Superior Court of Washington, County of In re: Petitioner/s (see * below): No. Petition to Modify Child Support Order (PTMD) And Respondent/s (other party/parties): * If you're filing this Petition in: the same case number as the current Child Support Order, the person who is listed as the Petitioner in the current order will stay Petitioner, even if s/he is not the person asking to modify the order now. a different case number or county from where the current Child Support Order was filed, the person asking to modify the order may be the Petitioner. To modify a Child Support Order from a sealed Parentage case, contact the Superior Court Clerk's office about who to list as Petitioner and if there is a new case number. Petition to Modify Child Support Order 1. My name is: . I ask the court to modify a Child Support Order. I am filing and serving proposed Child Support Schedule Worksheets at the same time as this Petition. Important! Check your county's Local Court Rules for other forms and information that must be filed. 2. Correct County (Venue) This is the correct county for this case to be heard because: the children live in this county, the person who has the care, custody or control of the children lives in this county, or the current Child Support Order was issued in this county. The children live in (county): The Petitioner (name): (county): The Respondent (name): (county): , (state): , (state): Petition to Modify Child Support Order p. 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com , (state): lives in . lives in . . RCW 26.09.170; .175 Mandatory Form (05/2016) FL Modify 501 3. Jurisdiction to modify order The court has authority to modify the current Child Support Order because it was issued by a (check one): Washington state court. Different state or jurisdiction, but has been registered in a Washington state court and (check one): All parties in Washington now: All the parties to the current order (other than a State party) now live in this state; and The children do not live in the state or jurisdiction where the order was issued. No one left in issuing state: None of the children or parties to the current order (other than a State party) live in the state or jurisdiction where the order was issued; The person asking to modify the order (Petitioner) lives outside of Washington; and Washington has personal jurisdiction over the Respondent because s/he (check all that apply): lives in this state now. will be personally served in this state with a Summons and Petition for this case. lived in this state with the children. lived in this state and paid for pregnancy costs or support for the children. did or said something that caused the children to live in this state. had sex in this state, which may have produced the children. signed an agreement to join this Petition or other document agreeing that the court can decide his or her rights in this case. other (specify): Parties have consented: At least one child or party to the current order lives in Washington state now; and Each party to the current order (other than a State party) has filed a consent with the court that issued the current order agreeing that a Washington court may modify the order and take continuing, exclusive jurisdiction. 4. Is the state filing this Petition? (Check one): No. This Petition is filed by a parent or non-parent custodian. Yes. The state Department of Social and Health Services (DSHS) is filing this Petition because (check all that apply): the children receive public assistance. the children do not receive public assistance, but one of the parties asked DSHS to review the order and DSHS decided the order should be modified. another state or jurisdiction asked for this modification. RCW 26.09.170; .175 Mandatory Form (05/2016) FL Modify 501 Petition to Modify Child Support Order p. 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com 5. Current Child Support Order The Child Support Order I want to modify was signed by the court on (date): in (county): That order says (name): (amount): $ each month for (children's names): . Important! Attach or file a certified copy of the current child support order that you want to change if it was issued in a different county or state. , (state): . must pay 6. Should the court modify the monthly child support amount? No. Yes. I ask the court to order child support based on Washington state law. The monthly child support amount should be changed now because (check all that apply): Agreement ­ The parties agree to the changes. 1 year or more has passed ­ The current order was signed at least one year ago and (check all that apply): the current order causes severe financial hardship for me or the children. a child has turned 12 and has the right to more support. I want to add a Periodic Adjustment provision according to RCW 26.09.100. 2 years or more have passed ­ The current order was signed at least two full years (24 months) ago and (check all that apply): the parents' income has changed. the economic table or standards in RCW 26.19 have changed. (Note ­ You may be able to use a Motion to Adjust Child Support Order (form FL Modify 521) instead of this Petition if 24 months have passed and the only reasons for your requests are that the parents' income has changed, or the economic table or standards have changed.) Default or Past Agreement ­ The current order was issued by default or agreement, without the court independently examining the evidence to decide a reasonable amount of support according to the law. Change of Circumstances ­ There has been a substantial change in circumstances since the current order was signed. (Describe): RCW 26.09.170; .175 Mandatory Form (05/2016) FL Modify 501 Petition to Modify Child Support Order p. 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com 7. Should the court modify the end date for child support? No. Yes. The end date should be modified because (check all that apply): Agreement ­ The parties agree to the changes. Finish High School ­ The current order was signed at least one year ago. (Child's name): will still be in high school when s/he turns 18 and will need support until s/he finishes high school. I ask the court to order child support for this child to continue past his/her 18th birthday until he/she finishes high school. Dependent Adult Child ­ The current order says support must be paid for each child until the child turns 18 or is no longer enrolled in high school, whichever happens last. Sup