SUPERIOR COURT OF CALIFORNIA County of Marin 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 In the Marriage of: CASE NO. _____________________________ PETITIONER: and FAMILY LAW JUDGMENT CHECK-LIST RESPONDENT: 1. Attorney/Mediator Pro Per Litigant Parties have complied with disclosure laws: Proof of Service of Preliminary and Final Disclosure on file. Proof of Service of Final Disclosure on file or Waiver of Final Disclosure in proper form included. Marital Settlement Agreement not signed before service of Final Disclosure. 2. Jurisdiction date on Judgment agrees with information in file, and correct date for termination of marital status inserted on Judgment. 3. Appearance, Stipulation and Waivers form filed and check attached if first appearance. 4. Declaration for Default or Uncontested Dissolution form filed. 5. Statement of Guideline Child Support included (FC § 4056). If child support agreement is less than guideline, agreement language included (FC § 4065). 6. Support Modification information (FC § 4010) and Health Care Cost Reimbursement information (FC § 4063) attached. 7. Child Support Case Registry form included. 8. Judgment does not contain relief not requested in Petition (true defaults). 9. Declaration explaining request for nunc pro tunc entry of Judgment provided. 10. Marital status not terminated before date of uncontested hearing or date of filing application for judgment (FC § 2336). 11. Status Only Judgment has Stipulation for Bifurcation and/or Order for Bifurcation. 12. Respondent’s signature on agreement is notarized (FC § 2338.5). 13. Department of Child Support Services has approved Judgment if public assistance is paid or there is a DCSS Notice Regarding Payment of Support. All items must be completed: either by checking each box to indicate compliance or by marking “N/A” to verify that an item is not applicable. I certify that I have examined this document and it is in compliance with all relevant check-list items. Date Pro Per Litigant Signature Print Full Name Date Attorney/Mediator Signature Print Full Name FL015WB FAMILY LAW JUDGMENT CHECK-LIST Rev. 6/06 American LegalNet, Inc. www.FormsWorkflow.com