Form Adopted for Court Use
in Lieu of Mandatory Form Form FL-615
Judicial Council of California
FL-694 [Rev. January 1, 2020]
ADVISEMENT AND WAIVER OF RIGHTS FOR STIPULATION
(Governmental)
www.courts.ca.gov
Page 1 of 1
(SIGNATURE)
Date:
(TYPE OR PRINT NAME)
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
FL-694
ADVISEMENT AND WAIVER OF RIGHTS FOR STIPULATION
RIGHT TO BE REPRESENTED BY A
LAWYER. I understand that I have the
right to be represented by a lawyer of
my choice at my expense. If I cannot
afford a lawyer to represent me, I can
ask the court to appoint one to
represent me free of charge only if I
dispute that I am the parent of the
children named in this action and only
on the issue of parentage. I
understand that the attorney for the
local child support agency does not
represent me.
1.
2.
RIGHT TO A TRIAL. I understand that
I have a right to have a judicial officer:
(a) determine if I am the parent of the
children named in the stipulation, (b)
decide how much child support I must
pay, and (c) decide how much (unpaid
support) I owe for arrearage.
3.
RIGHT TO CONFRONT AND
CROSS-EXAMINE WITNESSES. I
understand that in a trial any
allegations made against me must be
proved. At the trial I may be present
with a lawyer when witnesses testify,
and I may ask them questions. I may
also present evidence.
4.
RIGHT TO HAVE GENETIC TESTING
WHERE THE LAW PERMITS. I
understand that, where the law
permits, I have the right to have the
court order genetic testing. The court
will decide on the testing. The court
could order that I pay none, some, or
all of the costs of the genetic testing.
5.
ADMISSION AND WAIVER OF
RIGHTS. I understand that by
agreeing to the terms of the order or
judgment, I am admitting that I am the
parent of the children named in the
stipulation and I am giving up the
rights stated above.
6.
WHERE THE STIPULATION
INCLUDES CHILD SUPPORT.
a.
I understand that I will have the
duty to obey the support order for
the children named in the
stipulation until the order is
changed by the court or ended by
law.
b.
I also understand that the court
will order any support payments to
be paid directly from my wages or
other earnings and sent to the
local child support agency if they
are assigned to collect the
support.
c.
I have been advised of the amount
of guideline child support and how
the proposed child support
amount was determined.
7.
WHERE THE STIPULATION
INCLUDES A PROVISION FOR
HEALTH INSURANCE. I understand
that I must keep health insurance
coverage for the minor children if
insurance is available, or becomes
available, to me at no or reasonable
cost. A health insurance coverage
assignment/National Medical Support
Notice may be ordered to get health
insurance for my children.
8.
I agree to the terms of this order or
judgment freely and voluntarily.
9.
I understand that the local child
support agency is required by state
law to enforce the duty of support.
10.
I UNDERSTAND THAT IF I
WILLFULLY FAIL TO SUPPORT
MY CHILDREN, CRIMINAL
PROCEEDINGS MAY BE
INITIATED AGAINST ME.
COLLECTION OF SUPPORT. I
understand that any support I owe
may be collected from any of my
property. This collection may be
made by intercepting money owed to
me by the state or federal
government (such as tax refunds,
unemployment and disability
benefits, and lottery winnings), by
taking property I own, by placing a
lien on my property, or by any other
lawful means.
11.
12.
IF I AM REPRESENTED BY AN
ATTORNEY, MY ATTORNEY HAS
READ AND EXPLAINED TO ME
THE TERMS OF THE ORDER OR
JUDGMENT AND THIS
ADVISEMENT AND WAIVER OF
RIGHTS, AND I UNDERSTAND
THESE TERMS.
I have read and understand the Advisement and Waiver of Rights for Stipulation, or
Attached is a translation of this Advisement in (specify language):
I understand the translation.
INTERPRETER'S DECLARATION: The above-named party is unable to read or understand this Advisement because
I certify under penalty of perjury under the laws of the State of California that I have, to the best of my ability, read or translated for the
above-named party the Minutes and/or Order or Judgment and Advisement and Waiver of Rights for Stipulation. The above-named-
party said the terms of the order or judgment were understood by that party before signing it.
the party's primary language is (specify):
Other (specify):
(SIGNATURE)
Date:
(TYPE OR PRINT NAME)
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