L-1301 (Rev. 08/27/2015)
Approved for Optional Use
Expedited Processing Attachment and Stipulation Paternity Judgment Page 1 of 4
EXPEDITED PROCESSING ATTACHMENT TO PATERNITY
JUDGMENT
CASE NUMBER:
WARNING: This Attachment only includes the minimum statutory requirements at the time of entry of judgment.
It does not replace the stipulated judgment or other required documents.
I. CHILD CUSTODY/VISITATION PURSUANT TO FC §3048
(1) This court has jurisdiction to make child custody orders in this case under the Uniform Child Custody
Jurisdiction and Enforcement Act (part 3 of the California Family Code commencing with section
3400).
(2) The responding party was given notice and an opportunity to be heard as provided by the laws of the
State of California.
(3) The country of habitual residence of the child(ren) is:
the United States
other (specify country): _____________________________________________
(4) If you violate this order you may be subject to civil or criminal penalties, or both.
(5) The judgment contains a clear description of the custody and visitation rights of each party.
II. CHILD SUPPORT
a. FINDINGS PURSANT TO FC §3901 and §4065
(1) The Parties are fully informed of their rights concerning child support.
(2) The order is being agreed to without coercion or duress.
(3) The agreement is in the best interests of the child(ren) involved.
(4) The needs of the child(ren) will be adequately met by the stipulated amount.
(5) Unless otherwise indicated, the right to support has not been assigned to the county pursuant to
Section 11477 of the Welfare and Institutions Code and no public assistance application is pending.
b. MONEY JUDGMENT IN COURT ORDER PURSUANT TO FC §5616
In the event that there is a contract between a party receiving support and a private child support collector,
the party ordered to pay support must pay the fee charged by the private child support collector. This fee
must not exceed 33 1/3 percent of the total amount of past due support nor may it exceed 50 percent of
any fee charged by the private child support collector. The money judgment created by this provision is in
favor of the private child support collector and the party receiving support, jointly.
L-1301 (Rev. 08/27/2015)
Approved for Optional Use
Expedited Processing Attachment and Stipulation Paternity Judgment Page 2 of 4
c. BASE CHILD SUPPORT
Please check all appropriate boxes. At least one (1) box must be checked:
CHILD SUPPORT IS RESERVED (If checked, skip directly to section III)
CHILD SUPPORT SERVICES INVOLVED
The parties currently have an open case with the Child Support Services (CSS) and a
CSS representative has signed the proposed judgment.
The parties currently have an open case with CSS, no child support orders are
contained in this judgment, and the court reserves jurisdiction over the issue of child
support, health insurance coverage, and additional child support.
If checked, skip directly to section III.
AGREED UPON SUPPORT
Petitioner Respondent shall pay to Petitioner Respondent base child support of
$_____________ per week month, payable $ ______________ on the
________________ and $ ________________ on the ________________ of each
week month, commencing ________________ and continuing until the
child(ren) for whom support is payable: marries, dies, is emancipated, until further order
of the court or, as to an unmarried child who has attained the age of 18 years old, is a full-
time high school student, and who is not self-supporting, until the time the child
completes the 12th grade or attains the age of 19 years old, whichever first occurs.
d. MANDATORY ADDITIONAL CHILD SUPPORT PURSUANT TO FC §4062
Petitioner Respondent shall pay child care costs related to employment or reasonably necessary
education/job training:
in the amount of $ ________________ per week month or ____ % of total.
No child care costs orders are contained in this judgment and the court
reserves jurisdiction over the issue of child care costs.
Petitioner
Respondent shall pay the reasonable uninsured health care costs for the child(ren):
in the amount of $ ________________ per week month or ____ % of total.
e. DISCRETIONARY ADDITIONAL CHILD SUPPORT PURSUANT TO FC §4062
Petitioner Respondent shall pay costs related to ___________________________________
_____________________________________________________________________________:
in the amount of $ ________________ per week month or _____ % of total.
f. TOTAL CHILD SUPPORT
Petitioner Respondent shall pay to
Petitioner
Respondent base child support of $____________ per
week month, plus additional child support as specified in sections d and/or e) in the section above,
for a total of $___________ per week month, payable $ ________________ per week month,
$ ________________ on the ________________ and $ ________________ on the ________________ of
each week month, commencing on ______________ and continuing until the child(ren) for
whom support is payable: marries, dies, is emancipated, until further order of the court or, as to an
unmarried child who has attained the age of 18 years old, is a full-time high school student, and who is
not self-supporting, until the time the child completes the 12th grade or attains the age of 19 years old,
whichever first occurs.
L-1301 (Rev. 08/27/2015)
Approved for Optional Use
Expedited Processing Attachment and Stipulation Paternity Judgment Page 3 of 4
g. REQUIRED ATTACHMENT PURSUANT TO FC §4063 and §7600
The parties have attached the following form: “Notice of Rights and Responsibilities: Health Care Costs
and Reimbursement Procedures and Information sheet on Changing a Child Support Order” (FL-192).
h. HEALTH INSURANCE COVERAGE PURSUANT TO FC §3751
If child support is not reserved, at least one (1) of the following boxes must be checked.
Health insurance coverage for the minor child(ren) must be maintained by Petitioner Respondent if that
insurance is available at no cost or at reasonable cost to the parent(s) through their respective places of
employment or self-employment. Both parties are ordered to cooperate in the presentation, collection, and
reimbursement of any health care claims. The parent ordered to provide health insurance must seek continuation
of coverage for the child after the child attains the age when the child is no longer considered eligible for coverage
as a dependent under the insurance contract, if the child is incapable of self-sustaining employment because of a
physically or mentally disabling injury, illness, or condition and is chiefly dependent upon the parent providing
health insurance for support and maintenance.
Health Insurance is not available to the
Petitioner
Respondent at a reasonable cost at this time.
Should health insurance coverage become available to a parent for no or for reasonable cost, that parent
must apply for that coverage.
i. INCOME WITHHOLDING FOR CHILD SUPPORT PURSUANT TO FC §5230
An Income Withholding for Child Support (form FL-195) is issued. Note: The payor of child support is
responsible for the payment of support directly to the recipient until support payments are deducted from
the payor's wages, and for any support not paid by the assignment.
j.
EMPLOYER INFORMATION PURSUANT TO FC §4014
The parties must notify the other parent of the name and address of his or her current employer.
III. MISCELLANEOUS PROVISIONS
The Settlement Agreement/Stipulated Judgment that is also attached to the Judgment (form FL-250) contains
further orders.
All provisions are deemed incorporated into the Judgment. As to the provisions that contain a checkbox ( ),
only those provisions that are checked become part of the Judgment.
If there is any express conflict between the Settlement Agreement/Stipulated Judgment and this Expedited
Processing Attachment, the Expedited Processing Attachment prevails. However, this Expedited Processing
Attachment is not all inclusive. The fact that this Expedited Processing Attachment is less detailed is not a
conflict. The Expedited Processing Attachment only includes the minimum statutory requirements at the time
of entry of judgment. It does not replace the stipulated judgment or other required documents.
L-1301 (Rev. 08/27/2015)
Approved for Optional Use
Expedited Processing Attachment and Stipulation Paternity Judgment Page 4 of 4
IV. STIPULATION FOR JUDGMENT
The parties agree that the Judgment (form FL-250) and all attachments, including this Expedited Processing
Attachment, contain the exact terms of the Judgment to be entered in this case.
Approved as confirming to the agreement of the parties:
Each attachment to this judgment is incorporated into this judgment, and the parties are ordered to comply
with each attachment’s provisions. Jurisdiction is reserved to make other orders necessary to carry out this
judgment.
_________ _____________________________________
Date Judge / Commissioner of the Superior Court
I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct and agreed to by:
*: If Judgment is being submitted by way of a Stipulated Default (no Response [form FL-220] or Appearance,
Stipulations and Waivers [form FL-130] has been filed), then the Respondent's signature must be notarizedDQG
must comply with Civil Code §1189.
______________________________________
Petitioner: Date
_____________________________________
Respondent: Date
______________________________________
Date
Attorney for Petitioner
______________________________________
Date
Attorney for Petitioner