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I agree to the terms of this
stipulation freely and voluntarily.
RIGHT TO HAVE GENETIC TESTING
WHERE THE LAW PERMITS. I
understand that, where the law permits,
I have the right to have the court order
genetic testing. The court will decide
on the testing. The court could order that
I pay none, some, or all of the costs of the
genetic testing.
(PARTY’S SIGNATURE)
(TYPE OR PRINT NAME)
DECLARATION OF PERSON PROVIDING INTERPRETATION/TRANSLATION: The party/parties indicated below is/are unable to
read or understand this Stipulation for Judgment or Supplemental Judgment Regarding Parental Obligations and Judgment because
I certify under penalty of perjury under the laws of the State of California that I am competent to interpret or translate in the primary
language indicated above and that I have, to the best of my ability, read to, interpreted for, or translated for the above-named party the
Stipulation for Judgment or Supplemental Judgment Regarding Parental Obligations and Judgment in the party's primary language.
The above-named party said the terms of this Stipulation for Judgment or Supplemental Judgment Regarding Parental Obligations and
Judgment were understood by that party before signing it.
(SIGNATURE)
(TYPE OR PRINT NAME)
RIGHT TO BE REPRESENTED BY A
LAWYER. I understand that I have the right
to be represented by a lawyer of my choice
at my expense. If I cannot afford a lawyer to
represent me, I can ask the court to appoint
one to represent me free of charge only if I
dispute that I am the parent of the children
named in this action and only on the issue
of parentage. I understand that the attorney
for the local child support agency does not
represent me.
RIGHT TO A TRIAL. I understand that I
have a right to have a judicial officer (1)
determine if I am the parent of the children
named in the stipulation, (2) decide how
much child support I must pay, and (3)
decide how much I owe for arrearages
(unpaid support).
RIGHT TO CONFRONT AND CROSS-
EXAMINE WITNESSES. I understand that
in a trial any allegations made against me
must be proved. At the trial I may be
present with a lawyer when witnesses
testify, and I may ask them questions. I may
also present evidence and witnesses.
ADMISSION AND WAIVER OF RIGHTS. I
understand that by agreeing to the terms of
this stipulation, I am admitting that I am the
parent of the children named in the
stipulation and I am giving up the rights
stated above.
WHERE THE STIPULATION INCLUDES
CHILD SUPPORT.
I understand that I will have the duty to
obey the support order for the children
named in the stipulation until the order is
changed by the court or ended by law.
I also understand that the court will
order any support payments to be paid
directly from my wages or other
earnings and sent to the local child
support agency if one is assigned to
collect the support.
I have been advised of the amount of
guideline child support and how the
proposed child support amount was
determined.
WHERE THE STIPULATION INCLUDES
A PROVISION FOR HEALTH
INSURANCE. I understand that I must
keep health insurance coverage for the
minor children if insurance is available or
becomes available to me at no or
reasonable cost. A health insurance
coverage assignment/National Medical
Support Notice may be ordered to get
health insurance for my children.
I understand that the local child
support agency is required by state
law to enforce the duty of support.
I UNDERSTAND THAT IF I
WILLFULLY FAIL TO SUPPORT
MY CHILDREN, CRIMINAL
PROCEEDINGS MAY BE
INITIATED AGAINST ME.
COLLECTION OF SUPPORT. I
understand that any support I owe
may be collected from any of my
property. This collection may be
made by intercepting money owed
to me by the state or federal
government (such as tax refunds,
unemployment and disability
benefits, and lottery winnings), by
taking property I own, by placing a
lien on my property, or by any other
lawful means.
IF I AM REPRESENTED BY AN
ATTORNEY, MY ATTORNEY HAS
READ AND EXPLAINED TO ME
THE TERMS OF THE
STIPULATION AND THIS
ADVISEMENT AND WAIVER OF
RIGHTS, AND I UNDERSTAND
THESE TERMS.
2.
1.
3.
4.
5.
6.
a.
b.
c.
7.
8.
9.
10.
11.
12.
(SIGNATURE)
(TYPE OR PRINT NAME)
(PARTY’S SIGNATURE)
(TYPE OR PRINT NAME)
and the party has has not read the form
stipulation translated into this language.
and the party has has not read the form
stipulation translated into this language.
I have read and understand the Advisement and Waiver of Rights for Stipulation; or
Attached is a translation of this Advisement and Waiver of Rights for Stipulation in (specify language):
I understand the translation.
Date:
I understand the translation.
Date:
language is (specify): language is (specify):
Date:
Date:
(Insert name): (Insert name):
's primary 's primary
ADVISEMENT AND WAIVER OF RIGHTS FOR STIPULATION
FL-615 [Rev. January 1, 2020]
STIPULATION FOR JUDGMENT OR SUPPLEMENTAL JUDGMENT
REGARDING PARENTAL OBLIGATIONS AND JUDGMENT
(Governmental)
FL-615
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
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