FL-650 - Statement for Registration of California Support Order (Governmental)

Summary

Statement for Registration of California Support Order (Governmental)

Text

Form ID: FL-650
Title: Statement for Registration of California Support Order (Governmental)
Effective Date: 2003-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-650
Primary Download URL: https://www.courts.ca.gov/documents/fl650.pdf
Form Detail Page:
Statement for Registration of California Support Order (Governmental)
(FL-650)
Tells you that your support order was moved (registered) to the court of a different county.
Get form FL-650
Effective: January 1, 2003
PDF Text:
GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406): FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF 
MAILING  ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
STATEMENT FOR REGISTRATION OF CALIFORNIA SUPPORT ORDER CASE NUMBER:
Order for Earnings AssignmentSupport Order
a California support order a California order for earnings assignmentThe local child support agency's statement to register 
is as follows:
Petitioner/Plaintiff Respondent/DefendantThe Obligor (the parent ordered to pay support) is
Other parent
An endorsed filed copy of the most recent support order or earnings assignment (or a copy) is attached.
An affidavit or declaration of Obligor's payment history is attached.
A Declaration of Payment History (form FL-420) is attached.
The arrearage balance is unknown.
a.
b
c.
The local child support agency's post office address is (specify):
Obligor's last known place of residence or mailing address, or address in the records of the California Department of Motor
Vehicles, is (specify):
States and counties in which the original order for support or order for earnings assignment, and any modifications, are registered 
(specify):
None, or unknown.
NOTICE TO OBLIGOR
You have 20 days after the date of mailing of this Statement for Registration of California Support Order  to petition the 
court to cancel (vacate) this registration or for other relief.  (Family Code, § 5603.)  (See the accompanying document 
to determine the date of mailing.)
The local child support agency may seek a health insurance coverage assignment enrolling the children in an
appropriate health insurance plan under Family Code section 3761.
STATEMENT FOR REGISTRATION
OF CALIFORNIA SUPPORT ORDER
(Governmental)
Family Code, § 5601Form Adopted for Mandatory Use
Judicial Council of California
FL-650 [Rev. January 1,  2003]
STREET ADDRESS:
1. 
2. 
3. 
4. 
5. 
1.
2.
TELEPHONE NO.: FAX NO.:
FL-650
6. 
Page 1 of 1
www.courtinfo.ca.gov.

Retrieval chunks

• #1

  Form ID: FL-650 Title: Statement for Registration of California Support Order (Governmental) Effective Date: 2003-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-650 Primary Download URL: https://www.courts.ca.gov/documents/fl650.pdf Form Detail Page: Statement for Registration o…

• #2

  TELEPHONE NO.: FAX NO.: FL-650 6. Page 1 of 1 www.courtinfo.ca.gov.