Child Support Order (Order Of Protection) (Domestic Violence Prevention) {DV-160} | Pdf Fpdf Doc Docx | California

 California /  Judicial Council /  Domestic Violence Prevention /
Child Support Order (Order Of Protection) (Domestic Violence Prevention) {DV-160} | Pdf Fpdf Doc Docx | California

Child Support Order (Order Of Protection) (Domestic Violence Prevention) {DV-160}

This is a California form that can be used for Domestic Violence Prevention within Judicial Council.

Alternate TextLast updated: 5/30/2015

Included Formats to Download
$ 24.99

Description

DV-160 1 1 2 Child Support Order-- Order of Protection Case Number: This form is attached to DV-130, Item 10. Protected person's name: Restrained person's name: Mother Mother Father Father ___________ ___________ The court used the information below to calculate child support. 3 4 A printout of a computer calculation is attached. (Skip to 7 if the printout is attached, and do not complete 4 or 6 .) Monthly income Person listed in Person listed in 5 Gross income 1$ 2 Net income $ $ Capable of earning $ $ TANF/CalWORKS Yes No Yes No $ Children of parents listed in 1 and 2 : a. Number of children covered by this order: b. Those children spend % of time with person in 1 and Hardships considered by the court: % with person in 2 Explain or attach explanation 6 Person in 1 Person in 2 a. b. c. d. 7 8 Support for other minor children in the home $ Extraordinary medical expenses $ Catastrophic losses Other (specify): $ $ $ $ The total guideline calculation for all children (not including additional support) is $ A Non-Guideline Order is appropriate instead of the guideline calculation in 7 . This order is different from the statewide child support guideline set forth in Family Code section 4055. Other findings: 9 The Court Orders: 10 Low-Income Adjustment a. b. The low-income adjustment applies. The low-income adjustment does not apply because (specify reasons): This is a Court Order. Judicial Council of California, www.courtinfo.ca.gov Revised July 1, 2008, Optional Form Family Code, §§ 3020, 3022, 3040­3043, 3100, 6430, 7604 Child Support Order-- Order of Protection (Domestic Violence Prevention) DV-160, Page 1 of 8 American LegalNet, Inc. www.FormsWorkflow.com Case Number: Your name: 11 per month is ordered instead of the guideline calculation in 7 . A Non-Guideline Order of $ This order does not meet the child support guideline set forth in Family Code section 4055. Form FL-342(A) (Non-Guideline Child Support Findings Attachment) is attached. Basic child support a. Person in 1 Child's name Person in 2 will pay child support for: Monthly amount Payable to: 12 Date of birth $ $ $ $ b. Additional children are listed on a separate page. c. Starting (date): __________ support must be paid to: local child support agency person in 1 person in 2 By the 1st of each month 50% on the 1st and 50% on the 15th of each month By earnings assignment order (order to withhold income) Other (specify): 13 Additional child support (Write the specific amount. If the specific amount is not available, enter a percentage. The local child support agency can collect only fixed dollar amounts, not percentages.) Other: ________________ a. Costs Person listed in 1 Child-care expenses Children's uninsured health-care expenses Children's educational/other special needs Travel expenses for visitation Other (specify): person in 1 person in 2 $ $ $ $ $ or or or or or % % % % % Person listed in $ $ $ $ $ or or or or or % % % % % 2 Other arrangements: b. Starting (date): __________ these support payments must be paid to: local child support agency Other: ________________ By the 1st of each month 50% on the 1st and 50% on the 15th of each month By earnings assignment order (order to withhold income) Other (specify): All payments to the local child support agency must be made to: This is a Court Order. Revised July 1, 2008 Child Support Order-- Order of Protection (Domestic Violence Prevention) DV-160, Page 2 of 8 Case Number: Your name: 14 Total Child Support Order a. Total basic child support is b. Total additional child support is c. Total Child Support Order (basic and additional child support) is $_____________/month. $_____________/month (and/or the percentages listed in 13 ). $_____________/month, payable as listed in 12 and 13 . Notice: If you are late in paying child support, interest on overdue amounts will add up at the legal rate, which is currently 10% per year. This support order will continue until: · There is a different court order or · The child marries, dies, turns 19, or is emancipated or · The child turns 18 and is not a full-time high school student. 15 Health-care expenses Person in 1 Person in 2 will provide and keep health insurance for the children a. if it is available at no or reasonable cost through work or a group plan, including group plans available through self-employment. Both parents will cooperate to complete health-care claims as stated on page 5 (Notice of Rights and Responsibilities: Health-Care Costs and Reimbursement Procedures). Parents may have peaceful written contact with each other in order to complete insurance claims. person in 1 person in 2 at a reasonable cost now. b. No health insurance is available to c. The parent with insurance will give the right of reimbursement to the other parent. d. Other (specify): Earnings Assignment Order (Order to Withhold Income) A form FL-195/OMB No. 0970-0154, Income Withholding for Support, will be issued. a. Note: The parent paying child support must pay support to the other parent until support payments are deducted from the paying parent's wages, and must pay any support owed that is not covered by the earnings assignment. If the parent paying support is more than b. days late in making a payment, the earnings assignment order will be served. c. 17 There will be a Qualified Medical Child Support Order payable to: person in 1 person in 2 Employment Search Order Person in 1 as follows: Person in 2 is ordered to seek employment as stated in the attachment 16 18 Other orders This is a Court Order. Revised July 1, 2008 Child Support Order-- Order of Protection (Domestic Violence Prevention) DV-160, Page 3 of 8 Case Number: Your name: 19 These required attachments are attached and are a part of this order: Notice of Rights and Responsibilities: Health-Care Costs and Reimbursement Procedures (pages 5 and 6) Information Sheet on Changing a Child Support Order (pages 7 and 8) Notice Regarding Child Support Case Registry If there is a case open in the local child support agency, the parents must notify the local child support agency in writing within 10 days of any change in residence or employment. If there is no open case in the local child support agency, both parties must complete and file with the court form FL-191, Child Support Case Registry Form, within 10 days of the date of this order. Thereafter, the parties must notify the court of any change in the information submitted within 10 days of the change by filing an updated form. 20 Th

Our Products