
TELEPHONE NO. (Optional):
FOR COURT USE ONLYGOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
SHORT FORM ORDER AFTER HEARING
This matter proceeded as follows:
Date:
b.
c.
Current child support is suspended commencing (date): . Any order to liquidate
All orders previously made in this action will remain in full force and effect except as specifically modified below.
THE COURT FINDS, based upon the moving papers:
is the "obligor" in this proceeding.
Date:
JUDICIAL OFFICER OF THE SUPERIOR COURT
Approved as conforming to court order:
Form Approved for Optional Use
Judicial Council of California
Rule 1296.32 [New January 1, 2002]
SHORT FORM ORDER AFTER HEARING
(Governmental)
Family Code, §§ 17400, 17402,
17404, 17406
1.
a.
Petitioner/Plaintiff present
Respondent/Defendant present
a.
b.
1296.32
Obligor is not ordered to provide health insurance coverage for the children in this action at this time. Obligor is
ordered to obtain health insurance coverage for the children in this action if it becomes available at no or reasonable
cost.
OTHER PARENT:
FAX NO. (Optional):
Uncontested By stipulation Contested
Dept.: Judicial officer:
d. Other parent present
Attorney present (name):
Attorney present (name):
Attorney present (name):
e. Attorney for local child support agency present under Family Code sections 17400 and 17406 (name):
f. Other (specify):
2.
The obligor is and based thereon has no ability to pay support.
c.
Health insurance coverage at no or reasonable cost is currently not available to the obligor to cover the minor children in
this action.
THE COURT ORDERS:3.
a.
b.
This matter is continued to in Dept.: for the following purposes only:
c.
Obligor is ordered to appear on the continuance date.
d.
e.
f.
support arrearages is suspended until further order of the court. Obligor must notify the local child support agency in
writing within 10 days of any change in income, employment status, residence or availability of health insurance
coverage for the children in this action. The court retains jurisdiction to order support retroactive to the date when obligor
becomes employed or otherwise able to pay support.
Other (specify):
(SIGNATURE OF ATTORNEY FOR OBLIGOR)
E-MAIL ADDRESS (Optional):
(Name):
Number of pages attached: _______4.
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