Fill and Sign the Washington Order Court Form

Superior Court of Washington, County of In re parentage: Petitioner (person who started this case) : And Respondent/s: (other people who signed the Acknowledgment or Denial; other alleged parents (if any) ) Child over age 2: No. Final Order on Petition to Challenge Paternity Acknowledgment or Denial (JDOCP, ORDYMT) Clerk’s action required: 1 , 2 , 8 , 9 , 12 , 14 Final Order on Petition to Challenge Paternity Acknowledgment or Denial 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 children’s expenses from to $ $ Fees and costs (section 12 ) $ $ Other amounts (describe) : $ $ RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 1 of 9 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):  The court approved Findings and Conclusions for this case and now orders: 2. Decision on Petition (Name): filed a Petition to Challenge the (check one): Paternity Acknowledgment Denial of Paternity s/he signed about (child’s name): . The Petition is (check one): Denied . The Paternity Acknowledgment and Denial , if any, are still valid. Granted. (Check one): The Paternity Acknowledgment is invalidated because it was signed because of fraud, duress (pressure or force), or material mistake of facts. Any related Denial of Paternity is cancelled (void). The Denial of Paternity is invalidated because it was signed because of fraud, duress (pressure or force), or material mistake of facts. The related Paternity Acknowledgment is cancelled (void). 3. Parentage Decision Does not apply. The Petition was denied. Parent – (full name): is a legal parent of (child’s current name): based on (check one): Summary Judgment Order Order on Motion for Default Agreement Order after Sexual Assault Fact-Finding Hearing Trial Parent – (full name): is a legal parent of (child’s current name): 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 (child’s name): 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 RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 2 of 9 parent of (child’s name): based on Order after Sexual Assault Fact-Finding Hearing . Other (specify): 4. Child’s Name Change The child’s name will stay the same. The child’s name is changed from (current name): to (new name): First Middle Last 5. Birth Certificate Does not apply. The Petition was denied. The child’s birth certificate shall be amended to list the parents as decided above and change the child’s name if ordered above. Important! If the child was born in Washington State, upon receipt of a certified copy of this Order , the State Registrar of Vital Statistics shall amend the child’s birth certificate to list the parents as decided above and change the child’s name if ordered. The court does not forward this Order to Vital Statistics. A party must provide a certified copy of this Order and pay a filing fee to the Washington State Registrar of Vital Statistics (360-236-4347). You may order a copy of the amended birth certificate for an additional fee. If your child was not born in Washington, contact the appropriate agency in the state where your 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 updated 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 shown diligent efforts to locate you. 7. Parenting Plan or Residential Schedule Does not apply. (If this order names two legal parents in section 3 above, check all that apply): The court has jurisdiction over the child. The child will live with (name): RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 3 of 9 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 neither parent requested one. Either parent may ask the court for a Parenting Plan or Residential Schedule in the future. Note – If you want a plan or schedule that changes the person with whom the child is scheduled to reside a majority of the time, you must file a Petition to Change a Parenting Plan, Residential Schedule or Custody Order form FL Modify 601. If you want a plan or schedule that does not change the person with whom the child is scheduled to reside a majority of the time, you may file a:  Motion for Parenting Plan or Residential Schedule (within 2 years of Final Parentage Order) form FL Parentage 317, 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 residential time or decision making authority. has residential time, decision making authority or other rights, as follows (copy the rights granted in 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 Does not apply. Name: is not a legal parent and his/her obligation to support the child ends as of (check one): today. (date): because . No child support obligation may be established or collected at any time from RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 4 of 9 (name): based on the Order after Sexual Assault Fact-Finding Hearing. Laws of 2017, ch. 234 §1(10). (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 . The final Child Support Order and Worksheets signed by the court today or on (date): are approved and filed separately. 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 been 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 cancelled by this order. Waived – (Name): chooses to waive (give up his/her right to) the unpaid past due child support owed by (name): from (date): through (date): for (children’s names): . 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 money 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 $ $ RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 5 of 9 Judgment for Debtor’s name (person who must pay money) Creditor’s name (person who must be paid) Amount Interest Past due medical support ( health insurance & health care costs not covered by ins.) from to $ $ Past due children’s expenses (including day care, education, long-distance transportation, pregnancy, childbirth, or other expenses) from to $ $ The interest rate for child 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 9 above. Payments start (date): Payment due every month on (day of month): Address for payment: Washington State Support Registry P. O. Box 45868, Olympia, WA 98504 Income Withholding (Garnishment) Limit – If all payments are made on time, the judgment debtor’s wages will not be garnished 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 may still use other ways of collecting this judgment, including collection through the IRS. Warning! If any payment is late, this payment plan is cancelled and the state or the person owed support may collect more than the amount listed above. 11. Enforcement 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). RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 6 of 9 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 requiring 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 withholding. 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 children’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: 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 $ $ Court costs $ $ Fees awarded in 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): RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 7 of 9 13. Protection Order (check all that apply): 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 Protection 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 Renewal of Order for Protection Order Modifying/Terminating Order for Protection Other: 14. Restraining Order (check all that apply): No one requested a Restraining Order in this case. Approved – The request for a Restraining Order is approved. The Restraining 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 “Clerk’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: To the Clerk: Provide a copy of this Order to the agency listed above within 1 court day. The law enforcement 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 (if any) Ordered. Date Judge or 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 RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 8 of 9 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 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 If any parent or child received public assistance: The state Department of Social and Health Services (DSHS) was notified about this order through the Prosecuting Attorney’s office , and has reviewed and approved the following: Child support Medical support Past due child support Other (specify): Deputy Prosecutor signs here Print name and WSBA # 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. (DCS will not charge a fee if I have ever received TANF, tribal TANF, or AFDC.) Parent/Custodian signs here Print name Date (lawyer cannot sign for party) RCW 26.26.335, .340 Mandatory Form ( 07/2017 ) FL Parentage 348 Final Order on Petition to Challenge Paternity Acknowledgment or Denial p. 9 of 9