FL-692 SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT/PARTY: ORDER MINUTES JUDGMENT CASE NUMBER: RECOMMENDED ORDER This form may be used for preparation of court minutes and/or as an alternative to form FL-615, FL-625, FL-630, FL-665, or FL-687. If this form is prepared as both court minutes and an alternative to one of these forms, then the parties do not need to prepare any additional form of order. 1. This matter proceeded as follows: By stipulation Uncontested Contested a. Date: Time: Department: b. Judicial officer (name): Court reporter (name): Court clerk (name): c. d. e. f. Interpreter(s) present (name): for (name): Petitioner/plaintiff present Respondent/defendant present Other parent/party present Bailiff (name): (specify language): Attorney present (name): Attorney present (name): Attorney present (name): petitioner/plaintiff respondent/defendant Judge pro Tempore Commissioner g. Attorney for local child support agency (name): h. The parent ordered to pay support for purposes of this order is the other parent/party present i. Other (specify): 2. 3. a. b. c. This is a recommended order/judgment based on the objection of (specify name): This matter is taken off calendar. This entire matter is denied with without prejudice. This matter is continued at the request of the local child support agency to other parent/party respondent/defendant Date: (specific issues): Petitioner/plaintiff Time: Respondent/defendant Department: Other parent/party is ordered to appear at that date and time. petitioner/plaintiff d. 4. The court takes the following matters under submission (specify): Order of examination The petitioner/plaintiff respondent/defendant other (specify): was sworn and examined. Examination was held outside of court. 5. Referrals The parties are referred to family court services or mediation. a. b. Petitioner/plaintiff Respondent/defendant Other parent/party is referred to the family law facilitator. c. Other (specify): THE COURT FINDS 6. Respondent/defendant Petitioner/plaintiff served regarding this matter. 7. 8. Other parent/party was admits was not denies parentage. Other parent/party Petitioner/plaintiff Respondent/defendant The parents of the children named below in item 14a are (specify names): Form Adopted for Alternative Mandatory Use Instead of Form FL-615, FL-625, FL-630, FL-665, or FL-687 Judicial Council of California FL-692 [Rev. January 1, 2017] MINUTES AND ORDER OR JUDGMENT (Governmental) American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 4 Family Code, §§ 17400, 17406 www.courts.ca.gov FL-692 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT/PARTY: CASE NUMBER: 9. Other parent/party has read, understands, and has signed Respondent/defendant Petitioner/plaintiff the Advisement and Waiver of Rights for Stipulation (Governmental) (form FL-694). He or she gives up those rights and freely agrees that a judgment may be entered in accordance with these findings. Guideline support amount: $ b. This order is is not based on the guideline. c. The attached Guideline Findings Attachment (Governmental) (form FL-693) is incorporated into these findings. d. A printout, which shows the calculation of child support payable, is attached and must become the court's findings. The child support agreed to by the parents is below above the statewide child support guideline. e. per month. The The amount of support that would have been ordered under the guideline formula is: $ parties have been fully informed of their rights concerning child support. Neither party is acting out of duress or coercion. Neither party is receiving public assistance, and no application for public assistance is pending. The needs of the children will be adequately met by this agreed-upon amount of child support. The order is in the best interest of the children. If the order is below the guideline, no change of circumstance will be required for the court to modify this order. If the order is above the guideline, a change of circumstance will be required for the court to modify this order. The low-income adjustment applies. f. The low-income adjustment does not apply because (specify reasons): 10. a. 11. Arrearages from (specify date): are: $ including interest through (specify date): interest not computed and not waived. THE COURT ORDERS 12. All orders previously made in this action must remain in full force and effect except as specifically modified below. 13. a. Genetic testing must be coordinated by the local child support agency. Respondent/defendant Petitioner/plaintiff Mother of the children Other (specify): and the minor children must each submit to genetic testing as directed by the local child support agency. b. 14. a. The parent ordered to pay support must reimburse the local child support agency for genetic testing costs of: $ The parent ordered to pay support is the parent of the children listed below and must pay current child support for them. The court finds that there is sufficient evidence that the parent ordered to pay support is the parent of the children listed below and therefore there is sufficient evidence to enter a support order. Name of child Date of birth Monthly basic support amount b. Additional children are listed on an attached page. The parent ordered to pay support must pay additional support monthly for actual child-care costs of (specify percent): (specify amount): $ percent of said costs. one-half Payments must be made to the State Disbursement Unit other party child-care provider. The parent ordered to pay support must pay reasonable uninsured health-care costs for the children of (specify amount): $ Payments must be made to the (specify percent): one-half percent of said costs. health-care provider. State Disbursement Unit other party c. d. The parent ordered to pay support must pay additional support monthly for the following (specify): one-half percent of said costs. (specify percent): (specify amount): $ Payments must be made to the Other (specify): State Disbursement Unit other party. e. NOTICE: Any party required to pay child support must pay interest on overdue amounts at the legal rate, which is currently 10 percent per year. FL-692 [Rev. January 1, 2017] MINUTES AND ORDER OR JUDGMENT (Governmental) Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com FL-692 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OT