Fillable DCSSAnswer FL-610 ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT REGARDING PARENTAL OBLIGATIONS (Governmental)

Fill Online, Printable, Fillable, Blank DCSSAnswer FL-610 ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT REGARDING PARENTAL OBLIGATIONS (Governmental) Form

Use Fill to complete blank online SUPERIOR COURT OF CALIFORNIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

DCSSAnswer FL-610 ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT REGARDING PARENTAL OBLIGATIONS (Governmental)

On average this form takes 74 minutes to complete

The DCSSAnswer FL-610 ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT REGARDING PARENTAL OBLIGATIONS (Governmental) form is 7 pages long and contains:

  • 0 signatures
  • 28 check-boxes
  • 283 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Superior Court of California forms online.

BROWSE SUPERIOR COURT OF CALIFORNIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT
REGARDING PARENTAL OBLIGATIONS
CASE NUMBER:
YOU MUST FILE THIS ANSWER WITH THE COURT IF YOU WISH TO OPPOSE THE LAWSUIT
If you disagree with the proposed judgment attached to the Summons and Complaint, you must file this Answer
with the court clerk within 30 days of the date you were served with the Complaint. File the original Answer with
the court clerk at the address for the superior court stated above and serve a copy on the local child support
agency. Keep a copy for your records.
PARENTAGE: I am the parent of the following children:
1.
Name of child Date of Birth
No
Yes
Yes
No
No
Yes
Yes
No
Yes
No
No
Yes
Additional children are listed on a page attached to this Answer.
I request a genetic test to determine parentage be done for all children for whom I have checked a "No" box above. I understand
that the local child support agency will pay for the cost of the testing now, but that I may have to repay those costs if the court
decides that I am the parent.
3.
I agree to pay support as stated in the proposed judgment.
I disagree with the support requested. Attached is my completed Income and Expense Declaration (form FL-150) or
Financial Statement (Simplified) (form FL-155). NOTE: You can file this Answer without either of these forms.
a.
b.
I disagree with the proposed judgment for the following reasons (specify):
4.
Page 1 of 3
ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT
REGARDING PARENTAL OBLIGATIONS
(Governmental)
Family Code, §§ 17400,
17404, 2330.1
Form Adopted for Mandatory Use
Judicial Council of California
FL-610 [Rev. January 1, 2003]
STREET ADDRESS:
2.
CHILD SUPPORT
FL-610
ATTORNEY FOR (Name):
TELEPHONE NO. (Optional): FAX NO. (Optional):
E–MAIL ADDRESS (Optional):
www.courtinfo.ca.gov
Self Represented Litigant
655 W. Second Street, 2nd Floor
San Bernardino, CA 92415
Child Support Courthouse
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
San Bernardino
County of San Bernardino
PETITIONER/PLAINTIFF:
CASE NUMBER:
RESPONDENT/DEFENDANT:
OTHER PARENT:
My address and telephone number for receipt of all notices and court dates until I file a change with the court and with
the local child support agency are as follows:
Address:
City and Zip Code:
Home Telephone:
Work Telephone:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
An adult other than you must complete the Proof of Service below and provide a copy of this Answer to the local
child support agency at the following address (specify):
Personal delivery. I personally delivered this Answer to an employee of the local child support agency as follows:
a.
(1) Name of employee:
(2) Address where delivered:
(3) Date of delivery:
(4) Time of delivery:
Mail. I deposited this Answer in the United States mail, in a sealed envelope with postage fully prepaid. I used first class
mail. The envelope was addressed and mailed as follows:
b.
(1) Name:
(2) Address:
(3) Date of mailing:
(4) Place of mailing (city and state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF PERSON WHO SERVED ANSWER)
(TYPE OR PRINT NAME)
This case may be referred to a court commissioner for hearing. By law, court commissioners do not have the
authority to issue final orders and judgments in contested cases unless they are acting as temporary judges. The
court commissioner in your case will act as a temporary judge unless, before the hearing, you or any other party
objects to the commissioner acting as a temporary judge. The court commissioner may still hear your case to make
findings and a recommended order. If you do not like the recommended order, you must object to it within 10 court days in
writing, (use Notice of Objection (Governmental), (form FL-666); otherwise, the recommended order will become a final order
of the Court.) If you object to the recommended order, a judge will make a temporary order and set a new hearing.
Page 2 of 3
FL-610 [Rev. January 1, 2003]
ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT
REGARDING PARENTAL OBLIGATIONS
(Governmental)
PROOF OF SERVICE
6.
I am at least 18 years of age, and not a party to this action. I served this Answer and any other forms filed with the Answer
on the local child support agency and any other party required to be served.
E-mail Address (optional):
5.
County of San Bernardino
INFORMATION SHEET FOR ANSWER TO COMPLAINT
Please follow these instructions to complete the Answer to Complaint or Supplemental Complaint Regarding Parental
Obligations (form FL-610) if you do not have an attorney to represent you. Your attorney, if you have one, should
complete this form.
You must file the completed Answer and attachments with the court clerk within 30 days of the date you received the
Summons and Complaint (form FL-600). The address of the court clerk is the same as the one shown for the Superior
Court on the Summons and Complaint (form FL-600). You may have to pay a filing fee. If you cannot afford to pay the
filing fee, contact the court clerk to obtain forms to apply for a waiver of court fees. Keep two copies of the filed Answer
form and its attachments. Serve one copy on the local child support agency and keep the other copy for your
records. (See Information Sheet for Service of Process, form FL-611.)
INSTRUCTIONS FOR COMPLETING THE ANSWER FORM (TYPE OR PRINT FORM IN BLACK INK):
Front page, first box, top of form, left side.
Print your name, address, and telephone number in this box if they are not
already there.
For each child listed on the Answer form, you must check the "yes" box if you agree that you are that child's parent,
or check the "no" box if you do not think or are not sure whether you are that child's parent. You must write in the
name of each child listed in the Summons and Complaint (form FL-600) if your Answer form does not include the
names of any children.
1.
If you have checked a "no" box in answer to number 1 above, you must request a genetic test to determine
whether you or the other parent is the parent. (The test is usually a blood test.) The local child support agency
will tell you when and where to go for the test. The local child support agency will pay for the cost of the test now.
If the court decides the test shows parentage as pleaded in the Complaint, you may have to repay this cost to the
local child support agency.
2.
a. Check this box if you agree to pay the support asked for in the proposed Judgment Regarding Parental
Obligations (form FL-630) that you received.
3.
b. You should check this box if you do not agree to pay the support asked for in the proposed Judgment
Regarding Parental Obligations (form FL-630).
If you agree to pay the support asked for in the proposed Judgment Regarding Parental Obligations (form
FL-630), but you disagree with the proposed judgment for another reason, you should check this box and write
your reasons in this space. If you have documents that prove your reasons for disagreeing with the
proposed Judgment, you should attach the documents to the Answer form.
4.
You must list your address and phone numbers where you can receive all notices and court dates. You must
let the court know whenever your address changes. If the court does not have your current address, you may
not receive important notices that affect you.
5.
You must date the Answer form, print your name, and sign the form under a penalty of perjury. When you sign the
Answer form, you are stating that the information you have provided is true and correct.
Instructions for how to complete the Proof of Service section of the Answer form are in the Information Sheet for Service
of Process (form FL-611). The person who serves the Answer and its attachments must fill out this section of the form.
You cannot serve your own Answer.
FL-610 [Rev. January 1, 2003]
Page 3 of 3
ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT
REGARDING PARENTAL OBLIGATIONS
(Governmental)
Upon receipt of your filed Answer, the local child support agency will set a court hearing on this matter.
NOTE: Checking the "no" box does not satisfy the requirements needed to set aside any Voluntary Declaration of
Paternity which you may have signed (Family Code Section 7575).
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Print This Form
Save This Form
Clear This Form
(If you need more space to answer any questions on this form, attach an 8 1/2-by-11-inch sheet of paper and write the
question number before your answer.)
1.
Employment (Give information on your current job or, if you're unemployed, your most recent job.)
Form Adopted for Mandatory Use
Judicial Council of California
FL-150 [Rev. January 1, 2019]
INCOME AND EXPENSE DECLARATION
Family Code, §§ 2030–2032, 2100–2113,
3552, 3620–3634, 4050–4076, 4300–4339
www.courts.ca.gov
Page 1 of 4
Employer:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
FOR COURT USE ONLY
CASE NUMBER:
INCOME AND EXPENSE DECLARATION
PARTY WITHOUT ATTORNEY OR ATTORNEY
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
STATE BAR NUMBER:
FL-150
Attach copies
of your pay
stubs for last
two months
(black out
Social
Security
numbers).
a.
Employer's address:
b.
Employer's phone number:
c.
Occupation:
d.
Date job started:
e.
If unemployed, date job ended:
f.
g. I work about hours per week.
h. I get paid $ gross (before taxes)
(If you have more than one job, attach an 8 1/2-by-11-inch sheet of paper and list the same information as above for your other
jobs. Write "Question 1—Other Jobs" at the top.)
2.
Age and education
My age is (specify):
a.
b.
I have completed high school or the equivalent:
Yes
No
If no, highest grade completed (specify):
Number of years of college completed (specify):
c.
Degree(s) obtained
(specify):
Number of years of graduate school completed (specify):
d.
Degree(s) obtained
(specify):
e. I have: professional/occupational license(s)
(specify):
vocational training
(specify):
3.
Tax information
a.
I last filed taxes for tax year
(specify year):
b.
My tax filing status is
single
head of household married, filing separately
married, filing jointly with
(specify name):
c.
I file state tax returns in
California other
(specify state):
I claim the following number of exemptions (including myself) on my taxes (specify):
d.
Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $
4.
This estimate is based on (explain):
Number of pages attached:
I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form and
any attachments is true and correct.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
per month per week
per hour.
Self Represented Litigant
San Bernardino
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
Spousal support
Spousal support that I pay by court order from a different marriage ..........................
Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax
return to the court hearing. (Black out your Social Security number on the pay stub and tax return.)
Income (For average monthly, add up all the income you received in each category in the last 12 months
and divide the total by 12.)
FL-150 [Rev. January 1, 2019]
Page 2 of 4
INCOME AND EXPENSE DECLARATION
FL-150
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
5.
Salary or wages (gross, before taxes).....................................................................................................a.
Overtime (gross, before taxes)................................................................................................................b.
Commissions or bonuses.........................................................................................................................c.
Public assistance (for example: TANF, SSI, GA/GR) ..................................d.
e.
Partner supportf.
currently receiving
f
rom this marriage
from a different marriage
from this domestic partnership from a different domestic partnership
Pension/retirement fund payments..........................................................................................................g.
Social Security retirement (not SSI).........................................................................................................h.
Disability:i. Social Security (not SSI)
State disability (SDI) Private insurance
Unemployment compensation.................................................................................................................j.
Workers' compensation............................................................................................................................k.
l.
Other (military allowances, royalty payments) (specify):
Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.)
6.
Dividends/interest....................................................................................................................................a.
Rental property income...........................................................................................................................b.
Trust income............................................................................................................................................c.
d.
Other (specify):
Income from self-employment, after business expenses for all businesses.........................................7.
I am the owner/sole proprietor
business partner other
(specify):
Number of years in this business (specify):
Name of business (specify):
Type of business (specify):
Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your
Social Security number. If you have more than one business, provide the information above for each of your businesses.
Additional income. I received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source and
amount):
8.
Change in income. My financial situation has changed significantly over the last 12 months because (specify):
9.
10.
Deductions
Required union dues....................................................................................................................................................a.
Required retirement payments (not Social Security, FICA, 401(k), or IRA)..................................................................b.
Medical, hospital, dental, and other health insurance premiums (total monthly amount).............................................
c.
Child support that I pay for children from other relationships.......................................................................................d.
e.
Partner support that I pay by court order from a different domestic partnership..........................................................f.
Necessary job-related expenses not reimbursed by my employer (attach explanation labeled "Question 10g").........
g.
11.
Assets
Cash and checking accounts, savings, credit union, money market, and other deposit accounts...............................a.
Stocks, bonds, and other assets I could easily sell.......................................................................................................b.
All other property, (estimate fair market value minus the debts you owe).....
c. real and
personal
$
$
$
$
$
$
$
$
$
$
$
$
Last month
Average
monthly
$
$
$
$
$
Last month
Total
federally taxable*
federally tax deductible*
* Check the box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change
maintains the spousal support payments as taxable income to the recipient and tax deductible to the payor.
$
$
$
$
$
$
$
$
$
$
The following people live with me:
FL-150 [Rev. January 1, 2019]
Page 3 of 4
INCOME AND EXPENSE DECLARATION
FL-150
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
12.
Attorney fees (This information is required if either party is requesting attorney fees):
15.
a.
b.
c.
d.
My attorney's hourly rate is (specify):
I confirm this fee arrangement.
Average monthly expenses13. Estimated expenses
Actual expenses Proposed needs
Installment payments and debts not listed above14.
To date, I have paid my attorney this amount for fees and costs (specify): $
The source of this money was (specify):
I still owe the following fees and costs to my attorney (specify total owed): $
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
Name
Age
How the person is
related to me (ex: son)
That person's gross
monthly income
Pays some of the
household expenses?
a.
b.
c.
d.
e.
Yes
No
Yes No
Yes No
Yes No
Yes No
a.
Home:
(1) Rent or
mortgage..........
$
$
$
$
$
$
If mortgage:
(a) average principal:
$
(b) average interest:
$
(2) Real property taxes..................................
(3)
Homeowner's or renter's insurance
(if not included above)..............................
(4) Maintenance and repair...........................
b.
Health-care costs not paid by insurance........
c.
Child care.......................................................
$
d.
Groceries and household supplies.................
$
e.
Eating out.......................................................
$
f.
Utilities (gas, electric, water, trash)................
$
g.
Telephone, cell phone, and e-mail.................
$
$
h.
Laundry and cleaning.....................................
i.
Clothes...........................................................
$
j.
Education.......................................................
$
k.
Entertainment, gifts, and vacation..................
$
l.
Auto expenses and transportation
(insurance, gas, repairs, bus, etc.).................
$
m.
Insurance (life, accident, etc.; do not include
auto, home, or health insurance)...................
$
$
$
$
$
n.
Savings and investments...............................
o.
Charitable contributions..................................
p.
Monthly payments listed in item 14
(itemize below in 14 and insert total here).....
q.
Other (specify):
r.
TOTAL EXPENSES (a–q) (do not add in
the amounts in a(1)(a) and (b))
$
s.
Amount of expenses paid by others
Paid to For Amount Balance Date of last payment
$
$
$
$
$
$
$
$
$
$
$
$
CHILD SUPPORT INFORMATION
(NOTE: Fill out this page only if your case involves child support.)
FL-150 [Rev. January 1, 2019]
Page 4 of 4
INCOME AND EXPENSE DECLARATION
FL-150
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
a.
b.
d.
(Do not include the amount your employer pays.)
Number of children16.
I do
I do not
I have (specify number): children under the age of 18 with the other parent in this case.
a.
Name of insurance company:
The monthly cost for the children's health insurance is or would be (specify): $
The children spend percent of their time with me and percent of their time with the other parent.
b.
(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)
Children's health-care expenses17.
have health insurance available to me for the children through my job.
Address of insurance company:c.
Additional expense for the children in this case18.
Childcare so I can work or get job training....................................................................a.
Children's health care not covered by insurance...........................................................b.
Travel expenses for visitation........................................................................................c.
Special hardships. I ask the court to consider the following special financial circumstances19.
Extraordinary health expenses not included in 18b...................................a.
Major losses not covered by insurance (examples: fire, theft, other
insured loss)...............................................................................................
b.
Expenses for my minor children who are from other relationships and
are living with me..................................................................................
c.
d.
Children's educational or other special needs (specify below):.....................................
(attach documentation of any item listed here, including court orders):
(1)
Names and ages of those children (specify):
(2)
Child support I receive for those children...............................................(3)
The expenses listed in a, b, and c create an extreme financial hardship because (explain):
Other information I want the court to know concerning support in my case (specify):
20.
Amount per month
Amount per month
For how many months?
$
$
$
$
$
$
$
$
Print this form
Save this form
Clear this form
For your protection and privacy, please press the Clear This Form button after you have printed the form.
Print This Form
For your protection and privacy, please press the Clear This Form
button after you have printed the form.
Next Steps:
Answer
Government Child Support
Follow these simple steps in order to successfully submit your Answer to a
child support case.
Review
If you have any questions about your forms, please bring them to the Family Law
Facilitator/Resource Center to have them reviewed or send an email to childsupportselfhelp@sb-
court.org The Answer can be tricky, so we strongly encourage you to see your own attorney or
visit our Family Law Facilitator.
Fees
None
Copy
Make 2 copies of your originals. Be sure to include the required pay stubs for 2 months.
Serve
Someone other than yourself needs to mail a copy of the Answer (and Income & Expense
Declaration) to the Department of Child Support Services (“DCSS”). The proper way to perform
the service is to have another adult (not you) mail one copy of your papers to DCSS. Your
server person fills out the Proof of Service on the back side of the Answer and signs it.
File
Take the original paperwork plus 1 copy to the clerk’s office to file.
If you can’t come in person to file your documents, you may always mail them in to the clerk’s
office with a stamped, self-addressed envelope.
Wait…
The Department of Child Support Services will contact you with a court date. Sometimes,
they ask the person to come into their office to talk about the case and reach an agreement.
You always have the right to come to court and have the judge make the final decision on
the case.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

DCSSAnswer FL-610 ANSWER TO COMPLAINT OR SUPPLEMENTAL COMPLAINT REGARDING PARENTAL OBLIGATIONS (Governmental)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 3 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document