Parent – (Full name): is not a parent
of the child based on (check one) :
[ ] Summary Judgment Order [ ] Order on Motion for Default
[ ] Agreement
[ ] Trial
and is dismissed from this case.
[ ] Not a Parent – (Full name): is not a
parent of the child based on Order after Sexual Assault Fact -Finding Hearing .
[ ] No Change – The court is not making any order about (name/s):
’s
parentage status because (explain):
.
[ ] Other (specify):
4. Child ’s Name Change
[ ] The child ’s name will stay the same.
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
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[ ] The child ’s name is changed by this order or a previous order in this case as follows:
From (current name):
To (new name):
First Middle Last
5. Birth Record
The state registrar of vital statistics must amend the child’s birth certificate and any other
birth record to list the parents as decided above and change the child ’s name if ordered
above.
Important! Th e court does not forward this order to the state registrar . A party must do this.
If the child was born in Washington State, a party must mail a certified copy of this Order , with the filing fee,
to the state registrar of vital statistics . Center for Health Statistics, Department of Health , P.O. Box 9709,
Olympia, WA 98507. (For more information , call (360) 236 -4300 .)
If the child was not born in Washington, contact the appropriate agency in the state where the child was
born.
6. Parents’ contact and employment information
Each parent must fill out and file with the court a Confidential Information form ( FL All Family
001 ) including personal identifying information, mailing address, home address, and
employer contact information.
Important! If you move or get a new job any time while support is still owed, you must:
notify the Support Registry, and
fill out and file an up dated Confidential Information form with the court.
Warning! Any notice of a child support action delivered to the last address you provided on
the Confidential Information form will be considered adequate notice, if the party trying to
serve you has s hown diligent efforts to locate you.
7. Parenting Plan or Residential Schedule
[ ] Does not apply. The parents and child are all living together or there is only one legal
parent.
[ ] The court has jurisdiction over the child. The child will live with (name):
most of the time. This parent is named custodian for
those state and federal laws that require a custodian. (Check one):
[ ] The court signed the final Parenting Plan or Residential Schedule filed separately
today or on (date): .
[ ] The court is not approving a Parenting Plan or Residential Schedule at this time
because no parent requested one. A ny parent may ask the court for a Parenting
Plan or Residential Schedule in the future.
Note – If you want a plan or schedule that change s the person with whom the child is scheduled to
reside a majority of their time, you must file a Petition to Change a Parenting Plan, Residential
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 4 of 10
Schedule or Custody Order (form FL Modify 601).
If you want a plan or schedule that does not change the per son with whom the child is scheduled to
live a majority of their time, you may file a:
Motion for Parenting Plan or Residential Schedule (within 2 years of Final Parentage
Order) form FL Parentage 31 8, or
Petition for a Parenting Plan, Residential Schedule and/or Child Support form FL
Parentage 331.
[ ] The court is not approving a Parenting Plan or Residential Schedule based on the
Order after Sexual Assault Fact -Finding Hearing .
(Name ): _____________________________________________
[ ] has no reside ntial time or decision -making authority.
[ ] has residential time, decision making authority , or other rights as follows (copy
rights granted in the Order after Sexual Assault Fact -Finding Hearing) :
.
[ ] The court does not have jurisdiction over the child. The court cannot name a
custodian or approve a Parenting Plan or Residential Schedule .
[ ] Other (specify):
8. Child Support
[ ] The court signed the final Child Support Order and Worksheets filed separately today
or on (date): .
[ ] The court is not making a decision about child support now. Any parent may ask the
court for a Child Support Order in the future.
[ ] The court does not have jurisdiction to order child support.
[ ] No child support obligation may be established or co llected at any time from
(name): based on the Order
after Sexual Assault Fact -Finding Hearing. RCW 26.26A.465.
(If this box is checked, also check the “Clerk’s action required” box on page 1.)
Clerk’s Action . The court clerk must p rovide a copy of this order to WSSR .
[ ] Other (specify):
9. Past due child support
[ ] This order does not decide past due child support issues.
[ ] Paid – All child support owed by (name): for the
child under a court or administrative order through (date):
has b een paid.
[ ] Not paid – Any unpaid support owed by (name):
for the child under a court or administrative order is still due, and is not changed or
canceled by this order.
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 5 of 10
[ ] Waived – (Name): chooses to waive (give up his/her
right to) the unpaid p ast due child support owed by (name):
from (date): through (date): for
the child .
Any support that has been assigned to the state for public assistance is still due. (This
waiver is valid only if the person waiving support signs this order.)
[ ] Money Judgment – (Check one):
[ ] Any money judgment for past due child support is included in the Child Support
Order approved by the court and filed separately. (Do not duplicate the judgment
in this order.)
[ ] The court orders the following mone y judgment for past due child support
(summarized on page 1):
Judgment for Debtor’s name
(person who must
pay money)
Creditor’s name
(person who must
be paid)
Amount Interest
[ ] Past due child support
from to
$ $
[ ] Past due medical support
(health insurance & health
care costs not covered by ins.)
from to
$ $
[ ] Past due child ’s expenses
(including day care, education,
long -distance transportation,
pregnancy, childbirth, or other
expenses)
from to
$ $
The interest rate for c hild support judgments is 12%.
[ ] Other (specify):
10 . Payment Plan
[ ] Does not apply.
[ ] (Name): must pay at least $ each
month on the money judgments for past due support listed in section 8 above.
Payments start (date):
Payment due ever y month on (day of month):
Address for payment: [ ] Washington State Support Registry
P.O. Box 45868, Olympia, WA 98504
[ ]
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 6 of 10
Income Withholding (Garnishment) Limit – If all payments are made on time, the
judgment debtor’s wages will not be garnish ed for any amount over what is needed to
cover current child support plus the past due support judgment payment amount listed
in this section.
Money over the garnishment limit can be taken from bonuses and other payments that
are not wages. The state ma y still use other ways of collecting this judgment,
including collection through the IRS.
Warning! If any payment is late, this payment plan is canceled, and the state or the
person owed support may collect more than the amount listed above.
11 . Enforceme nt of judgment through income withholding (garnishment)
[ ] Does not apply because no money judgment is ordered in section 9 above.
[ ] The money judgment in section 9 above can be enforced through income withholding
(garnishment).
DCS or the person owed money from the judgment can collect the judgment from the
wages, earnings, assets , or benefits of the parent who owes the judgment, and can
enforce liens against real or personal property as allowed by any state’s child support
laws without notice to the parent who owes the judgment.
If this judgment is not being enforced by DCS and the person owed the judgment
wants to have support paid directly from the employer, the person owed support must
ask the court to sign a separate wage assignment order re quiring the employer to
withhold wages and make payments. (Chapter 26.18 RCW.)
Income withholding may be delayed until a payment becomes past due if the court
finds good reason to delay.
[ ] Does not apply. There is no good reason to delay income withh olding.
[ ] Income withholding will be delayed until a payment becomes past due because
(check one):
[ ] The child support payments are enforced by DCS and there are good reasons
in the child ’s best interest not to withhold income at this time. If this is a case
about changing child support, previously ordered child support has been paid
on time.
List the good reasons here:
[ ] The child support payments are not enforced by DCS and there are good
reasons not to withhold income at this time.
List the good reasons here:
[ ] The court has approved the parents’ written agreement for a different payment
arrangement.
12 . Money judgment for fees and costs (summarized on page 1)
[ ] No money judgment is ordered.
[ ] The court orders a money judgment for fees and costs as follows:
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 7 of 10
Judgment for Debtor’s name
(person who must
pay money)
Creditor’s name
(person who must
be paid)
Amount Interest
[ ] Genetic testing costs $ $
[ ] Guardian ad litem (GAL) fees $ $
[ ] Lawyer fees $ $
[ ] Cou rt costs $ $
[ ] Fees awarded in the Order
after Sexual Assault Fact -
Finding Hearing
$ $
[ ] Other fees and expenses
(specify):
$ $
The interest rate is 12% unless another amount is listed below.
[ ] The interest rate is % because (explain ):
13 . Protection Order
[ ] No one requested an Order for Protection in this case.
[ ] Approved – The request for an Order for Protection is approved. The Order for
Protection is filed separately.
[ ] Denied – The request for an Order for Protecti on is denied. The Denial Order is filed
separately.
[ ] Renewed/Changed – The existing Order for Protection filed in or combined with this case
is renewed or changed as described in the following order, filed separately (check one):
[ ] Order on Ren ewal of Order for Protection
[ ] Order Modifying/Terminating Order for Protection
[ ] Other:
14 . Restraining Order
[ ] No one requested a Restraining Order in this case.
[ ] Approved – The request for a Restraining Order is approved. The Restrai ning Order
is filed separately.
[ ] Denied – The request for a Restraining Order is denied.
[ ] Check this box if the court previously signed a temporary Restraining Order and is not
signing a final Restraining Order in this case. Also check the “Cler k’s action required”
box in the caption on page 1.
Name of law enforcement agency where the Protected Person lived when the
Restraining Order was issued:
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 8 of 10
To the Clerk: Provide a copy of this Order to the agency listed above within 1 court day.
The law en forcement agency must remove the temporary Restraining Order from the
state’s database.
15 . Guardian ad Litem
[ ] Does not apply.
[ ] The Guardian ad Litem (GAL) is discharged.
[ ] Other (specify):
16 . Other Orders
The Warnings below are required by law and are made part of this order.
[ ] Other (specify):
Ordered.
Date Judge or Commissioner
Petitioner and Respondent/s or their lawyers fill out below.
This document (check any that apply) : This document (check any that apply) :
[ ] is an agreement of the parties [ ] is an agreement of the parties
[ ] is presented by me [ ] is presented by me
[ ] may be signed by the court without notice to me [ ] may be signed by the court without notice to me
Petitioner signs here or lawyer signs here + WSBA # Respondent signs here or lawyer signs here + WSBA #
Print Name Date Print Name Date
This document (check any that apply) : This document (check any that apply) :
[ ] is an agreement of the parties [ ] is an agreement of the parties
[ ] is presented by me [ ] is presented by me
[ ] may be signed by the court without notice to me [ ] may be signed by the court without notice to me
Other Respondent or lawyer signs here + WSBA # Other party or Guardian ad Litem signs here
Print Name Date Print Name Date
[ ] Parent or Non -Parent Custodian applies for DCS enforcement services:
I ask the Division of Child Support (DCS) to enforce this order. I understand that DCS will keep $25 each year
as a fee if DCS collects more than $ 500, unless I ask to be excused from paying this fee in advance. (You may
call DCS at 1 -800 -442 -5437. DCS will not charge a fee if you have ever received TANF, tribal TANF, or AFDC.)
Parent/Custodian signs here Print name Date
(lawyer cannot si gn for party)
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 9 of 10
Warnings about Moving with the Children (Relocation)!
Notice
Anyone with majority or substantially equal residential
time (at least 45 percent) who wants to move with the
children must notify every other person who has court -
ordered time wi th the children .
Move to a different school district
If the move is to a different school district, the relocating
person must complete the form Notice of Intent to Move
with Children (FL Relocate 701) and deliver it at least
60 days before the intended move.
Exceptions:
If the relocating person could not reasonably have
known enough information to complete the form in
time to give 60 days’ notice, s/he must give notice
within 5 days after learning the information.
If the relocating person is relocatin g to a domestic
violence shelter or moving to avoid a clear,
immediate and unreasonable risk to health or
safety, notice may be delayed 21 days .
If information is protected under a court order or
the address confidentiality program, it may be
withheld from the notice.
A relocating person who believes that giving notice
would put her/himself or a child at unreasonable
risk of harm, may ask the court for permission to
leave things out of the notice or to be allowed to
move without giving notice. Use form Mot ion to
Limit Notice of Intent to Move with Children (Ex
Parte) (FL Relocate 702).
The Notice of Intent to Move with Children can be
delivered by having someone personally serve the
other party or by any form of mail that requires a return
receipt.
If the relocating person wants to change the Parenting
Plan because of the move, s/he must deliver a
proposed Parenting Plan together with the Notice .
Move within the same school district
If the move is within the same school district, the
relocating person st ill has to let the other parent know.
However, the notice does not have to be served
personally or by mail with a return receipt. Notice to the
other party can be made in any reasonable way. No
specific form is required.
Warning! If you do not notify…
A relocating person who does not give the required
notice may be found in contempt of court. If that
happens the court can impose sanctions. Sanctions
can include requiring the relocating person to bring the
children back if the move has already happened , and
ordering the relocating person to pay the other side’s
costs and lawyer’s fees.
Right to object
A person who has court -ordered time with the children
can object to a move to a different school district and/or
to the relocating person’s proposed Par enting Plan . If
the move is within the same school district, t he other
party doesn’t have the right to object to the move, but
s/he may ask to change the Parenting Plan if there are
adequate reasons under the modification law (RCW
26.09.260).
An objection is made by filing the Objection about
Moving with Children and Petition about Changing a
Parenting/Custody Order (Relocation) (form FL
Relocate 721). File your Objection with the court and
serve a copy on the relocating person and anyone else
who has cou rt-ordered time with the children. Service
of the Objection must be by personal service or by
mailing a copy to each person by any form of mail that
requires a return receipt. The Objection must be filed
and served no later than 30 days after the Notice of
Intent to Move with Children was received.
Right to move
During the 30 days after the Notice was served, the
relocating person may not move to a different school
district with the children unless s/he has a court order
allowing the move.
After the 30 days, if no Objection is filed, the relocating
person may move with the children without getting a
court order allowing the move.
After the 30 days, if an Objection has been filed , the
relocating person may move with the children pending
the final hearin g on the Objection unless :
The other party gets a court order saying the
children cannot move, or
The other party has scheduled a hearing to take
place no more than 15 days after the date the
Objection was served on the relocating person.
(However, the relocating person may ask the court
for an order allowing the move even though a
RCW 26.26A.510 , 26.26 B.020
(07 /201 9)
FL Parentage 316
Final Parentage Order
p. 10 of 10
hearing is pending if s/he believes that s/he or a
child is at unreasonable risk of harm.)
The court may make a different decision about the
move at a final hearing on the Obj ection .
Parenting Plan after move
If the relocating person served a proposed Parenting
Plan with the Notice , and if no Objection is filed within
30 days after the Notice was served (or if the parties
agree):
Both parties may follow that proposed plan witho ut
being held in contempt of the Parenting Plan that
was in place before the move. However, the
proposed plan cannot be enforced by contempt
unless it has been approved by a court.
Either party may ask the court to approve the
proposed plan. Use form Ex Parte Motion for Final
Order Changing Parenting Plan – No Objection to
Moving with Children (FL Relocate 706).
Forms
You can find forms about moving with children at:
The Washington State Courts’ website:
www.courts.wa.gov/forms ,
The Administrative Offi ce of the Courts – call: (360)
705 -5328,
Washington LawHelp:
www.washingtonlawhelp.org , or
The Superior Court Clerk’s office or county law
library (for a fee).
(This is a summary of the law. The complete law is in
RCW 26.09.430 through 26.09.480.)
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