The California FL-191 form is a Child Support Case Registry Form that helps maintain important information regarding child support cases in California. This form is essential for both parents involved in a child support order, ensuring that accurate details are recorded and kept confidential. To fill out the form, please click the button below.
The California FL-191 form plays a crucial role in the child support process, serving as the Child Support Case Registry Form. This document is essential for ensuring that all relevant parties are properly identified and that support obligations are accurately recorded. It must be completed and submitted to the court alongside any court order for child support. The form collects vital information, including details about the petitioner, respondent, and any other parents involved, as well as specifics about the children covered by the support order. Importantly, the FL-191 is designed to maintain confidentiality; it will not be filed in the court's public records but kept in a secure file with the State of California. The form also requires information about the amounts ordered for child support, family support, and spousal support, along with the relationship of the individuals involved. Timeliness is key, as any changes to the information must be reported within ten days. Completing the FL-191 accurately is not just a formality; it is a necessary step in ensuring that child support obligations are met and that the welfare of the children involved is prioritized.
FL-191
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
ROBERT L. LAFER, CHIEF LEGAL COUNSEL, STATE BAR # 144971
COUNTY OF SAN DIEGO, DEPARTMENT OF CHILD SUPPORT SERVICES 220 WEST BROADWAY, SUITE 5003, P.O. BOX 122031
SAN DIEGO, CA 92112-2031
TELEPHONE NO.: (619) 236-7600
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO
STREET ADDRESS: 220 W. BROADWAY, ROOM 4005
MAILING ADDRESS: P.O. BOX 120128
CITY AND ZIP CODE: SAN DIEGO, CA 92112-4104
BRANCH NAME: CENTRAL COURT
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
CHILD SUPPORT CASE REGISTRY FORM
Mother
First form completed
Father
Change to previous information
COURT PERSONNEL:
STAMP DATE RECEIVED HERE
DO NOT FILE
CASE NUMBER
SUP CT #:
DCSS #:
THIS FORM WILL NOT BE FILED IN THE COURT FILE. IT WILL BE
MAINTAINED IN A CONFIDENTIAL FILE WITH THE STATE OF CALIFORNIA.
Notice: Pages 1 and 2 of this form must be completed and delivered to the court along with the court order for support. Pages 3 and 4 are instructional only and do not need to be delivered to the court. If you did not file the court order, you must complete this form and deliver it to the court within 10 days of the date on which you received a copy of the support order. Any later change to the information on this form must be delivered to the court on another form within 10 days of the change. It is important that you keep the court informed in writing of any changes of your address and telephone number.
1.Support order information (this information is on the court order you are filing or have received). a. Date order filed:
b.
Initial child support or family support order
Modification
c.Total monthly base current child or family support amount ordered for children listed below plus any monthly amount ordered payable on past due support (do not include child care, special needs, uninsured medical expenses, or travel for visitation):
(1)
Child support:
$
Reserved order
$0 (zero) order
Past due child support:
(2)
Family support:
Past due family support:
(3)
Spousal support: $
Past due spousal support:
(4) Wage withholding was
ordered
ordered but stayed until
2.Person required to pay child or family support (name): Relationship to child (specify):
3.Person or agency to receive child or family support payments (name): Relationship to child (if applicable):
4.The child support order is for the following children:
Child’s name
Date of birth
Social Security Number
a.
c.
d.
e.
Additional children are listed on a page attached to this document.
TYPE OR PRINT IN INK
Page 1 of 4
Form Adopted for Mandatory Use
Judicial Council of California FL-191 [Rev. January 1, 2005]
FL_191_I.DOC (5/05)
Family Code, § 4014 www.courtinfo.ca.gov
RESPONDENT/DEFENDANT: OTHER PARENT:
SUP CT #: DCSS #:
You are required to complete the following information about yourself. You are not required to provide information about the other person, but you are encouraged to provide as much as you can. This form is confidential and will not be filed in the court file. It will be maintained in a confidential file with the State of California.
5.Father's name:
a.Date of birth:
b.Social security number:
c.Street address:
City, state, zip code:
d. Mailing address:
e.Driver's license number: State:
f.Telephone number:
g. Employed Not Employed Employer's name:
Street address:
Telephone number:
6.Mother's name:
Self-Employed
g.
Employed
Not Employed
Employer's name:
7.
A restraining order, protective order, or nondisclosure order due to domestic violence is in effect.
The order protects:
From
c. The restraining order expires (date):
Children
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)
FL-191 [Rev. January 1, 2005]
Page 2 of 4
INFORMATION SHEET FOR CHILD SUPPORT CASE REGISTRY FORM
(Do NOT deliver this Information Sheet to the court clerk.)
Please follow these instructions to complete the Child Support Case Registry Form (form FL-191) if you do not have an attorney to represent you. Your attorney, if you have one, should complete this form.
Both parents must complete a Child Support Case Registry Form. The information on this form will be included in a national database which, among other things, is used to locate absent parents. When you file a court order, you must deliver a completed form to the court clerk along with your court order. If you did not file a court order, you must deliver a completed form to the court clerk WITHIN 10 DAYS of the date you received a copy of your court order. If any of the information you provide on this form changes, you must complete a new form and deliver it to the court clerk within 10 days of the change. The address of the court clerk is the same as the one shown for the superior court on your order. This form is confidential and will not be filed in the court file. It will be maintained in a confidential file with the State of California.
INSTRUCTIONS FOR COMPLETING THE CHILD SUPPORT CASE REGISTRY FORM (TYPE OR PRINT IN INK):
If the top section of the form has already been filled out, skip down to number 1 below. If the top section of the form is blank, you must provide this information.
Front page, first box, top of form, left side: Print your name, address, telephone number, fax number, and e-mail address, if any, in this box. Attorneys must include their State Bar number.
Front page, second box, left side: Print the name of the county and the court's address in this box. Use the same address for the court that is on the court order you are filing or have received.
Front page, third box, left side: Print the names of petitioner/plaintiff, respondent/defendant, and other parent in this box. Use the same names listed on the court order you are filing or have received.
Front page, fourth box, left side: Check the box indicating whether you are the mother or the father. If you are the attorney for the mother, check the box for mother. If you are the attorney for the father, check the box for father. Also, if this is the first time you have filled out this form, check the box by “First form completed.” If you have filled out form FL- 191 before, and you are changing any of the information, check the box by “Change to previous information.”
Front page, first box, top of form, right side: Leave this box blank for the court's use.
Front page, second box, right side: Print the court case number in this box. This number is also shown on the court papers.
Instructions for numbered paragraphs:
1.a. Enter the date the court order was filed. This date is shown in the "COURT PERSONNEL: STAMP DATE RECEIVED HERE" box on the front page at the top of the order on the right side. If the order has not been filed, leave this item blank for the court clerk to fill in.
b.If the court order you filed or received is the first child or family support order for this case, check the box by "Initial child support order or family support order". If this is a change to your order, check the box by "Modification".
c.Information regarding the amount and type of support ordered and wage withholding is on the court order you are filing or have received.
(1)Check this box if your order says that child support is ordered. If there is an amount, put it in the blank provided. If the order says the amount is reserved, check the "Reserved order" box. If the order says the amount is zero, check the "$0 (zero) order" box. Do not include child care, special needs, uninsured medical expenses, or travel for visitation. If the Order/Notice to Withhold Income for Child Support (form FL-195) says that there is a monthly amount payable on past due child support, check the box and enter the amount.
(2)Check this box if your order says that family support is ordered. If there is an amount, put it in the blank provided. If the order says the amount is reserved, check the "Reserved order" box. If the order says the amount is zero, check the "$0 (zero) order" box. Do not include child care, special needs, uninsured medical expenses, or travel for visitation. If the Order/Notice to Withhold Income for Child Support (form FL-195) says that there is a monthly amount payable on past due family support, check the box and enter the amount.
Page 3 of 4
(3). Check the spousal support box only if a box is checked in item 1(c)(1) for child support. If it was, put the amount of spousal support in the blank provided. If the order says the amount is reserved, check the “Reserved order” box. If the order says the amount is zero, check the “$0 (zero) order” box. If the Order/Notice to Withhold Income for Child Support (form FL-195) says that there is a monthly amount payable on past due spousal support, check the box and enter the amount.
(4). Check the “ordered” box if wage withholding was ordered with no conditions. Check the box “ordered but stayed until” if wage withholding was ordered but is not to be deducted until a later date. If the court delayed the effective date of the wage withholding enter the specific date. Check only one box in this item.
2.a. Write the name of the person who is supposed to pay child or family support.
b.Write the relationship of that person to the child.
3.a. Write the name of the person or agency that is supposed to receive child or family support payments.
4.List the full name, date of birth, and social security number for each child included in the support order. If there are more than five children included in the support order, check the box after item 4e and list the remaining children with dates of birth and social security numbers on another sheet of paper. Attach the other sheet to this form.
The local child support agency is required, under section 466(a)(13) of the Social Security Act, to place in the records pertaining to child support, the social security number of any individual who is subject to a divorce decree, support order, or paternity determination or acknowledgment. This information is mandatory and will be kept on file at the local child support agency.
Top of second page, box on left side: Print the names of the petitioner/plaintiff, respondent/defendant, and other parent in this box. Use the same names listed on the front page.
Top of second page, box on right side: Print your court case number in this box. Use the same case number as on the front page, second box, right side.
You are required to complete information about yourself. If you know information about the other person, you may also fill in what you know about him or her.
5.If you are the father in this case, list your full name in this space. See instructions for a-g under item 6 below.
6.If you are the mother in this case, list your full name in this space.
a.List your date of birth.
b.Write your social security number.
c.List the street address, city, state, and zip code where you live.
d.List the address, city, state, and zip code where you want your mail sent, if different from the address where you live.
e.Write your driver's license number and the state where it was issued.
f.List the telephone number where you live.
g.Indicate whether you are employed, self-employed, or not employed by checking the appropriate box. If you are employed, write the name, street address, city, state, zip code, and telephone number where you work.
7.If there is a restraining order, protective order, or nondisclosure order, check this box.
a.Check the box beside each person who is protected by the restraining order.
b.Check the box beside the parent who is restrained.
c.Write the date the restraining order expires. See the restraining order, protective order, or nondisclosure order for this date.
If you are in fear of domestic violence, you may want to ask the court for a restraining order, protective order, or nondisclosure order.
You must type or print your name, fill in the date, and sign the Child Support Case Registry Form under penalty of perjury. When you sign under penalty of perjury, you are stating that the information you have provided is true and correct.
Page 4 of 4
Completing the California FL-191 form is an essential step in ensuring that child support information is accurately recorded. This form must be filled out carefully and submitted to the court in conjunction with a support order. The process involves providing detailed information about the child support order, the individuals involved, and any relevant personal details. Following these steps will help you navigate the form efficiently.
The California FL 191 form, also known as the Child Support Case Registry Form, is used to collect essential information regarding child support cases. This form helps maintain a confidential record with the State of California and is crucial for establishing and enforcing child support orders.
Both parents involved in a child support case are required to complete the FL 191 form. If you are the petitioner or respondent in a child support case, you must provide the necessary information on this form to ensure compliance with court requirements.
The FL 191 form must be submitted within 10 days of receiving a copy of the court order for child support. If any changes occur regarding the information provided on this form, a new form must be submitted within 10 days of the change.
The form requires various details, including:
No, the information provided on the FL 191 form is confidential. It will not be filed in the court file but will be maintained in a separate confidential file with the State of California.
Failing to submit the FL 191 form within the required timeframe may lead to complications in your child support case. It is essential to adhere to deadlines to avoid potential legal issues or delays in processing your case.
Yes, you can complete the FL 191 form without an attorney. However, if you have legal representation, it is advisable for your attorney to assist you in filling out the form to ensure accuracy and compliance with legal requirements.
If there are any changes to the information you provided on the FL 191 form, you must complete a new form and submit it to the court within 10 days of the change. Keeping your information updated is vital for the enforcement of child support orders.
If you do not have all the required information, provide as much as you can. It is encouraged to fill in whatever details you have, as this will assist in processing the child support case. However, be sure to submit the form even if it is incomplete.
You can submit the FL 191 form by delivering it in person to the court clerk at the address listed on your court order. Ensure that you submit it along with the court order for child support or within the specified timeframe if you did not file the order.
Failing to complete all required sections of the form. Every section must be filled out accurately to ensure the form is valid.
Not providing the correct court case number. This number is crucial for identifying your case and should match the one on your court documents.
Using incorrect names for the parties involved. Ensure that the names listed are exactly as they appear on the court order to avoid confusion.
Forgetting to check the appropriate boxes. Indicating whether it is the first form or a change to previous information is essential for processing.
Leaving out the child's social security numbers. This information is mandatory and must be included for each child listed in the support order.
Not submitting the form within the required timeframe. If you received a support order, you must deliver this form to the court within 10 days.
Providing outdated or incorrect addresses. Keeping the court informed of your current address is vital for communication and legal purposes.
Neglecting to sign and date the form. A signature is required to affirm that the information provided is true and correct.
Misunderstanding the instructions regarding wage withholding. Be sure to check the correct box based on whether wage withholding is ordered or stayed.
Failing to attach additional pages if there are more than five children. If you have more children than the form allows, list them on a separate sheet and attach it.
The California FL-191 form is essential for the Child Support Case Registry. It collects necessary information regarding child support orders and the parties involved. When dealing with child support cases, several other forms and documents may be required to ensure compliance with legal requirements. Below is a list of commonly used forms alongside the FL-191.
Understanding these forms can facilitate a smoother process when navigating child support cases in California. Each document serves a specific purpose and contributes to the overall management of child support obligations. It is advisable to consult with a legal expert when completing these forms to ensure accuracy and compliance with legal standards.
The California FL-191 form is similar to the Child Support Application form (Form DCSS 001). Both documents are used to collect essential information about parents and children involved in child support cases. The Child Support Application requires details about the custodial and non-custodial parents, as well as the children, much like the FL-191. The information gathered is used to establish or modify child support orders, ensuring that the needs of the children are prioritized.
Another document that shares similarities with the FL-191 is the Child Support Order form (Form FL-300). This form is used to create a legal order for child support payments. Like the FL-191, it requires information about the parents and children. The Child Support Order details the amount of support to be paid, while the FL-191 serves to register that order with the court and provide necessary updates regarding the support case.
The Income Withholding for Support form (Form FL-195) is also comparable to the FL-191. This document is used to initiate wage garnishment for child support payments. Both forms require accurate identification of the parents and details about the support obligations. The FL-195 is specifically focused on the mechanics of payment collection, whereas the FL-191 focuses on registering and updating the support case.
The Declaration of Disclosure (Form FL-140) is another document that shares a common purpose with the FL-191. It is used in family law cases to disclose financial information. While the FL-191 focuses on child support information, both documents require accurate and thorough disclosure of personal information to ensure fair and just outcomes in family law matters.
Similar to the FL-191, the Request for Order form (Form FL-300) is used to ask the court for specific orders, including child support. Both forms require detailed information about the parents and children involved. The Request for Order is typically used to initiate or modify orders, while the FL-191 is focused on maintaining accurate records within the child support case registry.
The Child Support Enforcement (CSE) Application is also akin to the FL-191. This form is used to apply for child support services through the state. Both documents collect vital information about the parents and children, aimed at ensuring that child support is established and enforced effectively. The CSE Application is often the first step in obtaining support, while the FL-191 serves to keep the court updated on existing cases.
The Notice of Motion form (Form FL-300) is another document that parallels the FL-191. This form is used to notify the court and other parties of a request for a hearing regarding child support issues. Both documents require identifying information about the parents and children, and both are essential for the legal process surrounding child support matters.
The Statement of Information (Form FL-150) also bears similarities to the FL-191. This form is used to provide financial information in support of a request for child support. Both forms require the disclosure of personal and financial details to ensure that the court has the necessary information to make informed decisions regarding support obligations.
Lastly, the Request for Child Support Services form (Form DCSS 020) is similar to the FL-191 in that it is used to initiate services related to child support. Both forms require detailed information about the parents and children involved. The Request for Child Support Services is often the starting point for obtaining assistance, while the FL-191 is used to manage ongoing support cases.
When filling out the California FL-191 form, it is essential to approach the process with care. Below is a list of things you should and should not do to ensure that your submission is accurate and complete.
By following these guidelines, you can help ensure that your FL-191 form is processed smoothly and efficiently. Your attention to detail is vital in these matters, and taking the time to complete the form correctly can make a significant difference.
Misconception 1: The FL-191 form is filed in the court's public record.
This form is not filed in the court file. Instead, it is maintained in a confidential file with the State of California. This ensures that sensitive information remains private.
Misconception 2: Only one parent needs to complete the FL-191 form.
Both parents are required to complete a Child Support Case Registry Form. This is essential for the accurate processing of child support cases and helps maintain a complete record.
Misconception 3: The FL-191 form does not require updates.
Any changes to the information provided on the form must be reported within 10 days. This includes changes in address, telephone number, or any other relevant information.
Misconception 4: The FL-191 form can be submitted without a court order.
If a court order has not been filed, the form must still be delivered to the court within 10 days of receiving a copy of the support order. This is crucial for compliance with legal requirements.
Filling out the California FL-191 form is a crucial step in the child support process. Here are key takeaways to keep in mind: