FL-645 - Notice to Local Child Support Agency of Intent to Take Independent Action to Enforce Support Order (Governmental)

Summary

Notice to Local Child Support Agency of Intent to Take Independent Action to Enforce Support Order (Governmental)

Text

Form ID: FL-645
Title: Notice to Local Child Support Agency of Intent to Take Independent Action to Enforce Support Order (Governmental)
Effective Date: 2003-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-645
Primary Download URL: https://www.courts.ca.gov/documents/fl645.pdf
Form Detail Page:
Notice to Local Child Support Agency of Intent to Take Independent Action to Enforce Support Order (Governmental)
(FL-645)
Tell the local child support agency that you want to file your own request to enforce the support order.
Get form FL-645
Effective: January 1, 2003
PDF Text:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
TELEPHONE NO.:
FOR COURT USE ONLY
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
CASE NUMBER:NOTICE TO LOCAL CHILD SUPPORT AGENCY OF INTENT TO TAKE 
INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER
NOTICE
If you are receiving support enforcement services from the local child support agency, you may start independent 
enforcement action 30 days after you send this notice to the local child support agency unless the local child support 
agency objects.
You must personally deliver personally or mail this notice to the local child support agency.
You must file the independent action specified below within 180 days of the date this notice is served.
1.  I am a parent of the minor children in this action.
2.  I intend to start an independent enforcement action at least 30 days after this notice is delivered personally or mailed to the
     local child support agency. The enforcement action to be taken is as follows (specify):
3.  (Check whichever statement is true)
I have applied for public assistance. I intend to apply forI am receiving public assistance.
public assistance from  (county name):
a.
County for the children in this action.
b. I am not receiving public assistance for the children in this action.
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)
Page 1 of 3
NOTICE TO LOCAL CHILD SUPPORT AGENCY OF INTENT TO TAKE
INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER
(Governmental)
Form Adopted For Mandatory Use
Judicial Council of California
FL-645 [Rev. January 1,  2003]
Family Code, 17404
STREET ADDRESS:
MAILING ADDRESS:
FL-645
www.courtinfo.ca.gov.

PETITIONER/PLAINTIFF: CASE NUMBER:
RESPONDENT/DEFENDANT:
OTHER PARENT:
DECLARATION OF MAILING
I served a copy of this document by enclosing it in a sealed envelope and depositing the envelope
ordirectly in the United States mail with postage paid at my place of business for same day collection
and mailing with the United States mail, following our ordinary business practices with which I am readily familiar.
c. Place of deposit (city and state):
a. Date of deposit
b. Addressed as follows:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF PERSON WHO SERVED NOTICE)(TYPE OR PRINT NAME)
NOTICE TO LOCAL CHILD SUPPORT AGENCY OF INTENT TO TAKE
INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER
(Governmental)
FL-645 [Rev. January 1,  2003]
Page 2 of 3

INFORMATION SHEET FOR NOTICE TO LOCAL CHILD 
SUPPORT AGENCY OF INTENT TO TAKE INDEPENDENT
ACTION TO ENFORCE SUPPORT ORDER
Please follow these instructions to complete the Notice to Local Child Support Agency of Intent to Take Independent Action to Enforce 
Support  Order (form FL-645) if you do not have an attorney to represent you. Your attorney, if you have one, should complete this 
form.
When you have completed this notice, you should keep the original and mail a copy of the notice to the local child support agency. The 
local child support agency must give you a written response to your notice within 30 days. You cannot proceed with an enforcement 
action if the local child support agency notifies you within 30 days that it objects to your proposed enforcement action. If the local child 
support agency either does not answer or does not object to your proposed enforcement action, you may file the proposed action. You 
must file your enforcement action within 180 days of the date you send this notice to the local child support agency.
When you file your enforcement action with the court clerk, you should include the original copy of this notice and a copy of the local 
child support agency's response if you received one. The address of the court clerk is listed in the telephone directory under "County 
Government Offices." You may have to pay a filing fee. If you cannot afford to pay the filing fee, the court may waive it. For more 
information about the filing fee and waiver of the filing fee, contact the court clerk.
INSTRUCTIONS FOR COMPLETING THE NOTICE TO LOCAL CHILD SUPPORT AGENCY OF INTENT TO TAKE INDEPENDENT 
ACTION TO ENFORCE SUPPORT ORDER (TYPE OR PRINT ON FORM IN BLACK INK):
Front page, first box, top of form on left side: Print your name, address, and telephone number in this box if they are not already there.
Front page, second box on left side: Print your county's name and the court's address in the box. Use the same address for the court 
that is on your most recent support order or judgment. If you do not have a copy of your most recent support order or judgment, you 
can get one from either the court clerk or the local child support agency.
Front page, third box on left side: Print the names of the Petitioner/Plaintiff, Respondent/Defendant, and Other Parent in this box. Use 
the same names listed in your most recent support order or judgment. If no name is listed for the Other Parent, leave that line blank.
Front page, first box, top of form on right side: Leave this box blank for the court's use.
Front page, second box on right side: Print your case number in this box. This number is also listed on your most recent support order 
or judgment.
This section states that you are the parent of the minor children.1.
2. In this space you must write the enfor cement action that you intend to file.
3. Check the correct box if you either receive welfare, have app lied for welfare, or if you are going to apply for welfare for the 
children. Write the name of the county where you receive or may receive welfare for the children.
Check this box if you do not receive and have not applied for welfare for the children.
You must date the request, print your name and sign the form under penalty of perjury. When you sign the form, you are stating that 
the information you have provided is true and correct.
Top of second page, box on left side: Print the names of 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 case number in this box. Use the same number as on the front page.
Declaration of mailing: Complete the declaration of mailing.
NOTICE TO LOCAL CHILD SUPPORT AGENCY OF INTENT TO TAKE
INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER
(Governmental)
FL-645 [Rev. January 1,  2003]
Page 3 of 3
a.
b.

Retrieval chunks

• #1

  Form ID: FL-645 Title: Notice to Local Child Support Agency of Intent to Take Independent Action to Enforce Support Order (Governmental) Effective Date: 2003-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-645 Primary Download URL: https://www.courts.ca.gov/documents/fl645.pdf For…

• #2

  PETITIONER/PLAINTIFF: CASE NUMBER: RESPONDENT/DEFENDANT: OTHER PARENT: DECLARATION OF MAILING I served a copy of this document by enclosing it in a sealed envelope and depositing the envelope ordirectly in the United States mail with postage paid at my place of business for same day collection and mailing with t…

• #3

  INSTRUCTIONS FOR COMPLETING THE NOTICE TO LOCAL CHILD SUPPORT AGENCY OF INTENT TO TAKE INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER (TYPE OR PRINT ON FORM IN BLACK INK): Front page, first box, top of form on left side: Print your name, address, and telephone number in this box if they are not already there. Front pa…