FL-461 - Attachment to Qualified Domestic Relations Order for Support (Earnings Assignment Order for Support)

Summary

Attachment to Qualified Domestic Relations Order for Support (Earnings Assignment Order for Support)

Text

Form ID: FL-461
Title: Attachment to Qualified Domestic Relations Order for Support (Earnings Assignment Order for Support)
Effective Date: 2003-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-461
Primary Download URL: https://www.courts.ca.gov/documents/fl461.pdf
Form Detail Page:
Attachment to Qualified Domestic Relations Order for Support (Earnings Assignment Order for Support)
(FL-461)
Tells the retirement plan information about the employee and the person receiving spousal or partner support. It is attached to Qualified Domestic Relations Order for Support (form FL-460), but is not filed with the court.
Get form FL-461
Effective: January 1, 2003
PDF Text:
CASE NUMBER:
ATTACHMENT TO
QUALIFIED DOMESTIC RELATIONS ORDER FOR SUPPORT (form FL-460)
This separate statement of confidential information sets forth the social security number of the Employee and 
any alternate participant for whose benefit spousal or family support is being withheld under the Qualified 
Domestic Relations Order for Support (form FL-460). The Plan will require this information for tax reporting 
purposes. Do not include social security numbers for persons receiving child support or for a child alternate 
payee. This form must be completed and served on the Plan with a copy of the order.
EMPLOYEE INFORMATION
Employee name:
Employee social security number:
SPOUSAL OR FAMILY ALTERNATE PAYEE INFORMATION (for spousal or family support only):
Spousal or family alternate payee's name:
Spousal or family alternate payee's social security number:
 ATTACHMENT TO QUALIFIED DOMESTIC RELATIONS ORDER
FOR SUPPORT (EARNINGS ASSIGNMENT ORDER FOR SUPPORT)
STATEMENT OF CONFIDENTIAL INFORMATION 
DO NOT FILE WITH COURT 
Family Code, § 5208; 42 U.S.C. § 405Form Approved for Optional Use
Judicial Council of California
FL-461 [Rev. January 1, 2003]
FL-461
PETITIONER/PLAINTIFF:
OTHER PARENT:
RESPONDENT/DEFENDANT:
a.
1.
b.
a.
2.
b.
Page 1 of 1
www.courtinfo.ca.gov
 Laura Lynn Morgan 31/03 Morgan I Love You

Retrieval chunks

• #1

  Form ID: FL-461 Title: Attachment to Qualified Domestic Relations Order for Support (Earnings Assignment Order for Support) Effective Date: 2003-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-461 Primary Download URL: https://www.courts.ca.gov/documents/fl461.pdf Form Detail Page:…