Form 344B Rev 05/16 The Family Court of the State of Delaware In and For New Castle Permanent Kent Interim Sussex County CONSENT SUPPORT ORDER Petitioner / Obligor v. Respondent / Obligor FILE # PET # TYPE DOB: Attorney: Employer: DOB: Attorney: Employer: DCSS # OS # Modification IV-D EIN: In the interest of DOB: DOB: EIN: Non IV-D DOB: DOB: Attendance: Petitioner present Attorney telephone video present Attorney telephone video Respondent On / / after a mediation conference the parties agreed: 1. 2. Obligor is currently under an order of support entered / / attendance not required attendance not required _______ every failed to appear failed to appear _______. to pay $ Upon a proven substantial change of circumstance (or) Upon the passage of not less than two and one-half years, the current support obligation is modified effective / / to $ ______ per month based on: Delaware Child Support Calculation(s) dated / / , attached and incorporated by reference. Deviation from Child Support Formula calculation (See discussion.). The current support obligation is revoked effective th / / because all of the children of the order: Have reached their 18 birthday and do not attend high school; or have reached their 19th birthday; No longer are in the primary or shared placement of the child support recipient; or Other 3. Based on the evidence presented, Obligor is is not found in contempt because: Working for periods of time without paying. Petitioner is not seeking contempt. Has given no adequate excuse for failure to work and pay as ordered. Not reported changes of address, employment, or health insurance. Other: Arrears are reduced to a judgment that may be filed with the Prothonotary and entered in the Judgment Docket of the Superior Court thus operating as a lien pursuant to 10 Del. C. §4733. Obligor shall pay a lump sum of $ on arrears by . 4. Obligor has a back support obligation (or) as set by the court (See discussion.). Total payment is $ Total includes: credit as of / / as agreed by the parties. DCSS , of $ to be calculated by DCSS. 5. every month payable to current support arrears/retroactive (includes medical support of $ genetic test costs (Balance: $ as of as of ) / / ) 6. Income attachment is ordered and will issue payable to DCSS. Until the income attachment takes effect, or at any time full payment is not secured by income attachment, Obligor shall make payment to DCSS at P.O. Box 12831, Wilmington DE 19850. 50 55 60 65%. The currently applicable consumer credit protection limit when obligor is employed is The issuance of income attachment shall be stayed. Payments shall be made directly to ________________. Attachment, payable to DCSS, shall issue upon the filing of a verified notice of default in payment for seven (7) working days. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Form 344B Rev 05/16 7. Father, Mother, The first parent to whom it becomes available at less than 10% of gross income (or) Both parents shall provide HEALTH INSURANCE covering the child(ren) when available and shall provide all necessary documents to allow for use of the health insurance whenever the child(ren) is in the other party's care. A National Medical Support Notice may issue to the employer of any obligated parent for the following coverage: Medical Dental Vision Prescription Drug Mental Health other: Health insurance coverage is currently offered through a parent's employer but the policy is either unreasonable in cost or inaccessible by the child(ren). Therefore neither parent is required at this time to provide health insurance for the child(ren). Whenever a child is without health insurance coverage, each parent has a duty to acquire coverage if it becomes available and the cost to cover the parent and his/her child(ren) is less than 10% of the parent's gross income. Neither parent shall cancel ordered coverage regardless of cost without a subsequent order relieving them of the responsibility. 8. All CASH MEDICAL SUPPORT is allocated % to Father and % to Mother. CASH MEDICAL SUPPORT means medical expenses for the child(ren) not reimbursed by insurance. All requests for payment of cash medical support must include supporting documentation and payment shall be made within a reasonable time. A petition for contribution to or reimbursement for a medical expense may be brought at any time. However, any right of reimbursement is presumed waived unless a petition for reimbursement is filed with the Court by December 31 of the second year following the date of treatment. This presumption may be rebutted for good cause shown. 9. One or more children reside in shared equal placement. If one parent is not equally contributing to shared incidental expenses, the Court may impose any appropriate sanction including, but not limited to, finding that the support formula is rebutted or imposing a current support obligation against the offending parent as if the child resided primarily with the other parent. 10. Miscellaneous provisions The parties shall report any changes of drivers license number, address (including incarceration or release from incarceration), telephone number, employer, employer address or telephone number to the Family Court in: New Castle County (302)255-0300 Kent County(302)672-1000 Sussex County (302)855-7400 Pursuant to UIFSA, Delaware is the tribunal with continuing, exclusive jurisdiction over this obligation. The Obligor is incarcerated. The requirement of payment on this Order is suspended until Obligor's release from incarceration. Unpaid current support obligation will accrue as arrears. A Delaware Order to pay current support remains in effect until the youngest child has reached 18 and is no longer enrolled in high school, or 19, whichever occurs first. Thereafter payment shall continue in the total amount until any balance is paid. If current support has terminated and/or all back support and arrears has been paid in full, DCSS is authorized to terminate or modify any income attachment. Either party may also file a Motion to revoke, terminate or modify the attachment. The parties shall notify each other in writing of every change in circumstance which might materially affect the Support Order, including change in health insurance coverage and shall exchange completed financial report forms every 12 months. 11. DISCUSSION/ADDITIONAL TERMS AND CONDITIONS: The parties hereby waive their right to a Review of a Commissioner's Order because this order is entered