MARIN COUNTY SUPERIOR COURT 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 (415) 444-7040 In the Marriage of: PETITIONER: RESPONDENT: CASE NO. _____________________________ FAMILY LAW JUDGMENT CHECKLIST Attorney/Mediator Self Represented Litigant ALL ITEMS MUST BE COMPLETED: INDICATE COMPLIANCE BY MARKING "Y". IF AN ITEM IS NOT APPLICABLE MARK "N/A". 1. 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. Jurisdiction date on Judgment agrees with information in file, and correct date for termination of marital status inserted on Judgment. Appearance, Stipulation and Waivers form filed and check attached if first appearance. Declaration for Default or Uncontested Dissolution form filed. Statement of Guideline Child Support included. If child support agreement is less than guideline, agreement language is included (FC § 4065). Support Modification / Health Care Cost Reimbursement information attached (Judicial Council Form FL-192). Child Support Case Registry form included. Judgment does not contain relief not requested in Petition (true defaults). Declaration explaining request for nunc pro tunc entry of Judgment provided. Marital status not terminated before date of uncontested hearing or date of filing application for judgment. Status Only Judgment has Stipulation for Bifurcation and/or Order for Bifurcation. Respondent's signature on agreement is notarized. Department of Child Support Services has approved Judgment if public assistance is paid or there is a DCSS Notice Regarding Payment of Support. Original and (3) copies of the Judgment, and an original and (2) copies of the Notice of Entry of Judgment, with two envelopes of sufficient size and postage to return a file-stamped copy of the Judgment and copy to opposing party. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. DATE PRINT NAME SIGNATURE FL015 FAMILY LAW JUDGMENT CHECKLIST Rev. 10/22/13 American LegalNet, Inc. www.FormsWorkFlow.com