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Appendix A Judicial Council Legal Forms List - California Courts ...

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FL-398* 12/2/2005 Notice of Activation of Military Service and Deployment and<br />

Request to Modify a Support Order<br />

FAMILY LAW<br />

Enforcement<br />

FL-400* 1/1/2003 Order for Child Support Security Deposit and Evidence of Deposit<br />

FL-401* 1/1/2003 Application for Disbursement and Order for Disbursement From<br />

Child Support Security Deposit<br />

FL-410* 1/1/2003 Order to Show Cause and Affidavit for Contempt<br />

FL-411* 1/1/2003 Affidavit of Facts Constituting Contempt (Financial and Injunctive<br />

Orders)<br />

FL-412* 1/1/2003 Affidavit of Facts Constituting Contempt (Domestic<br />

Violence/Custody and Visitation)<br />

FL-415 7/1/2003 Findings and Order Regarding Contempt (Family Law—Domestic<br />

Violence Prevention—Uniform Parentage—Governmental)<br />

FL-420* 1/1/2003 Declaration of Payment History (Family Law—Governmental—<br />

Uniform Parentage Act)<br />

FL-421 7/1/2003 Payment History Attachment (Family Law—Governmental—<br />

Uniform Parentage Act)<br />

FL-430* 1/1/2003 Ex Parte Application for Earnings Assignment Order<br />

FL-435* 1/1/2005 Earnings Assignment Order for Spousal or Partner Support<br />

(Family Law)<br />

FL-440 1/1/2003 Statement for Registration of <strong>California</strong> Support Order<br />

FL-450* 7/1/2008 Request for Hearing Regarding Earnings Assignment (Family<br />

Law-Governmental-UIFSA)<br />

FL-455* 1/1/2003 Stay of Service of Earnings Assignment and Order<br />

FL-460 1/1/2003 Qualified Domestic Relations Order for Support (Earnings<br />

Assignment Order for Support)<br />

FL-461 1/1/2003 Attachment to Qualified Domestic Relations Order for Support<br />

(Earnings Assignment Order for Support)<br />

FL-470* 1/1/2007 Application and Order for Health Insurance Coverage<br />

FL-475* 1/1/2003 Employer’s Health Insurance Return<br />

FL-478* 1/1/2007 Request and Notice of Hearing Regarding Health Insurance<br />

Assignment<br />

FL-478-INFO 1/1/2007 Information Sheet and Instructions for Request and Notice of<br />

Hearing Regarding Health Insurance Assignment<br />

FL-480* 1/1/2011 Abstract of Support Judgment<br />

FL-485* 1/1/2003 Notice of Delinquency<br />

* Adopted for mandatory use by all courts. 29

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