court_form | California
FL-692 - Minutes and Order or Judgment (Governmental)
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Minutes and Order or Judgment (Governmental)
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Form ID: FL-692 Title: Minutes and Order or Judgment (Governmental) Effective Date: 2026-01-01 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-692 Primary Download URL: https://www.courts.ca.gov/documents/fl692.pdf Alternate Download URLs: https://www.courts.ca.gov/documents/fl692s.pdf Form Detail Page: Minutes and Order or Judgment (Governmental) (FL-692) Tells you the judge's decision after a court hearing. Get form FL-692 español Get form FL-692 in Spanish (Spanish) Effective: January 1, 2026 PDF Text: Page 1 of 4 Form Adopted for Alternative Mandatory Use Instead of Form FL-615, FL-625, FL-630, FL-665, or FL-687 Judicial Council of California FL-692 [Rev. January 1, 2026] MINUTES AND ORDER OR JUDGMENT (Governmental) Family Code, §§ 17400, 17406 FL-692 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 MINUTES ORDER JUDGMENT RECOMMENDED ORDER CASE NUMBER: This form may be used for preparation of court minutes and/or as an alternative to form FL-615, FL-625, FL-630, FL-665, or FL-687. If this form is prepared as both court minutes and an alternative to one of these forms, then the parties do not need to prepare any additional form of order. 1. This matter proceeded as follows: Uncontested By stipulation Contested Judgment entered by default after court hearing under Family Code section 17430(b)(3). a. Date: Time: Department: b. Judicial officer (name): Judge Pro Tempore Commissioner Court reporter (name): Court clerk (name): c. Interpreter(s) present (name): for (name): (specify language): d. Petitioner present Attorney present (name): e. Respondent present Attorney present (name): f. Other parent/party present Attorney present (name): g. Local child support agency attorney (Fam. Code, §§ 17400, 17406) by (name): h. The parent ordered to pay support is the petitioner respondent other parent/party. i. Other (specify): 2. This is a recommended order/judgment based on the objection of (specify name): 3. a. This matter is taken off calendar. b. This entire matter is denied with without prejudice. c. This matter is continued at the request of the local child support agency petitioner respondent other parent/party to Date: Time: Department: (specific issues): Petitioner Respondent Other parent/party is ordered to appear at that date and time. d. The court takes the following matters under submission (specify): 4. Order of examination The petitioner respondent other parent/party other (specify): was sworn and examined. Examination was held outside of court. 5. Referrals a. The parties are referred to family court services or mediation. b. Petitioner Respondent Other parent/party is referred to the family law facilitator. c. Other (specify): THE COURT FINDS 6. Petitioner Respondent Other parent/party was was not served regarding this matter. 7. Petitioner Respondent Other parent/party admits denies parentage. 8. The parents of the children named below in item 14a are (specify names): FL-692 [Rev. January 1, 2026] MINUTES AND ORDER OR JUDGMENT (Governmental) Page 2 of 4 FL-692 PETITIONER: RESPONDENT: OTHER PARENT/PARTY: CASE NUMBER: 9. Petitioner Respondent Other parent/party has read, understands, and has signed Advisement and Waiver of Rights for Stipulation (Governmental) (form ) and gives up those rights and freely agrees that a judgment may be entered in accordance with these findings. 10. a. Guideline support amount: $ b. This order is is not based on the guideline. c. The attached Guideline Findings Attachment (Governmental) (form ) is incorporated into these findings. d. A printout, which shows the calculation of child support payable, is attached and must become the court's findings. e. The child support agreed to by the parents is below above the statewide child support guideline. The amount of support that would have been ordered under the guideline formula is: $ per month. The parties have been fully informed of their rights concerning child support. Neither party is acting out of duress or coercion. Neither party is receiving public assistance, and no application for public assistance is pending. The needs of the children will be adequately met by this agreed-upon amount of child support. The order is in the best interest of the children. If the order is below the guideline, no change of circumstance will be required for the court to modify this order. If the order is above the guideline, a change of circumstance will be required for the court to modify this order. f. 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): 11. Arrearages from (specify date): through (specify date): are: $ including interest interest not computed and not waived. THE COURT ORDERS 12. All orders previously made in this action must remain in full force and effect except as specifically modified below. 13. Genetic testing must be coordinated by the local child support agency. a. Petitioner Respondent Other parent/party other (specify): and the minor children must each submit to genetic testing as directed by the local child support agency. b. The parent ordered to pay support must reimburse the local child support agency for genetic testing costs of: $ 14. a. The parent ordered to pay support is the parent of the children listed below and must pay current child support for them. The court finds that there is sufficient evidence that the parent ordered to pay support is the parent of the children listed below and therefore there is sufficient evidence to enter a support order. Name of child Date of birth Monthly basic support amount $ $ $ Additional children are listed on an attached page. b. The parent ordered to pay support must pay additional support monthly for actual childcare costs of (specify amount): $ one-half (specify percent): percent of said costs. Payments must be made to the other parent/party State Disbursement Unit childcare provider. c. The parent ordered to pay support must pay reasonable uninsured health care costs for the children of (specify amount): $ one-half (specify percent): percent of said costs. Payments must be made to the other parent/party State Disbursement Unit health care provider. d. The parent ordered to pay support must pay additional support monthly for the following (specify): (specify amount): $ one-half (specify percent): percent of said costs. Payments must be made to the other parent/party State Disbursement Unit. e. Other (specify): 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-692 [Rev. January 1, 2026] MINUTES AND ORDER OR JUDGMENT (Governmental) Page 3 of 4 FL-692 PETITIONER: RESPONDENT: OTHER PARENT/PARTY: CASE NUMBER: 14. f. For a total of:$ payable on the: day of each month beginning (date): g. 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): h. Earning capacity. The court finds that the (check all that apply): (1) parent ordered to pay support has the ability to earn $ per month. (2) person ordered to receive support has the ability to earn $ per month. (3) The factors used to calculate earning capacity under Family Code section 4058(b) are stated (a) in Earning Capacity Factors Attachment (form ). (b) as follows (specify): i. Any support ordered will continue until further order of court, unless terminated by operation of law. 15. 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. 16. The parent ordered to pay support may claim the children for tax purposes as long as all child support payments are current as of the last day of the year for which the exemptions are claimed. 17. Petitioner Respondent Other parent/party must pay to petitioner respondent other parent/party as spousal support family support $ per month, beginning (date): payable on the: day of each month. 18. The parent ordered to pay support must pay child support for the following past periods and in the following amounts: Name of child Period of support Amount $ $ $ a. Other (specify): b. For a total of:$ payable on the: day of each month beginning (date): c. Interest accrues on the entire principal balance owing and not on each installment as it becomes due. 19. The parent ordered to pay support owes support arrears as follows, as of (date): a. Child support: $ Spousal support: $ Family support: $ Other: $ b. Interest is not computed and is not waived. c. Payable: $ on the: day of each month beginning (date): FL-692 [Rev. January 1, 2026] MINUTES AND ORDER OR JUDGMENT (Governmental) Page 4 of 4 FL-692 PETITIONER: RESPONDENT: OTHER PARENT/PARTY: CASE NUMBER: 19. d. Interest accrues on the entire principal balance owing and not on each installment as it becomes due. 20. No provision of this judgment can operate to limit any right to collect all sums owing in this matter as otherwise provided by law. 21. All payments, unless specified in items 14b, 14c, and 14d above, must be made to the State Disbursement Unit at: California State Disbursement Unit, P.O. Box 989067, West Sacramento, CA 95798-9067. 22. An earnings assignment order is issued. 23. 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. 24. If "The parent ordered to pay support" box is checked in item 15, a health insurance coverage assignment must issue. 25. Job search. (Specify name(s)): must seek employment for at least (specify number): jobs per week and report those job applications and results to the court and the local child support agency at the continuance date. These job applications are to be made in person, not by phone, fax, or email. 26. For purposes of the licensing issue only, the parent ordered to pay support is found to be in compliance with the support order in this action. The local child support agency must issue a release of license(s). 27. Notwithstanding any noncompliance issues with the support order in this action, the court finds that the needs of the party ordered to pay support warrant a conditional release. The local child support agency must issue a release of license(s). Such release is effective only as long as the parent ordered to pay support complies with all payment terms of this order. 28. A warrant of attachment/bench warrant issues for (specify name): a. Bail is set in the amount of: $ b. Service is stayed until (date): 29. The court retains jurisdiction to make orders retroactive to (date): 30. The court reserves jurisdiction over all issues the issues of (specify): 31. The parents must notify the local child support agency in writing within 10 days of any change in residence or employment. 32. Notice of Rights and Responsibilities Regarding Child Support (form ) is attached and incorporated. 33. The following person (the "other parent/party") is added as a party to this action (name): 34. The court further orders (specify): Number of pages attached: Approved as conforming to court order. Date: (SIGNATURE OF PARENT ORDERED TO PAY SUPPORT OR THEIR ATTORNEY) (SIGNATURE OF PERSON ORDERED TO RECEIVE SUPPORT OR THEIR ATTORNEY) JUDICIAL OFFICER Signature follows last attachment. Approved as conforming to court order. Date: (SIGNATURE OF ATTORNEY FOR LOCAL CHILD SUPPORT AGENCY)
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Form ID: FL-692 Title: Minutes and Order or Judgment (Governmental) Effective Date: 2026-01-01 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-692 Primary Download URL: https://www.courts.ca.gov/documents/fl692.pdf Alternate Download URLs: https://www.courts.ca.gov/d…
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Petitioner Respondent Other parent/party is ordered to appear at that date and time. d. The court takes the following matters under submission (specify): 4. Order of examination The petitioner respondent other parent/party other (specify): was sworn and examined. Examination was held outside of court. 5. Referra…
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11. Arrearages from (specify date): through (specify date): are: $ including interest interest not computed and not waived. THE COURT ORDERS 12. All orders previously made in this action must remain in full force and effect except as specifically modified below. 13. Genetic testing must be coordinated by the local…
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h. Earning capacity. The court finds that the (check all that apply): (1) parent ordered to pay support has the ability to earn $ per month. (2) person ordered to receive support has the ability to earn $ per month. (3) The factors used to calculate earning capacity under Family Code section 4058(b) are stated (…
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Name of child Period of support Amount $ $ $ a. Other (specify): b. For a total of:$ payable on the: day of each month beginning (date): c. Interest accrues on the entire principal balance owing and not on each installment as it becomes due. 19. The parent ordered to pay support owes support arrears as follows…
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ordered to pay support warrant a conditional release. The local child support agency must issue a release of license(s). Such release is effective only as long as the parent ordered to pay support complies with all payment terms of this order. 28. A warrant of attachment/bench warrant issues for (specify name): a. …