Uniform Support Petition {FL-500} | Docx | California

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Uniform Support Petition {FL-500} |  Docx | California

Uniform Support Petition {FL-500}

This is a California form that can be used for Family Law - Interstate Actions within Judicial Council.

Alternate TextLast updated: 8/16/2010

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<document>UNIFORM SUPPORT PETITIONFL-500PetitionerIV-D Case:[ ] TANF [ ] IV-E Foster Care [ ] Medicaid Only [ ] Former AssistanceRespondent[ ] Never AssistanceFile StampNon-IV-D Case: [ ]Responding IV-D Case No. Initiating IV-D Case No. Responding Tribunal No. Initiating Tribunal No. I. Action The Respondent and/or the Respondent's property is subject to the jurisdiction of the responding tribunal. The Respondent owes a duty of support to the following child(ren): Full Name (First, Middle, Last)Date of BirthSocial Security No.The Petitioner files this Petition to request:[ ] Establishment of Paternity [ ] Establishment of Order for:[ ] Child Support[ ] Medical Coverage[ ] Spousal Support[ ] Reasonable Attorney Fees, Other Fees and Costs[ ] Support for a Prior Period; From:To:[ ] Genetic Testing Costs in the Amount of $ [ ] Modification of a Support Order [ ] Other Remedy Sought:II. Grounds Supporting the Remedy Sought in Section I (when applicable)[ ] Respondent is the noncustodial parent of the child(ren) named in this Petition. [ ] A modification is appropriate due to a change in circumstances. [ ] Grounds for other remedy sought:Uniform Support PetitionPage 1 of 2OMB 0970 -0085American LegalNet, Inc. www.USCourtForms.comwww. USCourtForms. comAmerican LegalNet, Inc.U n i f o r m S u p p o r t P e t i t i on P a g e 2 o f 2D a te S i g n a t u r e o f P e t i t i o n e r ' s A t t o r n e y / B a r N u m b e r ( i f a p p l i c a b l e) C o m m i s s i o n E x p i r es Me This Date, County/ StateSworn to and Signed Before Notary Public, Court/ Agency Official and Title D a te [ ] S i g n a t u r e o f P e t i t i o n er [ ] I V -D R e p r e s e n t a t i v e / T i t le k n o w l e d g e a n d b e l i e f.[ ] U n d e r p e n a l t y o f p e r j u r y , a l l i n f o r m a t i o n a n d f a c t s s t a t e d i n t h i s P e t i t i o n a r e t r u e t o t h e b e s t o f myI V . V e r i f i c a t i on[ ] Other:[ ] A c k n o w l e d g m e n t o f P a t e r n i ty [ ] B i r t h C e r t i f i c a t e o f t h e C h i ld[ ] P e t i t i o n e r ' s G e n e r a l T e s t i m o ny [ ] A f f i d a v i t i n S u p p o r t o f E s t a b l i s h i n g P a t e r n i tyr e q u i r e d a d d i t i o n a l i n f o r m a t i o n.T h e f o l l o w i n g d o c u m e n t s a r e a t t a c h e d t o , a n d i n c o r p o r a t e d i n , t h i s P e t i t i o n . T h e s e d o c u m e n t s c o n t a i n t heIII. Additional Supporting InformationUNIFORM SUPPORT PETITION, PAGE 2 Initiating IV-D Case No.FL-500/OMB 0970 -0085INSTRUCTIONS FOR UNIFORM SUPPORT PETITIONPURPOSE OF THE FORM: The Uniform Support Petition is a legal pleading needed for the responding State to initiate action. Its purposes are to show how the tribunal has jurisdiction, to show enough facts to notify the respondent of the claim being made, and to provide the petitioner with a means to request specific action or relief. Additional information can be provided in the accompanying affidavits and other attachments.HEADING/CAPTION:#Identify the Petitioner and Respondent in the appropriate spaces.#Check the appropriate space to identify the type of case: TANF; IV-E Foster Care, Medicaid only; former assistance, never assistance, or Non-IV-D. TANF means the obligee's family receives IV-A cash payments. A Medicaid only case is a case where the obligee's family receives Medicaid but does not receive TANF (IV-A cash payments).#Under "Responding IV-D Case No." and "Responding Tribunal No.", enter appropriate case and tribunal numbers that the responding State uses to identify the case, if applicable and if known. Under "tribunal number", you may enter the docket number, cause number, or any other appropriate reference number.#Under "Initiating IV-D Case No." and "Initiating Tribunal No.", enter appropriate case and tribunal numbers which your IV-D agency or local tribunal has assigned to the case. Under "tribunal number", you may enter the docket number, cause number, or any other appropriate reference number.SECTION I, ACTION: List the children on whose behalf the action in the petition is requested. Include each child's full name (First, Middle, Last), date of birth, and Social Security Number.Check the appropriate boxes to indicate which actions are requested. Multiple actions may be requested, as appropriate.#Check "Establishment of Paternity" to request that paternity be established. In a IV-D case, ask another State to establish paternity only if use of long-arm jurisdiction is not appropriate. Be sure to attach an "Affidavit in Support of Establishing Paternity" for each child whose paternity is at issue.#Check "Establishment of Order" to request that an order be established. Indicate the type of order by checking the appropriate box.Check "Child Support" to request the initial establishment of a new child support order. If an order governing the same obligor, obligee, and child(ren) already exists, you should generally request the establishment of a new order only if: (1) there is more than one existing order, (2) the obligor, obligee, and child have all moved out of the issuing State, and (3) the parties have not filed written consent allowing an issuing State to assert jurisdiction.Check "Spousal Support" to request establishment of a spousal support order. Do not check this item in a IV-D case; establishment of spousal support is not a IV-DInstructions for Uniform Support Petition--Page 1American LegalNet, Inc. www.USCourtForms.comfunction. When requesting establishment of spousal support, contact the support enforcement agency for the appropriate procedure.Check "Support for a Prior Period" to request establishment of support for a prior period. On the "From" and "To" lines, enter the beginning and ending dates of the prior period. If support for multiple prior time periods is being requested, enter the beginning date of the first period in the "From" line, and enter the closing date of the last time period in the "To" line. States may establish child support awards covering a prior period, but such awards must be based on guidelines and take into consideration either the current earnings and income at the time

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