ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, ADDRESS AND TELEPHONE NUMBER): FOR COURT USE ONLY ATTORNEY FOR (NAME): SUPERIOR COURT OF CALIFORNIA, COUNTY OF CONTRA COSTA STRET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: FAMILY LAW JUDGMENT CHECKLIST Petitioner Respondent Other: _____________________ CASE NUMBER: 1. 2. 3. Petition was filed on ____________________. Response was filed on __________________. Preliminary Declaration of Disclosure: Served by Petitioner on __________. Served by Respondent on __________. 4. Final Declaration of Disclosure: Served by Petitioner on __________. Served by Respondent on __________. Waived by stipulation filed on ________. 5. Child Custody and Visitation: Family Code § 3048 language is included in judgment. 6. Child Support: The Department of Child Support Services is a party to the case and DCSS has signed the judgment. Guideline child support calculation attached to the judgment. The child support order is a guideline child support order. The parties have stipulated to a non-guideline child support order and the Family Code §4065 language is included. Local Court Form - Optional FamLaw-115 New 3/10/11 American LegalNet, Inc. www.FormsWorkFlow.com 1 Notice of Rights and Responsibilities (FL-192) is attached to the judgment. Child Support Case Registry (FL-191) is submitted with the judgment. 7. Spousal Support: Jurisdiction to award spousal support is reserved. Jurisdiction to award spousal support is terminated as to: Both Respondent Petitioner Spousal support is ordered in the judgment. 8. Judgment: Date status ends is at least six months and one day from the date that the Court acquired jurisdiction over Respondent. Notice of Entry of Judgment (FL-190) is submitted with the judgment. 2 stamped envelopes are submitted with the Notice of Entry of Judgment. IF THE JURISDICTIONAL FACTS ARE NOT GOING TO BE ESTABLISHED AT THE HEARING, FILE THE FOLLOWING FORMS BEFORE THE HEARING DATE: Declaration for Default/Uncontested Dissolution (FL-170) Appearance, Stipulation and Waivers (FL-130) I / we certify that all of the information indicated in this checklist has been provided to the court. Date: __________________ ____________________________________ Petitioner Petitioner's Counsel Other ____________________________________ Respondent Respondent's Counsel Other Date: __________________ Local Court Form - Optional FamLaw-115 New 3/10/11 American LegalNet, Inc. www.FormsWorkFlow.com 2