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Temporary Child Support Order Domestic Violence DV-200 - Alaska

Temporary Child Support Order Domestic Violence Form. This is a Alaska form and can be used in Domestic Violence Statewide .
 Fillable pdf Last Modified 3/26/2010
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IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) ) ) ) ) ) ) ) ) Petitioner vs. Respondent DOB DOB CASE NO. TEMPORARY CHILD SUPPORT ORDER (DOMESTIC VIOLENCE) 1. Children. This order affects the following children: Full Names of Children Birth Dates 2. Physical Custody. The court finds that physical custody of the above children for the term of this order has been awarded as follows: Primary Shared Divided Hybrid (For divided custody, fill in both a and b. For hybrid custody, fill in a, b, and c.) Primary Custody (child lives with this parent more than 70% of the year) a. b. Mother, the following child(ren): Father , the following child(ren): , will have primary physical custody of , will have primary physical custody of Shared Custody (child lives with each parent at least 30% of the year) c. The parents will share physical custody of the following child(ren): The child(ren) will reside with periods: which equals % of the year, and with following periods: which equals % of the year. during the following during the Failure to take physical custody of the child(ren) at least 30% of the year is grounds for modification of this support order. However, denial of visitation by the custodial parent is not cause to increase child support. Civil Rule 90.3(b)(1)(E) Page 1 of 8 DV-200 (4/09)(cs) TEMPORARY CHILD SUPPORT ORDER (DOMESTIC VIOLENCE) AS 18.66.100(c)(12) AS 25.27.020, .062, .080 Civil Rule 90.3 American LegalNet, Inc. www.FormsWorkFlow.com 3. Child Support. The court finds that the obligor, legal obligation to support the above children. , has a It is ordered that the obligor shall pay child support for the children named above as follows: (Put the current number of children on the first line. Subtract one number on each subsequent line and do the calculations for each line.) Number of Children Basic Monthly Amount Owed Health Insurance Adjustment (ΒΆ6) Total Monthly Amount Owed Except as provided below, as each child reaches the age of 18, is otherwise legally emancipated or dies, the amount of support will change to the next lower amount. Support must continue while each child is 18 years old if the child is (1) unmarried, (2) actively pursuing a high school diploma or equivalent level of technical or vocational training, and (3) living as a dependent with the obligee parent or guardian or a designee of the parent or guardian, unless the following box is checked: Child support will end when each child reaches age 18. The first payment is due no later than payments are due no later than the 4. 1st . Subsequent day of each month thereafter. Extended Visitation Credit (available only in primary custody situations). Primary physical custody of the children listed in paragraph 2.a or 2.b has been given to the non-obligor parent. However, the obligor parent shall have physical custody of these child(ren) for the following periods of over 27 consecutive days: If this visitation is exercised, child support is reduced for the above period(s) as follows: (This reduction may not exceed 75% of the amount owed for the period.) If this visitation is not exercised, child support is not reduced. [Civil Rule 90.3(a)(3)] 5. Application of Civil Rule 90.3 Formula. a. The above child support amounts were calculated using the formula in Civil Rule 90.3 (a) or (b). Yes No b. If not, the reason for the variation is: Obligor's income is over $105,000, so the (c)(2) limit was used. Calculated support amount is less than $600 per year, so $600 minimum was ordered pursuant to (c)(3). Obligor's income is low because obligor is: incarcerated. unable to work because other: Page 2 of 8 DV-200 (4/09)(cs) TEMPORARY CHILD SUPPORT ORDER (DOMESTIC VIOLENCE) AS 18.66.100(c)(12) AS 25.27.020, .062, .080 Civil Rule 90.3 American LegalNet, Inc. www.FormsWorkFlow.com The following unusual circumstances exist that make application of Civil Rule 90.3(a) or (b) unjust: The amount of support which would have been required by the formula is: $ for children per month to be paid by the Mother Father. Estimated value of any property conveyed instead of monetary support: $ . 6. Medical Support Order. AS 25.27.060(c) and Civil Rule 90.3(d)(1). This order concerns health insurance for the child(ren) covered by this child support order. It does not concern health insurance for any other children or for the parents. a. Current Coverage. The obligor obligee must purchase health insurance for the child(ren) because such insurance is available at reasonable cost through his/her employer, union or otherwise. Name and address of employer/union through which insurance will be purchased: The insurance cost (currently $ per month) will be divided between the parties equally unless a different division of the cost is ordered. The child support calculation in paragraph 3 includes: a credit of $ per month (50% of the cost to the obligor) for health insurance purchased for the child(ren) by the obligor. If the obligor fails to purchase the insurance, the monthly child support obligation will increase by this amount, without further order of the court, until the obligor purchases the insurance and provides proof of the purchase to the other parent and to the Child Support Services Division (CSSD) if CSSD is handling collections. an extra $ per month (50% of the cost to the obligee) for health insurance purchased for the child(ren) by the obligee. If the obligee fails to purchase the insurance, the monthly child support obligation will decrease by this amount, without further order of the court, until the obligee purchases the insurance and provides proof of the purchase to the other parent and to the Child Support Services Division (CSSD) if CSSD is handling collections. If the cost of the insurance changes, the amount of the child support obligation will be adjusted accordingly, without further order of the court. The parent purchasing the insurance shall provide documentation of the change to the other parent and to the Child Support Services Division (CSSD) if CSSD is handling collections. If either parent believes the cost of the insurance has become unreasonable, that parent may file a motion asking the court to suspend the requirement that insurance be purchased. The children are eligible for services through the Indian Health Service military medical benefits but these services are not available in the area where the children live. Therefore, insurance must be purchased as stated above until these services become availabl
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