Fillable Documents to Serve with a Request for Order (California)

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Documents to Serve with a Request for Order (California)

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Superior Court of California, County of Sacramento
Family Law & Probate
Documents to Serve-RFO Page 1 of 1
Cover Sheet:
Documents to Serve with a Request for Order
Effective Date:
May 1, 2016
Last Revision Date:
October 29, 2020
Purpose:
These forms must be served on the other party/parties with the filed
Request for Order.
Assistance:
Parties who are acting as their own attorneys may receive help from
the Self Help Center to complete these forms. You may contact the
Self Help Center through the Court’s website, by creating an e-
Correspondence account.
Required Forms:
All forms are Judicial Council forms, unless otherwise indicated:
Responsive Declaration to Request for Order, FL-320
Family Law Case Participant Enrollment Form (Party), local
form FL/E-LP-665
Proof of Service by Mail, FL-335
Information Sheet for Proof of Service by Mail, FL-335-INFO
Optional Forms:
This form is needed only if you are requesting support, attorney fees
or other money orders in the Request for Order:
Income and Expense Declaration, FL-150
Filing Fee:
N/A
Copies:
The Court does not require additional copies of these forms.
Filing:
N/A
Next Steps:
The attached forms must be served with a filed copy of the Request
for Order.
2.
CHILD CUSTODY
I consent to the order requested for child custody (legal and physical custody).a.
b.
I do not consent to the order requested for child custody
I consent to the order requested for visitation (parenting time).
visitation (parenting time)
but I consent to the following order:
c.
d.
b. I consent to the order requested.
I consent to guideline support.
I do not consent to the order requested
but I consent to the following order:
c.
a.
I have completed and filed a current Income and Expense Declaration (form FL-150
) or, if eligible, a current Financial
Statement (Simplified) (form FL-155
) to support my responsive declaration.
3.
CHILD SUPPORT
I consent to the order requested.
I do not consent to the order requested
I have completed and filed a current Income and Expense Declaration (form FL-150
) to support my responsive
declaration.
but I consent to the following order:
b.
c.
a.
Page 1 of 2
Form Adopted for Mandatory Use
Judicial Council of California
FL-320 [Rev. July 1, 2016]
RESPONSIVE DECLARATION TO REQUEST FOR ORDER
FL-320
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
FOR COURT USE ONLY
CASE NUMBER:
RESPONSIVE DECLARATION TO REQUEST FOR ORDER
HEARING DATE:
TIME: DEPARTMENT OR ROOM:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PARTY WITHOUT ATTORNEY OR ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NO.:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
4. SPOUSAL OR DOMESTIC PARTNER SUPPORT
Read Information Sheet: Responsive Declaration to Request for Order (form FL-320-INFO) for more information about this form.
VISITATION (PARENTING TIME)
1.
No domestic violence restraining/protective orders are now in effect between the parties in this case.
I agree that one or more domestic violence restraining/ protective orders are now in effect between the parties in
this case.
a.
b.
RESTRAINING ORDER INFORMATION
Code of Civil Procedure, § 1005
Cal. Rules of Court, rule 5.92
www.courts.ca.gov
Sacramento
William R. Ridgeway Family Relations Courthouse
Sacramento, CA 95826
3341 Power Inn Road
3341 Power Inn Road
c. I consent to the order requested.
I do not consent to the order requestedd.
but I consent to the following order:
I have completed and filed a current Income and Expense Declaration
(
form FL-150
)
to support my responsive
declaration.
I have completed and filed with this form a Supporting Declaration for Attorney's Fees and Costs Attachment
(
form
FL-158
)
or a declaration that addresses the factors covered in that form.
b.
a.
a. I consent to the order requested.
I do not consent to the order requestedb.
but I consent to the following order:
5. PROPERTY CONTROL
a. I consent to the order requested.
I do not consent to the order requested
b. but I consent to the following order:
7. DOMESTIC VIOLENCE ORDER
a.
I consent to the order requested.
I do not consent to the order requestedb.
but I consent to the following order:
8.
OTHER ORDERS REQUESTED
CASE NUMBER:
I declare under penalty of perjury under the laws of the State of California that the information provided in this form and all attachments
is true and correct.
FL-320 [Rev. July 1, 2016]
Page 2 of 2
RESPONSIVE DECLARATION TO REQUEST FOR ORDER
u
(SIGNATURE OF DECLARANT)
(TYPE OR PRINT NAME)
Date:
ATTORNEY'S FEES AND COSTS
6.
a. I consent to the order requested.
I do not consent to the order requestedb.
but I consent to the following order:
9. TIME FOR SERVICE / TIME UNTIL HEARING
10.
FACTS TO SUPPORT my responsive declaration are listed below. The facts that I write and attach to this form cannot be
longer than 10 pages, unless the court gives me permission.
Attachment 10.
FL-320
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
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
Local Form Adopted for Mandatory Use
FAMILY LAW CASE PARTICIPANT ENROLLMENT FORM
CONFIDENTIAL
FOR COURT USE ONLY
CASE PARTICIPANT
NAME: STATE BAR NO:
FIRM NAME:
ADDRESS:
CITY: STATE: ZIP CODE:
E-MAIL ADDRESS: (must be legible) TELEPHONE NO.:
ATTORNEY FOR (Name): FAX NO. (Optional):
NAME OF COURT:
Superior Court of California, County of Sacramento
STREET ADDRESS:
3341 Power Inn Road
MAILING ADDRESS:
CITY AND ZIP CODE:
Sacramento, CA 95826
BRANCH NAME:
William R. Ridgeway Family Relations Courthouse
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CLAIMANT:
FAMILY LAW CASE PARTICIPANT ENROLLMENT FORM (PARTY)
CASE NUMBER:
You may access orders for law and motion hearings, and mediation reports prepared by Family Court Services using the
court's online Public Case Access System. Free access is available for 72 hours from the time the order is issued or the
report is prepared, or from the time the court creates your case subscription. After 72 hours, you may pay for copies.
INSTRUCTIONS
To setup your account you must:
I,
Law case.
I understand if I change my email address I must file a new enrollment form with the court.
, request that the court create an account and/or subscription to my Family
I acknowledge that confidential mediation reports contain private information that is not part of the public court file. I
understand that without a court order, I must not disclose any contents of the Report to anyone (including any minor
children) other than the parties to my case (Petitioner/Respondent/Claimant), their attorneys and court professionals. I
acknowledge that the court may impose a penalty for any unauthorized disclosure of any content of the Family Court
Services report.
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)
•
File this form with the court with a copy of your driver license or a state or federal issued photo identification card.
•
A separate form must be filed for each of your Family Law cases.
•
Once the court has created your subscription to your case, you will receive a confirming email. You must follow
the instructions in that email to complete the process.
www.saccourt.ca.gov
FL/E-LP-665 (Rev 5/17/2021)
(Please use Ø for zero, 1 for one and clearly differentiate i, L, S, 5, 3 and 8's).
(PARTY)
•
Once your subscription is completed, you will receive an email notification each time an order or report is added to
your case.
I declare that my private email address is (must be legible):
CA
INFORMATION SHEET FOR PROOF OF SERVICE BY MAIL
Use these instructions to complete the
Proof of Service by Mail
(form FL-335).
A person at least 18 years of age or older must serve the documents. There are two ways to serve documents:
(1) personal delivery and (2) by mail. See the
Proof of Personal Service
(form FL-330) if the documents are being
personally served. The person who serves the documents must complete a proof of service form for the documents
being served.
You cannot serve documents if you are a party to the action.
INSTRUCTIONS FOR THE PERSON WHO SERVES THE DOCUMENTS (TYPE OR PRINT IN BLACK INK)
You must complete a proof of service for each package of documents you serve. For example, if you serve the respondent
and the other parent, you must complete two proofs of service; one for the respondent and one for the other parent.
Complete the top section of the proof of service forms as follows:
documents.
Second box, left side:
Print the name of the county in which the legal action is filed and the court’s address in this box.
Third box, left side
: Print the names of the petitioner/plaintiff, respondent/defendant, and other parent in this box. Use
the same names listed on the documents you are serving.
First box, top of form, right side:
Leave this box blank for the court’s use.
You cannot serve a temporary restraining order by mail. You must serve those documents by personal service.
You are stating that you are at least 18 years old and that you are not a party to this action. You are also stating that
you either live in or are employed in the county where the mailing took place.
Print your home or business address.
List the name of each document that you mailed (the exact names are listed on the bottoms of the forms).
Check this box if you put the documents in the regular U.S. mail.
Check this box if you put the documents in the mail at your place of employment.
Print the name you put on the envelope containing the documents.
Print the address you put on the envelope containing the documents.
Print the date that you put the envelope containing the documents in the mail.
Print the city and state you were in when you mailed the envelope containing the documents.
You are stating under penalty of perjury that the information you have provided is true and correct.
Print your name, fill in the date, and sign the form.
If you need additional assistance with this form, contact the family law facilitator in your county.
INFORMATION SHEET FOR PROOF OF SERVICE BY MAIL
FL-335-INFO [New January 1, 2012]
Page 1 of 1
First box, left side:
In this box print the name, address, and phone number of the person for whom you are serving the
Second box, right side:
Print the case number in this box. This number is also stated on the documents you are serving.
2.
1.
3.
a.
b.
4. a.
b.
c.
d.
6.
Check this box if you are serving an address verification form (required for service by mail of a postjudgment request to
change a child custody, visitation, or child support order).
5.
Third box, right side:
Print the hearing date, time, and department. Use the same information that is on the documents
you are serving.
FL-335-INFO
Code of Civil Procedure, §§ 1013, 1013a
www.courts.ca.gov
Use the same address for the court that is on the documents you are serving.
FL-335
ATTORNEY OR PARTY WITHOUT ATTORNEY
(Name, State Bar number, and address):
FOR COURT USE ONLY
CASE NUMBER:
PROOF OF SERVICE BY MAIL
NOTICE: To serve temporary restraining orders you must use personal service (see form FL-330).
I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where the mailing took
place.
My residence or business address is:
I served a copy of the following documents
(specify):
by enclosing them in an envelope AND
a.
depositing
the sealed envelope with the United States Postal Service with the postage fully prepaid.
b.
The envelope was addressed and mailed as follows:
Name of person served:
Date mailed:
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:
(TYPE OR PRINT NAME) (SIGNATURE OF PERSON COMPLETING THIS FORM)
Page 1 of 1
Form Approved for Optional Use
Judicial Council of California
FL-335 [Rev. January 1, 2012]
PROOF OF SERVICE BY MAIL
Code of Civil Procedure, §§ 1013, 1013a
1.
2.
3.
placing
the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business’s practice for collecting and processing correspondence for
mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of
business with the United States Postal Service in a sealed envelope with postage fully prepaid.
4.
Address:b.
a.
c.
d.
6.
www.courts.ca.gov
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
I served a request to modify a child custody, visitation, or child support judgment or permanent order which included an
5.
address verification declaration.
(Declaration Regarding Address Verification—Postjudgment Request to Modify a Child
Custody, Visitation, or Child Support Order
(form FL-334) may be used for this purpose.)
HEARING DATE:
DEPT.:
HEARING TIME:
FAX NO.
(Optional):
E-MAIL ADDRESS
(Optional):
ATTORNEY FOR
(Name):
TELEPHONE NO.:
(If applicable, provide):
Sacramento
3341 Power Inn Road
3341 Power Inn Road
Sacramento, CA 95826
William R. Ridgeway Family Relations Courthouse
(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.
Sacramento
William R. Ridgeway Family Relations Courthouse
Sacramento, CA 95814
3341 Power Inn Road
3341 Power Inn Road
click to sign
signature
click to edit
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
All other property,
(estimate fair market value minus the debts you owe)
.....c. real and personal
*
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.
$
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.
$
$
$
$
$
$
$
$
$
$
$
$
Last month
Average
monthly
$
$
$
$
$
Last month
Total
federally taxable*
federally tax deductible*
$
$
$
$
$
$
$
$
$
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 expenses
13. Estimated expenses
Actual expenses Proposed needs
Installment payments and debts not listed above
14.
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
$
$
$
$
$
$
$
$
$
$
$
$
click to sign
signature
click to edit
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 children
16.
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.
Children's health-care expenses
17.
have health insurance available to me for the children through my job.
c.
Additional expense for the children in this case
18.
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)
20.
(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)
Address of insurance company:
Amount per month
Other information I want the court to know concerning support in my case
(specify):
The expenses listed in a, b, and c create an extreme financial hardship because
(explain):
Amount per month
For how many months?
$
$
$
$
$
$
$
$
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Documents to Serve with a Request for Order (California)

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Completed 26 October 2021

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