Fill and Sign the Use This Form Only for Cases About Changing a Parentingcustody Order

RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modi fy 624 Temporary Family Law Order p. 1 of 4 Superior Court of Washington, County of _______________ In re: Petitioner/s (as listed on the Petition ): And Respondent/s (as listed on the Petition ): No. Temporary Family Law Order (TFO ) [ ] Clerk’s action required : 1, 6, 7 Temporary Family L aw Order Use this form only for cases about changing a parenting/custody order. For other cases, use FL Divorce 224, FL Parentage 324, or FL Non -Parent 424, depending on the type of case . 1. Money Judgment Summary [ ] No money judgment is ordered. [ ] Summarize any money judgments in the table below. Judgment for Debtor’s name (person who must pay money) Creditor’s name (person who must be paid) Amount Interest Lawyer’s fees $ $ Other fees and costs $ $ Other amounts (describe) : $ $ Yearly Interest Rate: ___ % (12% unless otherwise listed) Lawyer (name): represents (name): Lawyer (name): represents (name): 2. Findings The (check one): [ ] Petitioner [ ] Respondent (name): made a Motion for Temporary Family Law Order (form FL Modify 623 ) or a Motion for RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modi fy 624 Temporary Family Law Order p. 2 of 4 Immediate Restraining Order (form FL Modify 621 ) and the court finds there is reason to approve this order. [ ] Specific findings: 3. Active duty military (The federal Servicemembers Civil Relief Act covers:  Army, Navy, Air Force, Marine Corps, and Coast Guard members on active duty;  National Guard or Reserve members under a call to active service for more than 30 days in a row; and  commissioned corps of the Public Health Service and NOAA. The state Service Mem bers’ Civil Relief Act covers those service members listed above who are either stationed in or residents of Washington state, and their dependents, except for the commissioned corps of the Public Health Service and NOAA. ) [ ] None of the parties are co vered by the state or federal Service Members ’ Civil Relief Act, OR no party covered by the Acts has asked for a stay. [ ] One or more of the parties is covered by the state or federal Service Members ’ Civil Relief Acts and has not appeared in this case , or has asked for a stay. (Check one): [ ] The court signed the Order re Service Members ’ Civil Relief Act (form FL All Family 170) filed separately. [ ] The court’s order about the service member’s rights is in section 8 below. [ ] Other findin gs:  The Court Orders 4. Care and safety of children [ ] No request made. [ ] This order includes these children: Child’s name Age Child’s name Age 1. 4. 2. 5. 3. 6. [ ] The court signed the temporary Parenting Plan or Residential Schedule filed separately. [ ] (Name/s ): must not take the children out of Washington state. [ ] The court will appoint the person below to investigate and report on issues affecting the children (check one): [ ] Guardian ad Litem (GAL). The cour t signed the Order Appointing Guardian ad Litem for a Child form FL All Family 146 filed separately. RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modi fy 624 Temporary Family Law Order p. 3 of 4 [ ] Evaluator /Investigator. The court signed the Order Appointing Parenting Evaluator/Investigator form FL All Family 148 filed separately. [ ] Other: Important! Attach Summary of the Law about Moving with Children (form FL Relocate 736) if residential time is included in this order instead of a temporary Parenting Plan or Residential Schedule. 5. Provide support [ ] No request made. [ ] Request denied. [ ] The court signed the temporary Child Support Order and Worksheets filed separately . [ ] Other: 6. Pay fees and costs [ ] No request made. [ ] Request denied. [ ] Request reserved. [ ] (Name): must: [ ] Pay the other party’s lawyer fees. Amount: $ Make payments to (name): by (date): [ ] Pay other fees and costs. Amount: $ Make payments to (name): by (date): for: Money Judgment (check one): [ ] The amount/s listed above must be paid, but the court is not entering a money judgment at this time. [ ] The amount/s listed above shall be entered as a money judgment. (Summarize the money judgment in section 1 above). The interest rate is 12% unless another amount is listed here. [ ] The interest rate is % because (explain): [ ] Other: RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modi fy 624 Temporary Family Law Order p. 4 of 4 7. Restraining order [ ] No request made. [ ] Request denied. [ ] The court signed the temporary Restraining Order (form FL All Family 150) filed separately in this case number. (Check one): [ ] No bond or security is required. [ ] (Name): must file a bond or post security. Amount: $ by (date): [ ] Any earlier Restraining Order that restrains ( name ) signed by the court in this case number is terminated . (If you check this box, also check the “Clerk’s action required” box on page 1.) Name of law enforcement agency where the Protected Person lived when the Restraining Order was issued: Clerk’s Action . The court clerk must p rovide a copy of this Temporary Family Law Order to the agency li sted above within one court day. The law enforcement agency must remove the earlier Restraining Order from the state’s database as described above. [ ] Other orders (specify ): 8. Other temporary orders (if any) Ordered. Date Judge o r Commissioner Petitioner and Respondent or their lawyers fill out below. This order (check any that apply) : This order (check any that apply) : [ ] is an agreement of the parties [ ] is an agreement of the parties [ ] is presented by me [ ] is pre sented 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 N ame Date This order (check any that apply) : This order (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 + WSBA # Print Name Date Print Name Date