FL-630 - Judgment Regarding Parental Obligations (Governmental)

Summary

Judgment Regarding Parental Obligations (Governmental)

Text

Form ID: FL-630
Title: Judgment Regarding Parental Obligations (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-630
Primary Download URL: https://www.courts.ca.gov/documents/fl630.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl630c.pdf, https://www.courts.ca.gov/documents/fl630k.pdf, https://www.courts.ca.gov/documents/fl630s.pdf, https://www.courts.ca.gov/documents/fl630t.pdf, https://www.courts.ca.gov/documents/fl630v.pdf
Form Detail Page:
Judgment Regarding Parental Obligations (Governmental)
(FL-630)
Tells you that the judge named the legal parents of the child and made a child support order. If it's "proposed" it means the judge hasn't approved it yet.
Get form FL-630
汉语
Get form FL-630 in Chinese Simplified
(Chinese Simplified)
한국어
Get form FL-630 in Korean
(Korean)
español
Get form FL-630 in Spanish
(Spanish)
Tagalog
Get form FL-630 in Tagalog
(Tagalog)
Tiếng Việt
Get form FL-630 in Vietnamese
(Vietnamese)
Effective: January 1, 2026
PDF Text:
Page 1 of 4
Form Adopted for Alternative Mandatory Use 
Instead of Form FL-692 
Judicial Council of California 
FL-630 [Rev. January 1, 2026]
JUDGMENT REGARDING PARENTAL OBLIGATIONS 
(Governmental)
Family Code, §§ 17400, 17402, 
17404,17430
FL-630
GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406):
 
 
 
 
TELEPHONE NO.: FAX NO.:
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
JUDGMENT REGARDING PARENTAL OBLIGATIONS
AMENDED SUPPLEMENTAL
CASE NUMBER:
1. a. NOTICE: THIS IS A PROPOSED AMENDED PROPOSED JUDGMENT. This Judgment
Regarding Parental Obligations may be entered by the court and may become legally binding unless you fill out and 
file Answer to Complaint or Supplemental Complaint Regarding Parental Obligations (Governmental) (form FL-610) 
with the court clerk within 30 days of the date you were served with Summons and Complaint or Supplemental 
Complaint Regarding Parental Obligations (Governmental) (form FL-600). If you need form FL-610, you may get one 
from the local child support agency, the court clerk, or the family law facilitator. The family law facilitator will help you 
fill out the forms. To file form FL-610, follow the procedures listed in the information sheet included with that form.
b. NOTICE: THIS IS A JUDGMENT. It is now legally binding.
2. This matter proceeded as follows: 
a. Judgment entered under Family Code section 17430(a).
b. Judgment entered by default after court hearing under Family Code section 17430(b)(3).
c. Judgment entered after uncontested hearing.
d. Judgment entered after contested hearing.
e. Appearances as follows:
(1) Date: Dept.: Judicial Officer:
(2) Petitioner present Attorney present (name):
(3) Respondent present Attorney present (name):
(4) Other parent/party present Attorney present (name):
(5) Local child support agency attorney (Fam. Code, §§ 17400,17406) (name):
(6) Other (specify):
 
f. The parent ordered to pay support is the petitioner respondent other parent/party.
3. Earning Capacity. This order is based on
a. the parent ordered to pay support’s earning capacity of $   per month because (choose one):
(1) the earning capacity of the parent ordered to pay support is greater than their known income.
(2) the actual income of the parent ordered to pay support is unknown.
b. the other parent/party’s earning capacity of $   per month.
c. The factors used to determine earning capacity under Family Code section 4058(b) are stated
(1) in Earning Capacity Factors Attachment (form ).
(2) as follows (specify):

FL-630 [Rev. January 1, 2026] Page 2 of 4JUDGMENT REGARDING PARENTAL OBLIGATIONS 
(Governmental)
FL-630
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
4. Attached is a computer printout showing the parents' incomes and percentage of time each parent spends with the children. 
The printout, which shows the calculation of child support payable, will become the court's findings.
5. This order is based on the attached documents (specify):
 
THE COURT ORDERS
6. a. Petitioner Respondent Other parent/party are the parents of the children named in item 6b below.
b. The parent ordered to pay support must pay current child support as follows: 
Name of Child Date of birth Monthly Support Amount 
  $
  $
  $
(1) Mandatory additional child support.
(a) The parent ordered to pay support must pay additional monthly support for reasonable childcare costs, as follows:
One-half or  % or (specify amount): $ per month of the costs.
Payments must be made to the other parent/party State Disbursement Unit childcare provider.
(b) The parent ordered to pay support must pay reasonable uninsured health care costs for the children, as follows:
One-half or  % or (specify amount): $ per month of the costs.
Payments must be made to the other parent/party State Disbursement Unit health care provider.
(2) Other (specify):
 
(3) For a total of: $ payable on the  day of each month
beginning (date):
(4) The low-income adjustment applies at the lowest amount of the range.
The lowest amount of the low-income adjustment has been rebutted and does not apply because (specify reasons):
 
(5) Any support ordered will continue until further order of court, unless terminated by operation of law.
NOTICE: Any party required to pay child support must pay interest on overdue amounts at the legal rate, which is currently 
10 percent per year.

FL-630 [Rev. January 1, 2026] Page 3 of 4JUDGMENT REGARDING PARENTAL OBLIGATIONS 
(Governmental)
FL-630
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
6. c. The parent ordered to pay support The person ordered to receive support must (1) provide and maintain
health insurance coverage for the children if available at no or reasonable cost and keep the local child support agency 
informed of the availability of the coverage (the cost is presumed to be reasonable if it does not exceed 5 percent of gross 
income to add a child); (2) if health insurance is not available, provide coverage when it becomes available; (3) within 20 
days of the local child support agency’s request, complete and return a health insurance form; (4) provide to the local 
child support agency all information and forms necessary to obtain health care services for the children; (5) present any 
claim to secure payment or reimbursement to the other parent or caretaker who incurs costs for health care services for 
the children; and (6) assign any rights to reimbursement to the other parent or caretaker who incurs costs for health care 
services for the children. 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 on the parent providing health insurance for support and maintenance.
d. The parent ordered to pay support must pay child support for the past periods and in the amounts set forth below:
Name of child Date of birth Period of support Amount
   $
   $
   $
(1) Other (specify):
 
(2) For a total of: $ payable: $ on the: day of each month
beginning (date):
(3) Interest accrues on the entire principal balance owing and not on each installment as it becomes due.
e. If this is a judgment on a Supplemental Complaint, it does not modify or supersede any prior judgment or order for support or  
arrearage, unless specifically provided.
f. No provision of this judgment can operate to limit any right to collect the principal (total amount of unpaid support) or to charge  
and collect interest and penalties as allowed by law. All payments ordered are subject to modification.
g. All payments, unless specified in item 6b(1) above, must be made to the State Disbursement Unit at the address listed below: 
California State Disbursement Unit, P.O. Box 989067, West Sacramento, CA 95798-9067  
h. An earnings assignment order is issued.
i. In the event that there is a contract between a person ordered to receive support and a private child support collector, the 
parent 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 person ordered 
to receive support, jointly. 
j. If "The parent ordered to pay support" box is checked in item 6c, a health insurance coverage assignment must issue. 
k. The parents must notify the local child support agency in writing within 10 days of any change in residence or employment.
l. Notice of Rights and Responsibilities Regarding Child Support (form ) is attached.

FL-630 [Rev. January 1, 2026] Page 4 of 4JUDGMENT REGARDING PARENTAL OBLIGATIONS 
(Governmental)
FL-630
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
6. m. The following person (the "other parent/party") is added as a party to this action (name):
 
n. The court further orders (specify):
 
Date:
JUDICIAL OFFICER
Number of pages attached: SIGNATURE FOLLOWS LAST ATTACHMENT
Approved as conforming to court order.
Date:
(SIGNATURE OF PARENT ORDERED TO PAY SUPPORT OR THEIR ATTORNEY)

Retrieval chunks

• #1

  Form ID: FL-630 Title: Judgment Regarding Parental Obligations (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-630 Primary Download URL: https://www.courts.ca.gov/documents/fl630.pdf Alternate Do…

• #2

  fill out the forms. To file form FL-610, follow the procedures listed in the information sheet included with that form. b. NOTICE: THIS IS A JUDGMENT. It is now legally binding. 2. This matter proceeded as follows: a. Judgment entered under Family Code section 17430(a). b. Judgment entered by default after court h…

• #3

  (b) The parent ordered to pay support must pay reasonable uninsured health care costs for the children, as follows: One-half or % or (specify amount): $ per month of the costs. Payments must be made to the other parent/party State Disbursement Unit health care provider. (2) Other (specify): (3) For a total of: $ …

• #4

  d. The parent ordered to pay support must pay child support for the past periods and in the amounts set forth below: Name of child Date of birth Period of support Amount $ $ $ (1) Other (specify): (2) For a total of: $ payable: $ on the: day of each month beginning (date): (3) Interest accrues on the entire pr…