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.