FL-665 - Findings and Recommendation of Commissioner (Governmental)

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Findings and Recommendation of Commissioner (Governmental)

Text

Form ID: FL-665
Title: Findings and Recommendation of Commissioner (Governmental)
Effective Date: 2026-01-01
Mandatory Form: yes
Languages: español
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-665
Primary Download URL: https://www.courts.ca.gov/documents/fl665.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl665s.pdf
Form Detail Page:
Findings and Recommendation of Commissioner (Governmental)
(FL-665)
Tells you how much child support the temporary judge (commissioner) thinks should be ordered in your case.
Get form FL-665
español
Get form FL-665 in Spanish
(Spanish)
Effective: January 1, 2026
PDF Text:
Page 1 of 3
Form Adopted for Alternative Mandatory Use 
Instead of Form FL-692  
Judicial Council of California  
FL-665 [Rev. January 1, 2026]
FINDINGS AND RECOMMENDATION OF COMMISSIONER 
(Governmental) 
Family Code, § 4251
FL-665
PARTY WITHOUT ATTORNEY OR ATTORNEY (Name, state bar number, and address):
 
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
FINDINGS AND RECOMMENDATION OF COMMISSIONER 
CASE NUMBER:
1. Name (specify): objected to Commissioner (name):
hearing this matter as a temporary judge.
2. THIS MATTER PROCEEDED AS FOLLOWS
a. By court hearing, 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) by (name):
(6) Other (specify):  
b. The parent ordered to pay support is the petitioner respondent other parent/party.
3. 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. 
4. This recommended order is based on the attached documents (specify):
 
5. THE COMMISSIONER RECOMMENDS THE FOLLOWING
a.  All orders previously made in this action remain in full force and effect except as modified below.
b.  (Name of parent): (Name of parent):
are the parents of the children listed below.
c. 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.
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-665 [Rev. January 1, 2026] FINDINGS AND RECOMMENDATION OF COMMISSIONER 
(Governmental) 
Page 2 of 3
FL-665
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
5. c. (2) Other (specify):
 
(3) For a total of: $ payable on the (specify): day of each month
beginning on (date):
(4) The low-income adjustment applies at the lowest amount of the range.
The lowest amount of the low-income adjustment is rebutted and does not apply because (specify reasons):
 
(5) Earning capacity. The court finds that the (check all that apply):
(a) parent ordered to pay support has the ability to earn $  per month.
(b) person ordered to receive support has the ability to earn $  per month.
(c) The factors used to calculate earning capacity under Family Code section 4058(b) are stated
(i) in Earning Capacity Factors Attachment (form ).
(ii) as follows (specify):
 
(6) Any support ordered will continue until further order of court, unless terminated by operation of law.
d. 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.
e. 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.
f. The parent ordered to pay support owes support arrears as follows, as of (date):
(1) Child support: $ Spousal support: $ Family support: $
(2) Interest is not included and is not waived.
(3) Payable: $ on the: day of each month
beginning (date):

FL-665 [Rev. January 1, 2026] FINDINGS AND RECOMMENDATION OF COMMISSIONER 
(Governmental) 
Page 3 of 3
FL-665
PETITIONER:
RESPONDENT:
OTHER PARENT/PARTY:
CASE NUMBER:
5. f. (4) Interest accrues on the entire principal balance owing and not on each installment as it becomes due.
g. No provision of this judgment/order may 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.
h. All payments, unless specified in item 5c(1) above, must be made to the State Disbursement Unit at:  
California State Disbursement Unit, P.O. Box 989067, West Sacramento, CA 95798-9067.   
i. An earnings assignment order is issued.
j. In the event that there is a contract between a person ordered to receive support and a private child support collector, the party 
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. 
k. If "The parent ordered to pay support" box is checked in item 5d, a health insurance coverage assignment must issue. 
l. The parents must notify the local child support agency in writing within 10 days of any change in residence or employment.
m. Notice of Rights and Responsibilities Regarding Child Support (form FL-192) is attached.
n. The following person (the "other parent/party") is added as a party to this action (name):
o. The court further recommends (specify):
 
Date:
COMMISSIONER
Number of pages attached: SIGNATURE FOLLOWS LAST ATTACHMENT
CLERK’S CERTIFICATE OF SERVICE OR MAILING
I certify that I am not a party to this cause and that
1. Personal service. A true copy of this Findings and Recommendation of Commissioner was handed to the
petitioner respondent other parent/party
at the hearing of this matter before the commissioner.
2. Mail. A true copy of this Findings and Recommendation of Commissioner was mailed first class, postage fully prepaid, in a 
sealed envelope addressed as shown below, and that the request was mailed
at (place): California,
on (date):
Date: Clerk, by , Deputy

Retrieval chunks

• #1

  Form ID: FL-665 Title: Findings and Recommendation of Commissioner (Governmental) Effective Date: 2026-01-01 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-665 Primary Download URL: https://www.courts.ca.gov/documents/fl665.pdf Alternate Download URLs: https://www.c…

• #2

  $ $ (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…

• #3

  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 …

• #4

  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. k. If "The parent ordered to pay support…