JUDGMENT OF MODIFICATION PAGE 1 CAO GCSM 8-1 04/01/2018 Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF , Petitioner, vs. , Respondent. State of Idaho, Department of Health and Welfare Case No. JUDGMENT OF MODIFICATION JUDGMENT IS ENTERED AS FOLLOWS: For the following minor child/ren: Name Year of Birth 1. Child Custody. No change. or The custody Order, Judgment, or Decree entered on , 20 is modified as follows. A. Legal Custody of Minor Child(ren). No change. or Both parents are awarded joint legal custody of their child/ren. or (name) is awarded sole legal custody of the child/ren. B. Physical Custody of Minor Child(ren). No change. or Both parents are awarded joint physical custody of their child/ren American LegalNet, Inc. www.FormsWorkFlow.com JUDGMENT OF MODIFICATION PAGE 2 CAO GCSM 8-1 04/01/2018 on the terms and as described in the Parenting Plan attached as Schedule A. or as follows: or (name) is awarded sole physical custody of the child/ren. And (name) shall have time with the child/ren on the terms and as described in the Parenting Plan attached as Schedule A or as follows: . 2. Child Support. No change, child support shall continue as set in Case No. , entered in County, State of , on (Date) (If the order was from a different case please attach a copy of that order, judgment, or decree as Schedule B, skip section 3, and complete the Certificate of Service at the end.) or The child support in Case No. , entered in County, State of , on (Date) has been consolidated into this case. The child support is modified and the Decree issued by this Court controls. All terms of the Court222s prior Order(s), Judgment(s), or Decrees(s) not modified by this Decree remain in full force and effect. (Complete Section 3 below.) and/or Section 3. Complete all of Section 3 below to change child support. 3. a. New Child Support Amount Child support is modified, it shall be paid by (full name of parent who will pay support) in the amount of $ per month. b. Effective Date and Duration. Child support payments shall begin: (select one) American LegalNet, Inc. www.FormsWorkFlow.com JUDGMENT OF MODIFICATION PAGE 3 CAO GCSM 8-1 04/01/2018 the month after the petition was filed. Or the month after the Judgment is signed. Child Support shall continue to be paid on the same day of each following month until the child/ren for whom support is being paid reach/es the age of eighteen (18). If a child for whom support is being paid continues his/her high school education after reaching the age of eighteen (18) years, child support payments shall continue until the child discontinues his/her high school education or reaches the age of nineteen (19) years, whichever is sooner. Payment shall be made payable to the Department of Health and Welfare and sent to Idaho Child Support Receipting, P.O. Box 70008, Boise, ID 83707-0108. Notice The court is required to order income withholding in all child support orders. Income withholding is enforced by a withholding order issued to the paying parent222s employer without additional notice to the paying parent, according to Idaho Code Section 32-1204. The support order can also be enforced by license suspension or the filing of a lien upon all real and personal property of the paying parent. c. Multiple Children. (if applicable) If this child support judgment has not been modified, when one child is no longer entitled to support, child support for the remaining child/ren shall continue and will be paid as described in the Continued Support Worksheet attached as Schedule B. d. Extended Visits. (if applicable) When the parent who has custody 25% of the time or less is paying child support and has physical custody of the child/ren for 14 or more overnights in a row, the amount of basic child support shall be reduced for that period of time. However, visitation of two overnights or less with the other parent shall not eliminate the reduction of basic child support during extended visits. The child support reduction for the period of the actual physical custody shall be 50% or (other percentage) % of the basic child support obligation. The reduction shall be subtracted from the child support payment due the month following the extended visit. If the parent paying child support has physical custody of some but not all of the children for a period of 14 overnights in a row, before a reduction is made, the basic child support obligation shall first be divided by the number of children under American LegalNet, Inc. www.FormsWorkFlow.com JUDGMENT OF MODIFICATION PAGE 4 CAO GCSM 8-1 04/01/2018 eighteen (18) years of age. The parent who pays child support can only claim a reduction for the child/ren in that parent222s custody. e. Work-Related Childcare Expenses. The net out-of-pocket costs for work-related child care shall be paid % by (your name) and % by(other parent222s name) . Payment shall be made directly to the child care provider by both parents according to arrangements made with the care provider if permitted by the care provider. Otherwise, the non-paying parent shall reimburse the paying parent within 10 days after the paying parent provides a copy of the invoice and proof of payment. f. Medical, Dental, and/or Optical Insurance. A. Pro Rata Share. Any health insurance premiums for the child/ren should be paid by the parents as follows: % by (your name) and % by (other parent222s name) . B. Insurance Currently Provided. (name) shall continue to provide health insurance for the minor child/ren, so long as it is available at a reasonable cost. If this insurance becomes unavailable, the parent first able to obtain health insurance at a reasonable cost shall do so. or Neither parent is providing health insurance for the child/ren. The parent first able to obtain health insurance at a reasonable cost shall do so. C. In Addition to or Included in Monthly Child Support. (select one) 1. The total child support includes an adjustment for each parent222s share of the health insurance premiums. or 2. All health care premiums shall be in addition to the basic child support award and shall be promptly paid or reimbursed directly between the parents. Notice Where medical insurance is provided, each parent shall be ordered to provide the other with all medical insurance information necessary to obtain health care and process insurance claims for the child/ren. Insurance proceeds shall be applied first to unpaid medical bills and then to reimburse the paying parent for any prepaid medical costs. Both parents shall be ordered to sign any needed document that provides American LegalNet, Inc. www.FormsWorkFlow.com JUDGMENT OF MODIFICATION PAGE 5 CAO GCSM 8-1 04/01/2018 continuing health care for the child/ren. Failure to provide medical insurance coverage may result in the direct enforcement of a medical support order by either the obligee (party or parent other than the parent ordered to carry or provide a health benefit plan for the parties' minor child/ren) or the Department of Health and Welfare. A national medical support notice will be sent to your employer, requiring your employer to enroll the child in a health benefit plan as provided by Sections 32-1214A through 32-1214J, Idaho Code, and applicable rules of the department. g. Out-of-Pocket Health Care Costs. The cost for health care expenses for the child/ren shall be paid by the parents as follows: % by (your name) and % by (other parent222s name) . Health care expenses include, but are not limited to, medical, prescription, dental, orthodontic, optical, psychiatric, psychological, special education, addiction treatment, or counseling in any form. Any health care for the children that would result in an actual out-of-pocket expense of over $500 to the parent who did not incur or consent to the expense, must be approved in advance, in writing, by both parents or by prior court order. All out-of-pocket health care costs shall be in addition to the basic child support award and shall be promptly paid