Judgment 226 Custody/Parenting Time/Support Page 1 of 11 (Aug 2019) IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF Case No: Petitioner and GENERAL JUDGMENT OF CUSTODY AND PARENTING TIME Respondent AND CHILD SUPPORT and Unmarried Children 18, 19, or 20 years old (full names) This document was presented to the court: On the motion and declaration of Petitioner, the default of Respondent having been found and Respondent being represented by a guardian ad litem or other person described in Oregon Rules of Civil Procedure, Rule 27 On the stipulation of the parties, as shown by the signatures at the end of this Judgment After a hearing held (date), at which the following persons were present: Petitioner Petitioner222s attorney Respondent Respondent222s attorney Other Children 18, 19, or 20 Years of Age Waived further appearance in these proceedings: (names) Fully participated in the proceedings and are bound by the terms of this judgment: (names) Signed and stipulated to the terms of this judgment as shown by the signature below FINDINGS: The court considered the: Declaration Stipulations Evidence presented and finds that: A. The parties were not married to each other at the time the Petition was filed B. Children of the Parties (list only children legally recognized as children of both parties together; do not list children either party has with another person) Name Year of Birth Age Additional page attached titled 223Findings B 226 Children of the Parties224 C. Child Custody Jurisdiction Oregon has jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) to decide custody and parenting time matters because: American LegalNet, Inc. www.FormsWorkFlow.com Judgment 226 Custody/Parenting Time/Support Page 2 of 11 (Aug 2019) Oregon is the children222s home state (all of the children have lived here continuously for the six month period immediately before this case was filed) Other: Oregon does not have jurisdiction under the UCCJEA because: D. Paternity has been established for the children listed in Section B The court grants judgment as follows: The terms of this judgment are effective upon entry in the court register NOTICE ABOUT PARENTING TIME AND CHILD SUPPORT The terms of child support and parenting time (visitation) are designed for the child222s benefit and not the parents222 benefit. You must pay support even if you are not receiving parenting time. You must comply with parenting time and visitation orders even if you are not receiving child support. Violation of child support orders and visitation or parenting time orders may result in fines, imprisonment, or other penalties. Help may be available to establish, enforce, and modify child support orders. Paternity establishment services are also available. Contact your local district attorney, the domestic relations court clerk, or the Department of Justice at 1.800.850.0228 or 503.378.5567 for information. Help may be available to establish, enforce, and modify parenting time or visitation orders. Forms are available to enforce parenting time or visitation orders. Contact your local court for information. 1. Custody and Parenting Time Custody of the children is awarded as follows: Petitioner and Respondent have joint custody of the following children: Petitioner is awarded sole custody of the following children (names): Respondent is awarded sole custody of the following children (names): Parenting time is awarded as described in the attached Parenting Plan, labeled Exhibit or to Petitioner Respondent as follows American LegalNet, Inc. www.FormsWorkFlow.com Judgment 226 Custody/Parenting Time/Support Page 3 of 11 (Aug 2019) Parenting time will be supervised by Any cost of supervision must be paid by Petitioner Respondent Other: Petitioner Respondent must not have parenting time because this would endanger the health and safety of the children 2. Relocation Neither parent may move more than 60 miles further distant from the other parent without giving the other parent reasonable notice of the change of residence and providing a copy of such notice to the court or The requirement of ORS 107.159 regarding notice of relocation is suspended for good cause 3. Contact Information Parents must both provide contact addresses and contact telephone numbers to each other and notify each other of any emergencies or substantial changes in the children222s health Good cause exists to suspend the obligation of the parties to provide contact information to each other 4. Parental Authority under ORS 107.154 The non-custodial parent222s authority under ORS 107.154 is suspended for good cause 5. Child and Medical Support and Life Insurance for Children A. Child Support Existing Child Support Obligation (list court/agency, case number, and date of prior child support orders and judgments: No action is taken by this judgment regarding any prior child support order or judgment This judgment does not replace any existing child support order or judgment. Payment amount and schedule remain as ordered on (date of order or judgment): any arrears accumulated under the continued order or judgment remain due This judgment replaces the existing child support obligation because the existing orders and judgments were issued by an Oregon court or agency, one of the parents or children receiving support still resides in Oregon, and circumstances have changed since the orders were entered. Support is due as detailed in the 223Support Order224 section below. any arrears accumulated under the continued order or judgment remain due Other: American LegalNet, Inc. www.FormsWorkFlow.com Judgment 226 Custody/Parenting Time/Support Page 4 of 11 (Aug 2019) Presumed Inability To Pay Under ORS 25.245 The parent who would pay support is presumed to be unable to pay because that parent: receives cash payments from a public assistance program including TANF or SSI is (or is expected to be) incarcerated (in jail or prison for at least 6 months) and has income less than $200 per month The presumption has not been rebutted and no child support (including cash medical support) is ordered The presumption has been rebutted, and support is ordered as detailed in the 223Support Order224 section below for the following reasons: Support Order No support is ordered for reasons other than the presumption of inability to pay or continuation of an existing order or judgment (explain): or Support must be paid : By Petitioner Respondent To Petitio ner Respondent Adult Child Attending School (name) : On the first day of each month Starting the month following entry of this judgment or the date of service of this Petition The total monthly amount due is: $ (Child Support Worksheets are attached and incorporated, labeled Exhibit ) This amount is: the amount presumed to be appropriate under the support guidelines different from the presumed appropriate amount of $ because the presumed amount is unjust or inappropriate (explain): B. Medical Support Medical support has already been ordered in another case as listed in Section 5A, above or from county. The court case # is and the Child Support Program CSP# is The existing order is not changed The existing order is terminated. Medical support is ordered as follows. i. Health Insurance Coverage Petitioner Respondent is ordered to keep insurance throughout the period of the child support obligation American LegalNet, Inc. www.FormsWorkFlow.com Judgment 226 Custody/Parenting Time/Support Page 5 of 11 (Aug 2019) ii. Cash Medical Support Cash Medical Support is ordered in the amount of $ per month because health insurance coverage is not available. Cash Medical Support is payable by the parent ordered to pay child support on the same schedule. The paying parent is ordered to provide Cash Medical Support only when not providing private health insurance for the children Cash Medical Support is not ordered because: Support is presumed to be unavailable for the reason marked above and the presumption has not been sufficiently rebutted The parent paying child support has income at or below Oregon222s minimum wage for full-time employment, so cash medical support should not be