FL-616 - Declaration for Amended Proposed Judgment (Governmental)

Summary

Declaration for Amended Proposed Judgment (Governmental)

Text

Form ID: FL-616
Title: Declaration for Amended Proposed Judgment (Governmental)
Effective Date: 2026-01-01
Mandatory Form: yes
Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-616
Primary Download URL: https://www.courts.ca.gov/documents/fl616.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl616c.pdf, https://www.courts.ca.gov/documents/fl616k.pdf, https://www.courts.ca.gov/documents/fl616s.pdf, https://www.courts.ca.gov/documents/fl616t.pdf, https://www.courts.ca.gov/documents/fl616v.pdf
Form Detail Page:
Declaration for Amended Proposed Judgment (Governmental)
(FL-616)
Tells you that the local child support agency wants to change how much child support you should pay.
Get form FL-616
汉语
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(Chinese Simplified)
한국어
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(Korean)
español
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(Spanish)
Tagalog
Get form FL-616 in Tagalog
(Tagalog)
Tiếng Việt
Get form FL-616 in Vietnamese
(Vietnamese)
Effective: January 1, 2026
PDF Text:
Page 1 of 2
Form Adopted for Mandatory Use 
Judicial Council of California 
FL-616 [Rev. January 1, 2026]
DECLARATION FOR AMENDED PROPOSED JUDGMENT 
(Governmental)
Family Code, §§ 17400, 17406, 17430
FL-616
GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406):
TELEPHONE NO.: FAX NO. (Optional):
EMAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
FOR COURT USE ONLY
DECLARATION FOR AMENDED PROPOSED JUDGMENT
CASE NUMBER:
1. The local child support agency is providing enforcement services in this case. 
2. On (date): a Summons and Complaint Regarding Parental Obligations (form ) was filed requesting 
the respondent pay child support based on the California support guideline. The amount of the support requested was based on the 
respondent's gross monthly income as follows (check one):
a. Known income of: $ per month 
b. Earning capacity of: $ per month because respondent's (check one)
(1) earning capacity was greater than known income.
(2) actual income was unknown.
3. Since the service of the Summons and Complaint Regarding Parental Obligations (form ), the local child support agency has
received the following additional information that would result in a different support order.
a. Other parent's gross monthly income is: $
b. Respondent's gross monthly income is as follows (check one):
(1) Known income of: $ per month 
(2) Earning capacity of: $ per month. The factors used to calculate respondent's
earning capacity under Family Code section 4058(b) are stated
(a) in Earning Capacity Factors Attachment (form ).
(b) as follows (specify):
 
c. Other (specify):
 
4. An amended proposed judgment is attached.
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 DECLARANT)

FL-616 [Rev. January 1, 2026] DECLARATION FOR AMENDED PROPOSED JUDGMENT 
(Governmental)
Page 2 of 2
FL-616
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
PROOF OF SERVICE
5. I served this declaration and the attached amended proposed judgment on the respondent.
a. Personal delivery. I personally delivered this declaration and amended proposed judgment to the respondent 
as follows:
(1) Name:
(2) Address where delivered:
 
(3) Date of delivery:
(4) Time of delivery:
b. Mail. I deposited this declaration and amended proposed judgment in the United States mail, in a sealed envelope with 
postage fully prepaid. I used first-class mail. The envelope was addressed and mailed as follows:
(1) Name:
(2) Address:
 
(3) Date of mailing:
(4) Place of mailing (city and state):
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 WHO SERVED RESPONDENT)
6. I served this declaration and the attached amended proposed judgment on the other parent/party.
a. Personal delivery. I personally delivered this declaration and amended proposed judgment to the other parent/party as 
follows:
(1) Name:
(2) Address where delivered:
 
(3) Date of delivery:
(4) Time of delivery:
b. Mail. I deposited this declaration and amended proposed judgment in the United States mail, in a sealed envelope with 
postage fully prepaid. I used first-class mail. The envelope was addressed and mailed as follows:
(1) Name:
(2) Address:
 
(3) Date of mailing:
(4) Place of mailing (city and state):
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 WHO SERVED OTHER PARENT/PARTY)

Retrieval chunks

• #1

  Form ID: FL-616 Title: Declaration for Amended Proposed Judgment (Governmental) Effective Date: 2026-01-01 Mandatory Form: yes Languages: 汉语, 한국어, español, Tagalog, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-616 Primary Download URL: https://www.courts.ca.gov/documents/fl616.pdf Alternate …

• #2

  b. Respondent's gross monthly income is as follows (check one): (1) Known income of: $ per month (2) Earning capacity of: $ per month. The factors used to calculate respondent's earning capacity under Family Code section 4058(b) are stated (a) in Earning Capacity Factors Attachment (form ). (b) as follows (specif…