CIRCUIT COURT FOR , MARYLAND
Located at Case No.
PETITION TO MODIFY CHILD SUPPORT
(Family Law Art., Title 12)
MDEC counties only: You must file a Notice Regarding Restricted Information Pursuant to
Rule 20-201.1 (form MDJ-008) with this submission.
NOTE: Complete and attach a financial form to this document. If parents’ combined gross monthly income (not
take home pay) is $15,000 or less, attach Financial Statement (Child Support Guidelines) (CC-DR-030); if the
combined gross monthly income is more than $15,000, attach Financial Statement (General) (CC-DR-031).
My name is and I state that:
1. I am the
of the following child(ren)
or adult disabled child(ren), including children who are under age 19, and
are enrolled in secondary school:
Name(s) Date(s) of birth
2. On , the Circuit Court for issued an
order in case number , ordering
to pay $
monthly toward the support of the
3. Since the most recent order, circumstances have changed (check all that apply):
Expenses for the child(ren) have substantially increased (explain):
CC-DR-006 (Rev. 01/2021) Page 1 of 2
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This form contains Restricted Information.