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Motion To Modify Child Support Order - District Of Columbia
| Motion To Modify Child Support Order Form. This is a District Of Columbia form and can be used in Family Superior Court Statewide . |
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SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT ________________________________________ PRINT PLAINTIFF'S NAME ______ DRB _______ ______ PCS _______ ______ SUP _______ IV-d ______________ Judge _____________ PLAINTIFF/PETITIONER, v. _________________________________ PRINT DEFENDANT'S NAME DEFENDANT/RESPONDENT. MOTION TO MODIFY CHILD SUPPORT ORDER Does the Other Party Consent to this Motion? yes no I, _________________________________, am the PLAINTIFF/PETITIONER PRINT YOUR NAME in this case. DEFENDANT/RESPONDENT 1. This Court is the proper place to decide my request to modify support. 2. A support order was entered in this case on _____________________________________. PRINT DATE OF ORDER 3. That support order requires: [CHECK ALL THAT APPLY] that _____________________ pay current child support in the amount of $________. PRINT NAME OF PERSON PAYING [CHECK ONE] Monthly Semi-monthly (twice each month) Bi-weekly (every two weeks) Weekly DC Bar Pro Bono Program (revised 12.09) Motion to Modify Child Support Order Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com that _____________________ pay past due child support in the amount of $_______. PRINT NAME OF PERSON PAYING [CHECK ONE] Monthly Semi-monthly (twice each month) Bi-weekly (every two weeks) Weekly that the other party provide medical support in this way: ________________________________________________________________________ ________________________________________________________________________ that I provide medical support in this way: ________________________________________________________________________ ________________________________________________________________________ other: ________________________________________________________________________ ________________________________________________________________________ 4. The support order was entered for the following child(ren) that I have with the other party (through birth or adoption): Child's Name Current Address Date of Birth Gender DC Bar Pro Bono Program (revised 12.09) Motion to Modify Child Support Order Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com 5. Since the support order was entered, there has been a substantial and material change in the needs of the child(ren) and/or in the noncustodial parent's ability to pay because [CHECK ALL THAT APPLY] I am no longer employed. I have not been employed since ____________________. PRINT DATE I am earning less now than I was earning when the child support order was entered. My current employer is _______________________________________________. I now earn $ ________________________ per ____________. I am currently disabled and unable to work. I am currently incarcerated and I state the following about my incarceration: INMATE ID NUMBER CASE NAME AND NUMBER COURT NAME AND LOCATION PLACE OF INCARCERATION START DATE ANTICIPATED END DATE ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ I am currently supporting my other child(ren) (through birth or adoption): living in my home DATE OF BIRTH CHILD'S NAME ____________________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ through court-ordered child support payments: DATE OF BIRTH COURT NAME & CASE NUMBER CHILD'S NAME ____________________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ DC Bar Pro Bono Program (revised 12.09) Motion to Modify Child Support Order Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com The other parent is earning more than s/he was earning when the support order was entered. The child(ren)'s expenses have changed in this way: _________________________ __________________________________________________________________ The following child(ren) is (are) not living with the other party: ______________________________________________________________________ PRINT CHILD(REN)' S NAME(S) The following child(ren) is (are) no longer living: ______________________________________________________________________ PRINT CHILD(REN)' S NAME(S) The following child(ren) is (are) over 21 years of age: ______________________________________________________________________ PRINT CHILD(REN)' S NAME(S) The following child(ren), although under 21 years of age, is (are) emancipated because of self-supporting employment, active military duty and/or marriage: ______________________________________________________________________ PRINT CHILD(REN)' S NAME(S) Application of the child support guideline to the current circumstances of the parents results in a presumptive child support order that varies from the current child support order by 15% or more. There has been a change in the availability and/or cost of medical insurance for the child(ren). Other: __________________________________________________________________ __________________________________________________________________ 6. I state the following about Temporary Assistance to Needy Families (TANF): [CHECK ONE] I am (TANF). I am not currently receiving Temporary Assistance to Needy Families 7. I state the following about Medicaid and/or DC HealthCare Alliance: [CHECK ONE] I am I am not currently receiving Medicaid and/or DC HealthCare Alliance. DC Bar Pro Bono Program (revised 12.09) Motion to Modify Child Support Order Page 4 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Request for Relief I RESPECTFULLY REQUEST that the Court [CHECK ALL THAT APPLY]: Hold a hearing on this Motion within 45 days of filing and issue a Notice of Hearing and Order Directing Appearance ("NOHODA") to the other party with the date and time of the hearing. DECREASE the child and/or medical support order according to the Child Support Guideline of the District of Columbia. INCREASE the child and/or medical support order according to the Child Support Guideline of the District of Columbia. SUSPEND the child and/or medical support o
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