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For cases involving the Department Of Child Support Services, e-mail
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For all other cases, e-mail SelfHelpFamilyLaw@occourts.org.
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SUPERIOR COURT OF CALIFORNIA
COUNTY OF ORANGE
Self-Help Services
www.occourts.org/self-help
SHC-RFO-07 (Rev. 02/02/2021)
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) STATE BAR NUMBER:
FOR COURT USE ONLY
TELEPHONE NO.: FAX NO. (Optional):
EMAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
STREET ADDRESS:
341 The City Drive South
MAILING ADDRESS: P.O. Box 14169
CITY AND ZIP CODE: Orange, Ca. 92863-1569
BRANCH NAME Lamoreaux Justice Center
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
FAMILY LAW COVERSHEET FOR ASSIGNMENT TO
ORANGE COUNTY JUSTICE CENTER
CASE NUMBER:
This form is REQUIRED for any Family Law case NOT already assigned to a judge or commissioner and MUST be
submitted with a form requesting an initial Court hearing. Do not use this form if the hearing is for Special Immigrant
Juvenile Findings, Department of Child Support Services, Adoption, or Domestic Violence requests.
1.
Select one of the following cities where the Filing Party resides. The party who files the first document requesting
a Court hearing is the “Filing Party”.
a.
North Justice Center:
Brea
Buena Park
Fullerton
La Habra
La Palma
Placentia
Yorba Linda
b.
Harbor Justice Center:
Dana Point
Ladera Ranch
Laguna Beach
Laguna Niguel
Laguna Woods
Lake Forest
Newport Beach
Rancho Santa Margarita
San Clemente
c.
West Justice Center:
Costa Mesa
Cypress
Fountain Valley
Garden Grove
Huntington Beach
Los Alamitos
Midway City
Rossmoor
Seal Beach
Stanton
Westminster
d.
None of the above cities:
2.
Filing Party’s address (if address is confidential, provide mailing address):
3.
Does any party require an interpreter?:
Petitioner
Language:
Respondent
Language:
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)
Form Approved for Mandatory Use
L-0560 [Rev. 02/01/21]
FAMILY LAW
COVERSHEET FOR ASSIGNMENT TO ORANGE COUNTY
JUSTICE CENTER
Page 1 of 1
WARNING to the person served with the Request for Order: The court may make the requested orders without you if you do
not file a Responsive Declaration to Request for Order (form FL-320), serve a copy on the other parties at least nine court days
before the hearing (unless the court has ordered a shorter period of time), and appear at the hearing. (See form FL-320-INFO for
more information.)
Form Adopted for Mandatory Use
Judicial Council of California
FL-300 [Rev. July 1, 2016]
7.
JUDICIAL OFFICER
COURT ORDER
(FOR COURT USE ONLY)
6.
A COURT HEARING WILL BE HELD AS FOLLOWS:
Time:Date:
Address of court
(specify):
Page 1 of 4
REQUEST FOR ORDER
Family Code, §§ 2045, 2107, 6224,
6226, 6320–6326, 6380–6383;
Government Code, § 26826
Cal. Rules of Court, rule 5.92
www.courts.ca.gov
8.
2.
(date):
(date):
TEMPORARY EMERGENCY ORDERS
REQUEST FOR ORDER
CHANGE
Domestic Violence OrderChild Support
Child Custody
Attorney's Fees and Costs
Visitation (Parenting Time) Spousal or Partner Support
Property Control
Other (specify):
FOR COURT USE ONLYFOR COURT USE ONLY
TELEPHONE NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
FAX NO.:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
STATE BAR NUMBER:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
FL-300
1.
a.
b. same as noted above
Dept.: Room.:
other
4.
A Responsive Declaration to Request for Order (form FL-320) must be served on or before
Time for service until the hearing is shortened. Service must be on or before
The parties must attend an appointment for child custody mediation or child custody recommending counseling as follows
(specify date, time, and location):
2WKHUVSHFLI\
Date:
It is ordered that:
The orders in Temporary Emergency (Ex Parte) Orders (form FL-305) apply to this proceeding and must be personally
served with all documents filed with this Request for Order.
(Forms FL-300-INFO and DV-400-INFO provide information about completing this form.)
NOTICE OF HEARING
3.
5.
Other Parent/PartyRespondentPetitioner
TO (name(s)):
PARTY WITHOUT ATTORNEY OR ATTORNEY
Other (specify):
Accounting - Determination of
✖
IN PRO PER CSS#
ORANGE
LAMOREAUX JUSTICE CENTER
Orange, CA 92863-1570
341 The City Drive
P.O. Box 14170
✖
✖
The visitation (parenting time) order was filed on
The order for legal or physical custody was filed on
(date):
(2)
.
The court ordered (specify):
. The court ordered (specify):
(1)
(date):
Attachment 2d.
visitation (parenting time).child custodyThis is a change from the current order for
The orders that I request are in the best interest of the children because (specify):
Attachment 2a.
a.
Form FL-311 Form FL-312
Form FL-341(D)
Form FL-341(C)
Form FL-341(E)
Form FL-305
(specify):
Other
(2)
As follows (specify):
Specified in the attached forms:
(1)
Attachment 2b.
visitation (parenting time) are:child custodyThe orders I request forb.
Child's Name
Date of Birth
Legal Custody to (person who
decides: health, education, etc):
Physical Custody to (person
with whom child lives):
I request that the court make orders about the following children (specify):
c.
Attachment 2c.
d.
REQUEST FOR ORDER
FL-300
Page 2 of 4
FL-300 [Rev. July 1, 2016]
REQUEST FOR ORDER
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
2.
CHILD CUSTODY
VISITATION (PARENTING TIME)
I request temporary emergency orders
The orders are from the following court or courts (specify county and state):
(specify):
(specify):
(specify):
(specify):
Case No. (if known):
Case No. (if known):
Case No. (if known):
Case No. (if known):
Petitioner
Respondent
Other Parent/Party (Attach a copy of the orders if you have one.)
a.
b.
c.
d.
Criminal: County/state
Family: County/state
Juvenile: County/state
Other: County/state
One or more domestic violence restraining/protective orders are now in effect between (specify):
1.
Note:
Place a mark in front of the box that applies to your case or to your request. If you need more space, mark the box for
“Attachment.” For example, mark “Attachment 2a” to indicate that the list of children's names and birth dates continues on a paper
attached to this form. Then, on a sheet of paper, list each attachment number followed by your request. At the top of the paper, write
your name, case number, and “FL-300” as a title. (You may use Attached Declaration (form MC-031
) for this purpose.)
X
RESTRAINING ORDER INFORMATION
FL-300 [Rev. July 1, 2016]
Page 3 of 4
REQUEST FOR ORDER
4.
a. $
Amount requested (monthly):
The court should should make, change, or end the support orders because (specify):
I have completed and filed a current Income and Expense Declaration (form FL-150
) in support of my request.
d.
e.
(date):
end the current support order filed onchangeb.
I want the court to
Attachment 4e.
The court ordered $
c.
This request is to modify (change) spousal or partner support after entry of a judgment.
I have completed and attached Spousal or Partner Support Declaration Attachment (form FL-157) or a declaration
that addresses the same factors covered in form FL-157.
(Note: An Earnings Assignment Order For Spousal or Partner Support (form FL-435
) may be issued.)
per month for support.
I have completed and filed with this Request for Order a current Income and Expense Declaration (form FL-150
) or I filed
a current Financial Statement (Simplified) (form FL-155
) because I meet the requirements to file form FL-155.
c.
(date):
I want to change a current court order for child support filed on
b.
d.
The court should make or change the support orders because (specify):
Attachment 3d.
The court ordered child support as follows (specify):
Monthly amount ($) requested
(if not by guideline)
Child's name and age
a.
I request support for each child
based on the child support guideline.
Attachment 3a.
I request that the court order child support as follows:
(Note: An earnings assignment may be issued. See Income Withholding for Support (form FL-195
)
FL-300
SPOUSAL OR DOMESTIC PARTNER SUPPORT
3.
CHILD SUPPORT
a.
control of the following property that we
The petitioner respondent other parent/party be given exclusive temporary use, possession, and
b.
and liens coming due while the order is in effect:
The petitioner respondent other parent/party be ordered to make the following payments on debts
own or are buying
lease or rent (specify):
c. This is a change from the current order for property control filed on
(date):
Specify in Attachment 5d
the reasons why the court should make or change the property control orders. d.
For:Pay to: Amount: $ Due date:
Pay to: For: Amount: $ Due date:
Pay to: For: Amount: $ Due date:
Pay to: For: Amount: $ Due date:
5.
PROPERTY CONTROL
I request temporary emergency orders
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
I want the court to change or end the orders because (specify):
The Restraining Order After Hearing (form DV-130) was filed on (date):
a.
endchange
I request that the court the personal conduct, stay-away, move-out orders, or other
protective orders made in Restraining Order After Hearing (form DV-130). (If you want to change the orders, complete 7c.)
b.
Attachment 7c.
I request that the court make the following changes to the restraining orders (specify):
c.
Attachment 7d.
d.
10.
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.
Page 4 of 4
FL-300 [Rev. July 1, 2016]
REQUEST FOR ORDER
Requests for Accommodations
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available if
you ask at least five days before the proceeding. Contact the clerk's office or go to www.courts.ca.gov/forms for Request
for Accommodations by Persons With Disabilities and Response (form MC-410
). (Civ. Code, § 54.8.)
FACTS TO SUPPORT the orders I request are listed below. The facts that I write in support and attach to this request
cannot be longer than 10 pages, unless the court gives me permission.
The hearing date and service of the the Request for Order to be sooner.
I need the order because (specify):
b.
(number):
court days before the hearing.
To serve the Request for Order no less than
a.
c.
Attachment 9c.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF APPLICANT)
OTHER ORDERS REQUESTED (specify):
8.
FL-300
7.
DOMESTIC VIOLENCE ORDER
Attachment 8.
6.
A current Income and Expense Declaration (form FL-150
).
b.
A Supporting Declaration for Attorney's Fees and Costs Attachment (form FL-158
) or a declaration that addresses the
factors covered in that form.
c.
A Request for Attorney's Fees and Costs Attachment (form FL-319
) or a declaration that addresses the factors covered
in that form.
a.
I request attorney's fees and costs, which total (specify amount):
$ . I filed the following to support my request:
ATTORNEY'S FEES AND COSTS
Do not use this form to ask for domestic violence restraining orders! Read form DV-505-INFO, How Do I Ask for a
Temporary Restraining Order, for forms and information you need to ask for domestic violence restraining orders.
Read form DV-400-INFO, How to Change or End a Domestic Violence Restraining Order for more information.
TIME FOR SERVICE / TIME UNTIL HEARING
9.
I urgently need:
•
•
Attachment 10.
CASE NUMBER:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
✖
A
ccounting - Determination of
✖
Form Adopted for Mandatory Use
Judicial Council of California
FL-490 [Rev. January 1, 2020]
APPLICATION TO DETERMINE ARREARS
Family Code, §§ 4720-4732
www.courts.ca.gov
FL-490
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
1.
2.
4.
5.
6.
Child Support
Unreimbursed expenses Unreimbursed medical expenses
Spousal or partner support
Family support
Medical support
(specify):
Other
NOT A COURT ORDER
APPLICATION TO DETERMINE ARREARS
Attachment to Request for Order (form )
I ask that the amount of past due support payments (arrears) be decided in this case.
I have attached (check all that apply):
a.
2WKHUVSHFLI\
The children for whom support is to be paid were living with me full time for the period from
I have already paid
c.
b.
a.
b.
c.
a Declaration of Payment History ( ).
a Payment History Attachment ( ).
2WKHUVSHFLI\
3.
I ask that the amount of past due support payments (arrears) be decided in this case.
I am asking the other person to pay
I have previously asked the other parent for payment and provided the other parent with an itemized statement of the
medical expense.
attorney fees costs.
childcare expense
of the support ordered. Proof of payment is attached.
. I provided all of their support during that period. I am attaching a detailed declaration
payments that you have made on these bills.)
Income and Expense Declaration (form ) is attached.
(Attach copies of all bills being claimed and proof of any
explaining these facts and supporting documentation, including any proof that the children were living with me.
to:
unreimbursed
contained in the attached declaration.
Facts in support of the relief requested are (specify):
NOTICE: This form must be attached to Request for Order (FL-300)
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
(SIGNATURE OF DECLARANT)
Date:
(TYPE OR PRINT NAME)
Petitioner/plaintiff
Respondent/defendant
Other parent/party
Other (specify):
allsome
Page _____ of _____
FL-420
FL-421
FL-300
FL-150
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state Bar number, and address) or
GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406):
TELEPHONE NO.:
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
CASE NUMBER:
DECLARATION OF PAYMENT HISTORY
Declaration of (name):
Based on my records or my recollection, I declare that the information on the attached pages showing the amounts ordered and
the amounts paid are true and correct for the following obligations (check all that apply):
Child support
Number of pages attached:
CHILD SUPPORT:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
NOTICE: Interest that is not calculated is not waived
Date:
(SIGNATURE)
(TYPE OR PRINT NAME)
DECLARATION OF PAYMENT HISTORY
(Family Law—Governmental—Uniform Parentage Act)
Family Code, §§ 5230.5,
17524(a), 17526(c)
Form Adopted for Mandatory Use
Judicial Council of California
FL-420 [Rev. January 1, 2003]
STREET ADDRESS:
MAILING ADDRESS:
FL-420
Page 1 of 1
E–MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
FAX NO. (Optional):
Details of the arrearage statement, consisting of (specify number) pages, are attached.
1.
2.
3.
a.
b.
c.
d.
e.
f.
Medical support
Spousal support
Family support
Unreimbursed medical expenses
Unreimbursed child care expenses
Date:
(SIGNATURE OF DECLARANT)
(TYPE OR PRINT NAME)
SUPPORT ARREARAGE SUMMARY
This summary is for arrearage for the periods specified in the attached pages.
Interest is calculated through (specify date):
Principal:
Interest (optional): Total Arrearage:
$
SPOUSAL SUPPORT:
$
FAMILY SUPPORT:
$
UNREIMBURSED
MEDICAL EXPENSES:
$
UNREIMBURSED
CHILD CARE EXPENSES:
$
OTHER (specify):
$
$
$
$
$
$
$
$
$
$
$
$
$
Submitted by:
g.
Other (specify):
MEDICAL SUPPORT:
$
$ $
www.courtinfo.ca.gov
ORANGE
341 The Cit
y
Drive
P.O. Box 14170
Oran
g
e, CA 92863-1570
LAMOREAUX JUSTICE CENTER
PETITIONER/PLAINTIFF:
CASE NUMBER:
RESPONDENT/DEFENDANT:
OTHER PARENT:
PAYMENT HISTORY FOR
(check one):
Spousal
June
March
May
AMOUNT
ORDERED
January
February
April
July
PAYMENT HISTORY ATTACHMENT
(Family Law—Governmental—Uniform Parentage Act)
Family Code, §§ 5230.5,
17524 (a), 17526(c)
Form Approved for Optional Use
Judicial Council of California
FL-421 [Rev. July 1, 2003]
FL-421
Child Unreimbursed child care
Unreimbursed medical Other
(specify):
Year Year Year
AMOUNT
ORDERED
AMOUNT
ORDERED
AMOUNT
PAID
AMOUNT
PAID
AMOUNT
PAID
August
September
October
November
December
TOTAL
June
March
May
AMOUNT
ORDERED
January
February
April
July
Year Year Year
AMOUNT
ORDERED
AMOUNT
ORDERED
AMOUNT
PAID
AMOUNT
PAID
AMOUNT
PAID
August
September
October
November
December
TOTAL
Page 1 of ________
MedicalFamily
www.courtinfo.ca.gov
PAYMENT HISTORY ATTACHMENT
(Family Law—Governmental—Uniform Parentage Act)
FL-421 [Rev. July 1, 2003]
INSTRUCTIONS FOR COMPLETING PAYMENT RECORD
You must complete a separate
Payment History Attachment
form for each type of support paid. Enter the year, list
the amount ordered, and the amount paid for each month during that year. If the amounts repeat in a column, you can use
an arrow as shown in the example below. Add the amounts in each column to get the yearly totals. Enter the totals at the
bottom.
Attach additional sheets and supporting documents (bills, receipts, and other proof of expense) as necessary.
June
March
May
AMOUNT
ORDERED
January
February
April
July
Year Year
AMOUNT
ORDERED
AMOUNT
PAID
AMOUNT
PAID
August
September
October
November
December
TOTAL
2000 2001
100
1,200 600
1,200
400
0
0
100
100
100
100
100
100
0
100
0
100
100
0
Child
x
June
March
May
AMOUNT
ORDERED
January
February
April
July
AMOUNT
PAID
August
September
October
November
December
TOTAL
100
1,200 600
0
100
100
0
100
Spousal
x
100
You must complete a separate
Payment History Attachment
form for each type of unreimbursed expense. If you have more than one
bill, receipt, and other proof of expense per month use an additional declaration page (form MC-031) or separate page. 1.) Itemize each
expense; 2.) attach proof of bill or payment; 3.) mark each bill or payment with an Exhibit # _____; 4.) group the bills, receipts, and
other proof of expense in chronological order for each month; and 5.) enter the total bills, receipts, and other proof of expense for each
month. If your court order did not state a specific due date for reimbursement, then include that amount in the month that the expense
was incurred.
UNREIMBURSED CHILD CARE, MEDICAL, OR OTHER EXPENSES:
June
March
May
AMOUNT
ORDERED
January
February
April
July
Year
AMOUNT
PAID
August
September
October
November
December
TOTAL
2001
50% ($200)
$400 150
0
50
Unreimbursed child care expenses
x
50% ($200)
50% ($200)
50% ($200)
100
0
June
March
May
AMOUNT
ORDERED
January
February
April
July
Year
AMOUNT
PAID
August
September
October
November
December
TOTAL
2001
50% ($200)
$237.50 0
0
0
Unreimbursed medical expenses
x
50% ($200)
50% ($75)
0
Petitioner/Plaintiff
Defendant/Respondent
CASE NUMBER
Form MC-031
I request reimbursement for 50% of these expenses, which
are supported by copies of bills, receipts, and other proof
of expense.
01/04/01
01/08/01
02/15/01
04/26/01
01/02
Dr. Adams
Dr. Lee, D.D.S.
02/02
03/02
04/02
$45.00
$155.00
AB X-ray Inc. $200.00
Exhibit A
Exhibit B
Exhibit C
Exhibit DKids Therapy $75.00
Child care expenses:
ABC School
ABC School
ABC School
ABC School
50% ($200)
50% ($200)
50% ($200)
50% ($200)
I declare under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Form MC-031
ATTACHED DECLARATION
(SIGNATURE OF DECLARANT)(TYPE OR PRINT NAME)
Exhibit E
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Form Approved for Optional Use
Judicial Council of California
MC-031 [Rev. July 1, 2005]
ATTACHED DECLARATION
PLAINTIFF/PETITIONER:
CASE NUMBER:
DEFENDANT/RESPONDENT:
MC-031
(This form must be attached to another form or court paper before it can be filed in court.)
DECLARATION
Date:
(SIGNATURE OF DECLARANT)
(TYPE OR PRINT NAME)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Plaintiff
Other (Specify):
Defendant
Attorney for
Petitioner
Respondent
Page 1 of 1
FL-330
ATTORNEY OR PARTY WITHOUT ATTORNEY OR GOVERNMENTAL AGENCY (under Family Code, §§ 17400,17406
(Name, State Bar number, and address):
PROOF OF PERSONAL SERVICE
I am at least 18 years old, not a party to this action, and not a protected person listed in any of the orders.
Person served (name):
I served copies of the following documents (specify):
By personally delivering copies to the person served, as follows:
Date: b. Time:
Address:
I am
registered California process server.
exempt from registration under Business & Profession a.
d.
a California sheriff or marshal.e.
My name, address, and telephone number, and, if applicable, county of registration and number (specify):
7. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
8.
Date:
(TYPE OR PRINT NAME OF PERSON WHO SERVED THE PAPERS) (SIGNATURE OF PERSON WHO SERVED THE PAPERS)
Page 1 of 1
Code of Civil Procedure, § 1011
www.courts.ca.gov
Form Approved for Optional Use
Judicial Council of California
FL-330 [Rev. January 1, 2012]
PROOF OF PERSONAL SERVICE
FOR COURT USE ONLY
CASE NUMBER:
1.
2.
3.
4.
a.
c.
5.
not a registered California process server.
a registered California process server.
an employee or independent contractor of a
b.
c.
Code section 22350(b).
6.
I am a California sheriff or marshal and I certify that the foregoing is true and correct.
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
TELEPHONE NO.:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
FAX NO.:
HEARING DATE:
DEPT.:
HEARING TIME:
(If applicable, provide):
IN PRO PER CSS#
ORANGE
341 The Cit
y
Drive
P.O. Box 14170
Oran
g
e, CA 92863-1570
LAMOREAUX JUSTICE CENTER
Request for Order (FL-300), Application to Determine Arrears (FL-490), Declaration of Payment History
(FL-420), Payment History Attachment (FL-421), Attached Declaration (MC-031)
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):
IN PRO PER CSS#
ORANGE
341 The Cit
y
Drive
P.O. Box 14170
Oran
g
e, CA 92863-1570
LAMOREAUX JUSTICE CENTER
Request for Order (FL-300), Application to Determine Arrears (FL-490), Declaration of Payment History
(FL-420), Payment History Attachment (FL-421), Attached Declaration (MC-031)
'2127ZULWHRQWKHIROORZLQJEODQNIRUPV
These blank forms must be served on the Other Party so that the Other Party may
respond to this action. These blank forms must accompany a conformed (stamped)
copy of all the forms that you prepared and filed today.

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Estos formularios en blanco deben ser entregadas a la Otra Parte para que la Otra
Parte podrá responder a esta acción. Estos formularios en blanco deberán
acompañar una copia conforme (sellada) de todas las formas que ha preparado y
archivado hoy.
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:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
STATE BAR NUMBER:
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
Orange
341 The City Drive
Orange, CA 92868
Lamoreaux Justice Center
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
(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:
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):
Or
ange
341 The City Drive
Orange, CA 92868
Lamoreaux Justice Center
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SUPERIOR COURT OF CALIFORNIA Self-Help Services www.occourts.orgself-help COUNTY (The Superior Court of California - County of Orange)

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Completed 8 February 2021

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