supfl 400 superior court of california county of … · superior court of california county of...

SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ 1 Second Street, Room 300 Watsonville, CA 95076 Watsonville Branch

FOR COURT USE ONLY

PLAINTIFF/PETITIONER: vs. DEFENDANT/RESPONDENT:

FAMILY LAW PARENTAGE JUDGMENT CHECKLIST PETITION TO ESTABLISH PARENTAL RELATIONSHIP

CASE NUMBER:

Form Adopted for OPTIONAL USE Superior Court of Santa Cruz County SUPFL 400 07/01/20

FAMILY LAW PARENTAGE JUDGMENT CHECKLIST

Page 1 of 4

SUPFL 400

� TRUE DEFAULT CASE (no Response and NO WRITTEN AGREEMENT)

1. � Proof of Service of Summons [FL-115]

� Personal Service [FL-115]

� Notice and Acknowledgment of Receipt attached [FL-117]

� Service out-of-state by certified mail with receipt attached [FL-115 or out-of-state form]

� Other (please describe)

2. � Request to Enter Default [FL-165] with one (1) self-addressed envelope with postage prepaid

� Income and Expense Declaration [FL-150] (if you are requesting attorney fees/costs)

� Financial Statement (simplified) [FL-155] (if you are not requesting attorney fees/costs, and

you qualify for this form according to the instructions on page 2 of the form; if you do not

qualify, you must complete an Income and Expense Declaration)

3. � Declaration for Default or Uncontested Judgment [FL-230]

4. � Advisement and Waiver of rights Regarding Parentage [FL-235]

INSTRUCTIONS: Use this checklist to show the Court that you have turned in all the forms needed to get a Judgment in your Parentage case. The three types of cases this applies to are:

1. True Default – no Response filed, no written agreement 2. Default Case with written agreement – no Response filed 3. Uncontested – Response filed and a written agreement

Check the box below for your type of case, then complete all the times in that section. You only need to complete the list for your case type. All items MUST be completed either by checking each line to indicate you have filed that form or by marking N/A to say that an item is not applicable.

PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT:

CASE NUMBER:



Page 2 of 4

5. � Co-Parenting Class Certificate from https://pas.familieschange.ca.gov/ (only from Petitioner)

6. � Judgment [FL-250]

� Child Custody and Visitation Attachment [FL-341]

� Child Support Order Attachment [FL-342]

� Guideline child support calculation (Judicial Council approved software)

� Non-Guideline Child Support Findings attachment [FL-342(A)]

� Notice of Rights and Responsibilities/Information Sheet on Changing a Child Support Order

[FL-192]

� Child Support Case Registry Form [FL-191]

� Order/Notice to Withhold Income [FL-195]

6. � Notice of Entry of Judgment [FL-190] and two (2) self-addressed stamped envelopes (one for each

party)

7. � Other (identify any optional forms included): ___________________________________________

__________________________________________________________________________________

� DEFAULT CASE WITH WRITTEN AGREEMENT (no Response filed)

1. � Proof of Service of Summons [FL-115]

� Personal Service [FL-115]

� Notice and Acknowledgment of Receipt attached [FL-117]

� Service out-of-state by certified mail with receipt attached [FL-115 or out-of-state form]

� Other (please describe)

2. � Request to Enter Default [FL-165] with one (1) self-addressed envelope with postage prepaid

� Income and Expense Declaration [FL-150] (if you are requesting attorney fees/costs)

� Financial Statement (simplified) [FL-155] (if you are not requesting attorney fees/costs, and

you qualify for this form according to the instructions on page 2 of the form; if you do not

qualify, you must complete an Income and Expense Declaration)

� Or Written Agreement


4. � Advisement and Waiver of rights Regarding Parentage [FL-235]

5. � Co-Parenting Class Certificate from https://pas.familieschange.ca.gov/ (from both parties)

https://pas.familieschange.ca.gov/https://pas.familieschange.ca.gov/


CASE NUMBER:



Page 3 of 4

6. � Stipulation for Entry of Judgment Regarding Establishing Parental Relationship [FL-240]

7. � Judgment [FL-250] with written agreement

� Child Custody/visitation and Family Code §3048 issues addressed

� Child Support – State whether child support is at guideline amount or not and include

language required in Family Code §4065

� If below guideline, attach guideline support calculation (Judicial Council approved software)

� Medical insurance and uninsured health care costs addressed


[FL-192]



� Signature(s) are notarized for self-represented parties

� Attorney has signed and approved Judgment for represented party

8. � Notice of Entry of Judgment [FL-190] and two (2) self-addressed envelopes (one for each party)

� UNCONTESTED CASE (Response filed AND written agreement)

1. � Appearance, Stipulations, and Waivers [FL-130] (along with Respondent’s first appearance fee if

not already paid)


3. � Advisement and Waiver of Rights Regarding Parentage [FL-235] (from both parties)

4. � Co-Parenting Class Certificate from https://pas.familieschange.ca.gov/ (from both parties)

5. � Stipulation for Entry of Judgment Regarding Establishing Parental Relationship [FL-240]

6. � Judgment [FL-250] with written agreement

� Child custody/visitation and Family Code §3048 issues are addressed

� Declaration for Default or Uncontested Judgment [FL-230]

� If below guideline, attach guideline support calculation (Judicial Council approved software)

� Medical insurance and uninsured health care costs addressed


[FL-192]


https://pas.familieschange.ca.gov/


CASE NUMBER:



Page 4 of 4


� Signature(s) are notarized for self-represented parties

� Attorney has signed and approved Judgment for represented party

7. � Notice of Entry of Judgment [FL-190] and two (2) self-addressed stamped envelopes (one for each

party)

I certify that all of the information indicated in this checklist has been provided to the court.

Date:

Submitting party’s signature

2 Request to Enter Default FL165 with one 1 selfaddressed envelope with postage prepaid: 2 Request to Enter Default FL165 with one 1 selfaddressed envelope with postage prepaid_2: Date: Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box4: OffCheck Box5: OffCheck Box6: OffCheck Box7: OffCheck Box8: OffCheck Box9: OffCheck Box10: OffCheck Box11: OffPLAINTIFFPETITIONER: DEFENDANTRESPONDENT: CASE NUMBER: Check Box12: OffCheck Box13: OffCheck Box14: OffCheck Box15: OffCheck Box16: OffCheck Box17: OffCheck Box18: OffCheck Box19: OffCheck Box20: OffCheck Box21: OffCheck Box22: OffCheck Box23: OffCheck Box24: OffCheck Box25: OffCheck Box26: OffCheck Box27: OffCheck Box28: OffCheck Box29: OffCheck Box30: OffCheck Box31: OffCheck Box32: OffCheck Box33: OffCheck Box34: OffCheck Box35: OffCheck Box36: OffCheck Box37: OffCheck Box38: OffCheck Box39: OffCheck Box40: OffCheck Box41: OffCheck Box42: OffCheck Box43: OffCheck Box44: OffCheck Box45: OffCheck Box46: OffCheck Box47: OffCheck Box48: OffCheck Box49: OffCheck Box50: OffCheck Box51: OffCheck Box52: OffCheck Box53: OffCheck Box54: OffCheck Box55: OffCheck Box56: OffCheck Box57: OffCheck Box58: OffCheck Box59: OffCheck Box60: OffCheck Box61: OffCheck Box62: OffCheck Box63: OffCheck Box64: OffText65: Text66:

supfl 400 superior court of california county of … · superior court of california county of...

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