Outline
The California FL-191 form plays a crucial role in the child support process, ensuring that pertinent information is collected and maintained in a confidential manner. This form is designed for use by parents involved in child support cases, allowing them to provide essential details about the support order, including amounts and the parties involved. It is important to note that the FL-191 form is not filed in the court file; instead, it is kept in a secure, confidential file with the State of California. Parents must complete specific sections regarding their relationship to the child, the support amounts ordered, and any changes to their personal information. Timeliness is vital, as completed forms must be submitted within ten days of receiving a support order or any changes in circumstances. The form also includes instructions for filling it out correctly, ensuring that both parents can contribute to the child support case registry, which helps in tracking and managing support obligations. By understanding the significance of the FL-191 form, parents can better navigate the complexities of child support, ultimately benefiting the well-being of their children.
Sample - California Fl 191 Form
Page 1 of 4
Form Adopted for Mandatory Use
Judicial Council of California
FL-191 [Rev. January 1, 2005]
FL_191_I.DOC (5/05)
CHILD SUPPORT CASE REGISTRY FORM
Family Code, § 4014
www.courtinfo.ca.gov
FL-191
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):
ROBERT L. LAFER, CHIEF LEGAL COUNSEL, STATE BAR # 144971
COUNTY OF SAN DIEGO, DEPARTMENT OF CHILD SUPPORT SERVICES
220 WEST BROADWAY, SUITE 5003, P.O. BOX 122031
SAN DIEGO, CA 92112-2031
TELEPHONE NO.: (619) 236-7600 FAX NO.(Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
220 W. BROADWAY, ROOM 4005
P.O. BOX 120128
SAN DIEGO, CA 92112-4104
CENTRAL COURT
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
COURT PERSONNEL:
STAMP DATE RECEIVED HERE
DO NOT FILE
CHILD SUPPORT CASE REGISTRY FORM
Mother First form completed
Father Change to previous information
CASE NUMBER
SUP CT #:
DCSS #:
THIS FORM WILL NOT BE FILED IN THE COURT FILE. IT WILL BE
MAINTAINED IN A CONFIDENTIAL FILE WITH THE STATE OF CALIFORNIA.
Notice: Pages 1 and 2 of this form must be completed and delivered to the court along with the court order for
support. Pages 3 and 4 are instructional only and do not need to be delivered to the court. If you did not file the
court order, you must complete this form and deliver it to the court within 10 days of the date on which you
received a copy of the support order. Any later change to the information on this form must be delivered to the
court on another form within 10 days of the change. It is important that you keep the court informed in writing
of any changes of your address and telephone number.
1. Support order information (this information is on the court order you are filing or have received).
a. Date order filed:
b.
Initial child support or family support order Modification
c. Total monthly base current child or family support amount ordered for children listed below plus any monthly amount ordered
payable on past due support (do not include child care, special needs, uninsured medical expenses, or travel for visitation):
(1)
Child support: $ Reserved order $0 (zero) order Past due child support: $
(2)
Family support: $ Reserved order $0 (zero) order Past due family support: $
(3)
Spousal support: $ Reserved order $0 (zero) order Past due spousal support: $
(4) Wage withholding was
ordered ordered but stayed until
2. Person required to pay child or family support (name):
Relationship to child (specify):
3. Person or agency to receive child or family support payments (name):
Relationship to child (if applicable):
4. The child support order is for the following children:
Child’s name
Date of birth Social Security Number
a.
b.
c.
d.
e.
Additional children are listed on a page attached to this document.
TYPE OR PRINT IN INK
FL-191 [Rev. January 1, 2005]
FL_191_I.DOC (5/05)
CHILD SUPPORT CASE REGISTRY FORM
Page 2 of 4
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
CASE NUMBER
SUP CT #:
DCSS #:
You are required to complete the following information about yourself. You are not required to provide information about the other
person, but you are encouraged to provide as much as you can. This form is confidential and will not be filed in the court file. It will be
maintained in a confidential file with the State of California.
5. Father's name:
a. Date of birth:
b. Social security number:
c. Street address:
City, state, zip code:
d. Mailing address:
City, state, zip code:
e. Driver's license number:
State:
f. Telephone number:
g.
Employed Not Employed Self-Employed
Employer's name:
Street address:
City, state, zip code:
Telephone number:
6. Mother's name:
a. Date of birth:
b. Social security number:
c. Street address:
City, state, zip code:
d. Mailing address:
City, state, zip code:
e. Driver's license number:
State:
f. Telephone number:
g.
Employed Not Employed Self-Employed
Employer's name:
Street address:
City, state, zip code:
Telephone number:
7.
A restraining order, protective order, or nondisclosure order due to domestic violence is in effect.
a. The order protects: Father Mother Children
b. From
Father Mother
c. The restraining order expires (date):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF PERSON COMPLETING THIS FORM)
FL-191 [Rev. January 1, 2005]
FL_191_I.DOC (5/05)
CHILD SUPPORT CASE REGISTRY FORM
Page 3 of 4
INFORMATION SHEET FOR CHILD SUPPORT CASE REGISTRY FORM
(Do NOT deliver this Information Sheet to the court clerk.)
Please follow these instructions to complete the Child Support Case Registry Form (form FL-191) if you do not have an
attorney to represent you. Your attorney, if you have one, should complete this form.
Both parents must complete a Child Support Case Registry Form. The information on this form will be included in a
national database which, among other things, is used to locate absent parents. When you file a court order, you must
deliver a completed form to the court clerk along with your court order. If you did not file a court order, you must deliver a
completed form to the court clerk WITHIN 10 DAYS of the date you received a copy of your court order. If any of the
information you provide on this form changes, you must complete a new form and deliver it to the court clerk within 10
days of the change. The address of the court clerk is the same as the one shown for the superior court on your order.
This form is confidential and will not be filed in the court file. It will be maintained in a confidential file with the State of
California.
INSTRUCTIONS FOR COMPLETING THE CHILD SUPPORT CASE REGISTRY FORM (TYPE OR PRINT IN INK):
If the top section of the form has already been filled out, skip down to number 1 below. If the top section of the form is
blank, you must provide this information.
Front page, first box, top of form, left side
: Print your name, address, telephone number, fax number, and e-mail address,
if any, in this box. Attorneys must include their State Bar number.
Front page, second box, left side
: Print the name of the county and the court's address in this box. Use the same
address for the court that is on the court order you are filing or have received.
Front page, third box, left side
: Print the names of petitioner/plaintiff, respondent/defendant, and other parent in this box.
Use the same names listed on the court order you are filing or have received.
Front page, fourth box, left side
: Check the box indicating whether you are the mother or the father. If you are the
attorney for the mother, check the box for mother. If you are the attorney for the father, check the box for father. Also, if
this is the first time you have filled out this form, check the box by “First form completed.” If you have filled out form FL-
191 before, and you are changing any of the information, check the box by “Change to previous information.”
Front page, first box, top of form, right side
: Leave this box blank for the court's use.
Front page, second box, right side:
Print the court case number in this box. This number is also shown on the court
papers.
Instructions for numbered paragraphs:
1. a. Enter the date the court order was filed. This date is shown in the "COURT PERSONNEL: STAMP DATE
RECEIVED HERE" box on the front page at the top of the order on the right side. If the order has not been filed,
leave this item blank for the court clerk to fill in.
b. If the court order you filed or received is the first child or family support order for this case, check the box by "Initial
child support order or family support order". If this is a change to your order, check the box by "Modification".
c. Information regarding the amount and type of support ordered and wage withholding is on the court order you are
filing or have received.
(1) Check this box if your order says that child support is ordered. If there is an amount, put it in the blank
provided. If the order says the amount is reserved, check the "Reserved order" box. If the order says the
amount is zero, check the "$0 (zero) order" box. Do not include child care, special needs, uninsured medical
expenses, or travel for visitation. If the Order/Notice to Withhold Income for Child Support (form FL-195) says
that there is a monthly amount payable on past due child support, check the box and enter the amount.
(2) Check this box if your order says that family support is ordered. If there is an amount, put it in the blank
provided. If the order says the amount is reserved, check the "Reserved order" box. If the order says the
amount is zero, check the "$0 (zero) order" box. Do not include child care, special needs, uninsured medical
expenses, or travel for visitation. If the Order/Notice to Withhold Income for Child Support (form FL-195) says
that there is a monthly amount payable on past due family support, check the box and enter the amount.
FL-191 [Rev. January 1, 2005]
FL_191_I.DOC (5/05)
CHILD SUPPORT CASE REGISTRY FORM
Page 4 of 4
(3). Check the spousal support box only if a box is checked in item 1(c)(1) for child support. If it was, put the
amount of spousal support in the blank provided. If the order says the amount is reserved, check the “Reserved
order” box. If the order says the amount is zero, check the “$0 (zero) order” box. If the Order/Notice to Withhold
Income for Child Support (form FL-195) says that there is a monthly amount payable on past due spousal
support, check the box and enter the amount.
(4). Check the “ordered” box if wage withholding was ordered with no conditions. Check the box “ordered but
stayed until” if wage withholding was ordered but is not to be deducted until a later date. If the court delayed the
effective date of the wage withholding enter the specific date. Check only one box in this item.
2. a. Write the name of the person who is supposed to pay child or family support.
b. Write the relationship of that person to the child.
3. a. Write the name of the person or agency that is supposed to receive child or family support payments.
b. Write the relationship of that person to the child.
4. List the full name, date of birth, and social security number for each child included in the support order. If there are
more than five children included in the support order, check the box after item 4e and list the remaining children with
dates of birth and social security numbers on another sheet of paper. Attach the other sheet to this form.
The local child support agency is required, under section 466(a)(13) of the Social Security Act, to place in the records
pertaining to child support, the social security number of any individual who is subject to a divorce decree, support order,
or paternity determination or acknowledgment. This information is mandatory and will be kept on file at the local child
support agency.
Top of second page, box on left side
: Print the names of the petitioner/plaintiff, respondent/defendant, and other parent in
this box. Use the same names listed on the front page.
Top of second page, box on right side: Print your court case number in this box. Use the same case number as on the
front page, second box, right side.
You are required to complete information about yourself. If you know information about the other person, you may also fill
in what you know about him or her.
5. If you are the father in this case, list your full name in this space. See instructions for a-g under item 6 below.
6. If you are the mother in this case, list your full name in this space.
a. List your date of birth.
b. Write your social security number.
c. List the street address, city, state, and zip code where you live.
d. List the address, city, state, and zip code where you want your mail sent, if different from the address where you
live.
e. Write your driver's license number and the state where it was issued.
f. List the telephone number where you live.
g. Indicate whether you are employed, self-employed, or not employed by checking the appropriate box. If you are
employed, write the name, street address, city, state, zip code, and telephone number where you work.
7. If there is a restraining order, protective order, or nondisclosure order, check this box.
a. Check the box beside each person who is protected by the restraining order.
b. Check the box beside the parent who is restrained.
c. Write the date the restraining order expires. See the restraining order, protective order, or nondisclosure order for
this date.
If you are in fear of domestic violence, you may want to ask the court for a restraining order, protective order, or
nondisclosure order.
You must type or print your name, fill in the date, and sign the Child Support Case Registry Form under penalty of perjury.
When you sign under penalty of perjury, you are stating that the information you have provided is true and correct.
Form Information
| Fact Name | Detail |
|---|---|
| Form Purpose | The California FL-191 form is used for the Child Support Case Registry, ensuring that child support orders are properly recorded and maintained. |
| Governing Law | This form is governed by California Family Code, § 4014, which mandates the collection and maintenance of child support information. |
| Confidentiality | Information submitted on the FL-191 is confidential and will not be filed in the court file. Instead, it is kept in a secure file with the State of California. |
| Submission Timeline | Individuals must submit the FL-191 form within 10 days of receiving a child support order or any changes to the information on the form. |
| Required Information | Both parents must provide personal information, including names, addresses, and social security numbers, to ensure accurate record-keeping. |
| Form Sections | The FL-191 consists of multiple sections, including details about the support order, the parties involved, and specific children covered by the order. |
| Non-Submission of Certain Pages | Pages 3 and 4 of the FL-191 are instructional and do not need to be delivered to the court, simplifying the filing process for users. |
Detailed Guide for Filling Out California Fl 191
The California FL-191 form is a necessary document for establishing and maintaining a child support case registry. Proper completion of this form ensures that relevant information is accurately recorded and maintained in a confidential file with the State of California. Follow the steps below to fill out the form correctly.
- Fill in the top section of the form if it is blank:
- Provide your name, address, telephone number, fax number (optional), and email address (optional).
- Indicate the county and the court's address as specified in your court order.
- List the names of the petitioner/plaintiff, respondent/defendant, and other parent as they appear on the court order.
- Check the box for your relationship (mother or father) and indicate if this is the first form completed or a change to previous information.
- Leave the box for court use blank.
- Enter the court case number from your court documents.
- Complete the support order information:
- Enter the date the court order was filed.
- Indicate if this is an initial child support order or a modification.
- Provide the total monthly base current child support amount, including any past due support amounts, as specified in your court order.
- Identify the person required to pay support:
- Write the name of the individual responsible for paying child or family support.
- Specify their relationship to the child.
- Identify the person or agency receiving support payments:
- List the name of the person or agency designated to receive payments.
- Indicate their relationship to the child if applicable.
- Provide information about the children included in the support order:
- List each child's name, date of birth, and social security number.
- If there are more than five children, indicate that additional children are listed on an attached page.
- Fill in your personal information:
- Provide your name, date of birth, social security number, and address.
- Include your mailing address if different from your residential address.
- List your driver's license number and state.
- Provide your telephone number and employment status.
- If employed, include your employer's name and contact information.
- If applicable, indicate any restraining orders:
- Check the box if a restraining order, protective order, or nondisclosure order is in effect.
- Specify who is protected and who is restrained.
- Write the expiration date of the restraining order.
- Sign and date the form:
- Type or print your name, fill in the date, and sign the form under penalty of perjury.
Obtain Answers on California Fl 191
-
What is the California FL-191 form?
The California FL-191 form, also known as the Child Support Case Registry Form, is a document used in child support cases. It collects essential information about the parents and children involved in the support order. This form is confidential and is not filed in the court file. Instead, it is maintained in a confidential file with the State of California.
-
Who needs to complete the FL-191 form?
Both parents involved in a child support case must complete the FL-191 form. If you are the petitioner or respondent in a support case, you are required to provide the necessary information. If you have an attorney, they can help you fill out the form.
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When should the FL-191 form be submitted?
The form must be submitted to the court along with the court order for support. If you did not file the court order, you must deliver the completed form to the court within 10 days of receiving a copy of the support order. Any changes to the information on this form also need to be reported within 10 days using a new form.
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What information is required on the FL-191 form?
The FL-191 form requires various details, including:
- The names and addresses of both parents.
- Information about the child or children involved, including names, dates of birth, and Social Security numbers.
- Details regarding the support order, such as the amount of child support, family support, and spousal support ordered.
- Information about wage withholding, if applicable.
-
Is the information on the FL-191 form public?
No, the information on the FL-191 form is confidential. It will not be included in the public court file and will be kept in a separate confidential file with the State of California.
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What happens if my information changes after submitting the FL-191 form?
If any information you provided on the FL-191 form changes, you must complete a new form and submit it to the court within 10 days of the change. This ensures that the court has the most up-to-date information regarding your child support case.
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What should I do if I have questions while filling out the FL-191 form?
If you have questions or need assistance while completing the FL-191 form, consider seeking help from a legal professional or a family law facilitator at your local court. They can provide guidance and ensure that you complete the form correctly.
Common mistakes
Filling out the California FL 191 form can be straightforward, but many people make common mistakes that can lead to delays or complications. One frequent error is neglecting to provide complete information about the parties involved. This includes not listing full names, addresses, or relationships to the child. Inaccurate or incomplete details can hinder the processing of the form and create confusion in the case.
Another mistake is failing to check the correct boxes regarding the type of support ordered. It is essential to indicate whether the order is for child support, family support, or spousal support accurately. Misrepresenting this information can lead to misunderstandings about the obligations and rights of each party. Always double-check the court order to ensure the amounts and types of support are correctly noted.
People often overlook the requirement to submit the form within the specified time frame. The FL 191 form must be delivered to the court within 10 days of receiving the court order if it was not filed at the same time. Missing this deadline can result in legal complications and may affect the enforcement of the support order.
Lastly, individuals frequently forget to sign the form. A signature is necessary to affirm that the information provided is true and correct. Not signing the form can render it invalid, causing further delays in processing. Always ensure that the form is signed and dated before submission to avoid unnecessary issues.
Documents used along the form
The California FL-191 form is a Child Support Case Registry Form that must be filed with the court when establishing or modifying child support orders. It collects essential information regarding the parties involved, the support order, and the children affected. Alongside this form, several other documents are commonly used to ensure compliance with California child support laws. Here is a list of related forms and documents that are often necessary in conjunction with the FL-191.
- FL-195: Order/Notice to Withhold Income for Child Support - This document directs an employer to withhold a specified amount from an employee's paycheck to fulfill child support obligations.
- FL-300: Request for Order - This form is used to request a court order for various issues, including child support, custody, and visitation rights.
- FL-150: Income and Expense Declaration - This form provides a detailed account of an individual's financial situation, including income, expenses, and assets, to assist the court in determining support amounts.
- FL-160: Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act - This declaration helps establish jurisdiction in custody cases, ensuring that the correct court is involved in child custody matters.
- FL-310: Child Support Case Registry Form - Similar to FL-191, this form is used to register a child support case with the state, ensuring that the information is maintained in a confidential database.
- FL-341: Child Custody and Visitation Order - This document outlines the custody and visitation arrangements for children, which may be necessary when establishing child support.
- FL-320: Child Support Information Sheet - This sheet provides additional information about child support guidelines and calculations, helping parents understand their rights and obligations.
Using the appropriate forms in conjunction with the California FL-191 ensures that child support cases are handled efficiently and in compliance with legal requirements. Each document plays a crucial role in the overall process, contributing to the protection of children's welfare and the enforcement of support obligations.
Similar forms
The California FL-191 form, known as the Child Support Case Registry Form, shares similarities with several other documents commonly used in family law and child support cases. Below is a list of nine documents that are comparable to the FL-191 form, along with a brief explanation of how they are similar.
- FL-195: Order/Notice to Withhold Income for Child Support - This document is used to notify an employer to withhold wages for child support payments, similar to how the FL-191 form collects and registers information about support orders.
- FL-300: Petition for Custody and Support of Minor Children - This form initiates custody and support proceedings, paralleling the FL-191's role in establishing and modifying child support orders.
- FL-150: Income and Expense Declaration - This document provides financial information to the court, akin to the FL-191's requirement for financial details related to support obligations.
- FL-320: Request for Order - Used to request a court order for child support or modifications, it serves a similar purpose as the FL-191 in managing support cases.
- FL-400: Child Support Case Registry Form (Federal) - This federal form captures similar information for national databases, paralleling the FL-191's function in state records.
- FL-210: Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act - This declaration is used in custody cases, similar to how the FL-191 addresses jurisdictional aspects in child support.
- FL-341: Child Support Information Sheet - This sheet provides essential information about child support, much like the FL-191's role in informing the court about support orders.
- FL-324: Notice of Motion to Modify Child Support - This document is filed to request changes in support orders, similar to how the FL-191 is used to report modifications.
- FL-300: Request for Order to Modify Support - This form requests a modification of existing support orders, much like the FL-191's function in updating support information.
Dos and Don'ts
When filling out the California FL-191 form, there are important guidelines to follow to ensure accuracy and compliance. Below is a list of six things to do and not do:
- Do provide accurate and complete information in all required fields.
- Do use blue or black ink to fill out the form, ensuring legibility.
- Do submit the form within 10 days of receiving the court order, if applicable.
- Do keep a copy of the completed form for your records.
- Don’t leave any required fields blank; fill them out to the best of your ability.
- Don’t file the form with the court clerk if it is marked as “confidential.”
Following these guidelines will help facilitate the processing of your child support case and ensure that all necessary information is properly documented.
Misconceptions
- Misconception 1: The FL-191 form is filed in the court record.
- Misconception 2: Only one parent needs to complete the FL-191 form.
- Misconception 3: The FL-191 form can be submitted at any time.
- Misconception 4: The FL-191 form is only about child support payments.
- Misconception 5: You can leave sections of the FL-191 form blank.
- Misconception 6: The FL-191 form is not confidential.
This form is not filed in the court file. Instead, it is maintained in a confidential file with the State of California. This ensures that sensitive information remains private.
Both parents are required to complete a Child Support Case Registry Form. This helps create a comprehensive record for child support cases.
You must submit this form within 10 days of receiving a court order. Timeliness is crucial to ensure compliance with legal requirements.
While the form primarily addresses child support, it also collects information about family support and spousal support. All aspects of financial responsibility are considered.
It is important to fill out all required sections completely. Incomplete forms may lead to delays or complications in processing your case.
The information provided on this form is confidential. It will not be publicly accessible, ensuring that personal details are protected.
Key takeaways
Filling out the California FL-191 form is an essential step in managing child support cases. Here are some key takeaways to help you navigate this process effectively:
- Confidentiality is Key: The information you provide on the FL-191 form is confidential. It will not be included in the court file but will be maintained in a secure file with the State of California.
- Timeliness Matters: If you receive a court order, you must complete and submit this form to the court within 10 days. This ensures that the child support information is recorded promptly.
- Complete All Required Sections: Ensure that you fill out all relevant sections of the form accurately. This includes details about the support order, the parties involved, and the children covered by the support order.
- Report Changes Promptly: If any information changes after you submit the form, such as addresses or employment status, you must submit a new FL-191 form within 10 days of the change.
- Instructions are Provided: The form includes instructions on how to fill it out correctly. Take the time to read these instructions carefully to avoid mistakes that could delay your case.
By following these guidelines, you can ensure that your FL-191 form is completed correctly and submitted on time, helping to facilitate the child support process.