Get California Fl 191 Form

The California FL 191 form is a Child Support Case Registry Form that helps keep track of child support orders and ensures that the necessary information is submitted to the court. This form is confidential and will not be filed in the court file; instead, it is maintained in a secure file with the State of California. Completing this form accurately is crucial for effective child support management, so make sure to fill it out by clicking the button below.

Structure

The California FL 191 form, also known as the Child Support Case Registry Form, plays a crucial role in the child support process. This form is designed to gather important information about both parents and the children involved in a support case. It must be completed and submitted to the court alongside any child support order. The form collects details such as the names, addresses, and social security numbers of both parents, as well as information about the children who are receiving support. It is essential to provide accurate data, as this information will be stored in a confidential file maintained by the State of California. The form also outlines the specifics of the support order, including the amounts for child support, family support, and spousal support, if applicable. Additionally, if there are any changes to the information provided, a new form must be submitted within ten days. Understanding the requirements of the FL 191 form is vital for ensuring compliance with California's child support laws and maintaining clear communication with the court.

California Fl 191 Preview

FAX NO.(Optional):

FL-191

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):

ROBERT L. LAFER, CHIEF LEGAL COUNSEL, STATE BAR # 144971

COUNTY OF SAN DIEGO, DEPARTMENT OF CHILD SUPPORT SERVICES 220 WEST BROADWAY, SUITE 5003, P.O. BOX 122031

SAN DIEGO, CA 92112-2031

TELEPHONE NO.: (619) 236-7600

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO

STREET ADDRESS: 220 W. BROADWAY, ROOM 4005

MAILING ADDRESS: P.O. BOX 120128

CITY AND ZIP CODE: SAN DIEGO, CA 92112-4104

BRANCH NAME: CENTRAL COURT

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

CHILD SUPPORT CASE REGISTRY FORM

Mother	First form completed
Father	Change to previous information

COURT PERSONNEL:

STAMP DATE RECEIVED HERE

DO NOT FILE

CASE NUMBER

SUP CT #:

DCSS #:

THIS FORM WILL NOT BE FILED IN THE COURT FILE. IT WILL BE

MAINTAINED IN A CONFIDENTIAL FILE WITH THE STATE OF CALIFORNIA.

Notice: Pages 1 and 2 of this form must be completed and delivered to the court along with the court order for support. Pages 3 and 4 are instructional only and do not need to be delivered to the court. If you did not file the court order, you must complete this form and deliver it to the court within 10 days of the date on which you received a copy of the support order. Any later change to the information on this form must be delivered to the court on another form within 10 days of the change. It is important that you keep the court informed in writing of any changes of your address and telephone number.

1.Support order information (this information is on the court order you are filing or have received). a. Date order filed:

Initial child support or family support order

Modification

c.Total monthly base current child or family support amount ordered for children listed below plus any monthly amount ordered payable on past due support (do not include child care, special needs, uninsured medical expenses, or travel for visitation):


(1)	Child support:	$	Reserved order		$0 (zero) order	Past due child support:	$
(2)	Family support:	$	Reserved order		$0 (zero) order	Past due family support:	$
(3)	Spousal support: $		Reserved order		$0 (zero) order	Past due spousal support:	$
(4) Wage withholding was			ordered	ordered but stayed until

2.Person required to pay child or family support (name): Relationship to child (specify):

3.Person or agency to receive child or family support payments (name): Relationship to child (if applicable):

4.The child support order is for the following children:

Child’s name

Date of birth

Social Security Number

Additional children are listed on a page attached to this document.

TYPE OR PRINT IN INK

Page 1 of 4

Form Adopted for Mandatory Use

Judicial Council of California FL-191 [Rev. January 1, 2005]

FL_191_I.DOC (5/05)

CHILD SUPPORT CASE REGISTRY FORM

Family Code, § 4014 www.courtinfo.ca.gov

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT: OTHER PARENT:

CASE NUMBER

SUP CT #: DCSS #:

You are required to complete the following information about yourself. You are not required to provide information about the other person, but you are encouraged to provide as much as you can. This form is confidential and will not be filed in the court file. It will be maintained in a confidential file with the State of California.

5.Father's name:

a.Date of birth:

b.Social security number:

c.Street address:

City, state, zip code:

d. Mailing address:

City, state, zip code:

e.Driver's license number: State:

f.Telephone number:

g. Employed Not Employed Employer's name:

Street address:

City, state, zip code:

Telephone number:

6.Mother's name:

a.Date of birth:

b.Social security number:

c.Street address:

City, state, zip code:

d. Mailing address:

City, state, zip code:

e.Driver's license number: State:

f.Telephone number:

Self-Employed	g.	Employed	Not Employed
		Employer's name:

Street address:

City, state, zip code:

Telephone number:

Self-Employed

A restraining order, protective order, or nondisclosure order due to domestic violence is in effect.

a.	The order protects:	Father
b.	From	Father

c. The restraining order expires (date):

Mother

Children

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PERSON COMPLETING THIS FORM)

FL-191 [Rev. January 1, 2005]

FL_191_I.DOC (5/05)

CHILD SUPPORT CASE REGISTRY FORM

Page 2 of 4

INFORMATION SHEET FOR CHILD SUPPORT CASE REGISTRY FORM

(Do NOT deliver this Information Sheet to the court clerk.)

Please follow these instructions to complete the Child Support Case Registry Form (form FL-191) if you do not have an attorney to represent you. Your attorney, if you have one, should complete this form.

Both parents must complete a Child Support Case Registry Form. The information on this form will be included in a national database which, among other things, is used to locate absent parents. When you file a court order, you must deliver a completed form to the court clerk along with your court order. If you did not file a court order, you must deliver a completed form to the court clerk WITHIN 10 DAYS of the date you received a copy of your court order. If any of the information you provide on this form changes, you must complete a new form and deliver it to the court clerk within 10 days of the change. The address of the court clerk is the same as the one shown for the superior court on your order. This form is confidential and will not be filed in the court file. It will be maintained in a confidential file with the State of California.

INSTRUCTIONS FOR COMPLETING THE CHILD SUPPORT CASE REGISTRY FORM (TYPE OR PRINT IN INK):

If the top section of the form has already been filled out, skip down to number 1 below. If the top section of the form is blank, you must provide this information.

Front page, first box, top of form, left side: Print your name, address, telephone number, fax number, and e-mail address, if any, in this box. Attorneys must include their State Bar number.

Front page, second box, left side: Print the name of the county and the court's address in this box. Use the same address for the court that is on the court order you are filing or have received.

Front page, third box, left side: Print the names of petitioner/plaintiff, respondent/defendant, and other parent in this box. Use the same names listed on the court order you are filing or have received.

Front page, fourth box, left side: Check the box indicating whether you are the mother or the father. If you are the attorney for the mother, check the box for mother. If you are the attorney for the father, check the box for father. Also, if this is the first time you have filled out this form, check the box by “First form completed.” If you have filled out form FL- 191 before, and you are changing any of the information, check the box by “Change to previous information.”

Front page, first box, top of form, right side: Leave this box blank for the court's use.

Front page, second box, right side: Print the court case number in this box. This number is also shown on the court papers.

Instructions for numbered paragraphs:

1.a. Enter the date the court order was filed. This date is shown in the "COURT PERSONNEL: STAMP DATE RECEIVED HERE" box on the front page at the top of the order on the right side. If the order has not been filed, leave this item blank for the court clerk to fill in.

b.If the court order you filed or received is the first child or family support order for this case, check the box by "Initial child support order or family support order". If this is a change to your order, check the box by "Modification".

c.Information regarding the amount and type of support ordered and wage withholding is on the court order you are filing or have received.

(1)Check this box if your order says that child support is ordered. If there is an amount, put it in the blank provided. If the order says the amount is reserved, check the "Reserved order" box. If the order says the amount is zero, check the "$0 (zero) order" box. Do not include child care, special needs, uninsured medical expenses, or travel for visitation. If the Order/Notice to Withhold Income for Child Support (form FL-195) says that there is a monthly amount payable on past due child support, check the box and enter the amount.

(2)Check this box if your order says that family support is ordered. If there is an amount, put it in the blank provided. If the order says the amount is reserved, check the "Reserved order" box. If the order says the amount is zero, check the "$0 (zero) order" box. Do not include child care, special needs, uninsured medical expenses, or travel for visitation. If the Order/Notice to Withhold Income for Child Support (form FL-195) says that there is a monthly amount payable on past due family support, check the box and enter the amount.

FL-191 [Rev. January 1, 2005]

FL_191_I.DOC (5/05)

CHILD SUPPORT CASE REGISTRY FORM

Page 3 of 4

(3). Check the spousal support box only if a box is checked in item 1(c)(1) for child support. If it was, put the amount of spousal support in the blank provided. If the order says the amount is reserved, check the “Reserved order” box. If the order says the amount is zero, check the “$0 (zero) order” box. If the Order/Notice to Withhold Income for Child Support (form FL-195) says that there is a monthly amount payable on past due spousal support, check the box and enter the amount.

(4). Check the “ordered” box if wage withholding was ordered with no conditions. Check the box “ordered but stayed until” if wage withholding was ordered but is not to be deducted until a later date. If the court delayed the effective date of the wage withholding enter the specific date. Check only one box in this item.

2.a. Write the name of the person who is supposed to pay child or family support.

b.Write the relationship of that person to the child.

3.a. Write the name of the person or agency that is supposed to receive child or family support payments.

b.Write the relationship of that person to the child.

4.List the full name, date of birth, and social security number for each child included in the support order. If there are more than five children included in the support order, check the box after item 4e and list the remaining children with dates of birth and social security numbers on another sheet of paper. Attach the other sheet to this form.

The local child support agency is required, under section 466(a)(13) of the Social Security Act, to place in the records pertaining to child support, the social security number of any individual who is subject to a divorce decree, support order, or paternity determination or acknowledgment. This information is mandatory and will be kept on file at the local child support agency.

Top of second page, box on left side: Print the names of the petitioner/plaintiff, respondent/defendant, and other parent in this box. Use the same names listed on the front page.

Top of second page, box on right side: Print your court case number in this box. Use the same case number as on the front page, second box, right side.

You are required to complete information about yourself. If you know information about the other person, you may also fill in what you know about him or her.

5.If you are the father in this case, list your full name in this space. See instructions for a-g under item 6 below.

6.If you are the mother in this case, list your full name in this space.

a.List your date of birth.

b.Write your social security number.

c.List the street address, city, state, and zip code where you live.

d.List the address, city, state, and zip code where you want your mail sent, if different from the address where you live.

e.Write your driver's license number and the state where it was issued.

f.List the telephone number where you live.

g.Indicate whether you are employed, self-employed, or not employed by checking the appropriate box. If you are employed, write the name, street address, city, state, zip code, and telephone number where you work.

7.If there is a restraining order, protective order, or nondisclosure order, check this box.

a.Check the box beside each person who is protected by the restraining order.

b.Check the box beside the parent who is restrained.

c.Write the date the restraining order expires. See the restraining order, protective order, or nondisclosure order for this date.

If you are in fear of domestic violence, you may want to ask the court for a restraining order, protective order, or nondisclosure order.

You must type or print your name, fill in the date, and sign the Child Support Case Registry Form under penalty of perjury. When you sign under penalty of perjury, you are stating that the information you have provided is true and correct.

FL-191 [Rev. January 1, 2005]

FL_191_I.DOC (5/05)

CHILD SUPPORT CASE REGISTRY FORM

Page 4 of 4

➤ PDF File

Document Data

Fact Name	Description
Form Purpose	The FL-191 form is used to register child support cases with the State of California.
Governing Law	This form is governed by Family Code, § 4014.
Confidentiality	Information submitted on this form is confidential and will not be filed in the court file.
Submission Deadline	Completed forms must be delivered to the court within 10 days of receiving a support order.
Form Pages	Only pages 1 and 2 need to be submitted to the court; pages 3 and 4 are instructional.
Changes to Information	Any changes to the information must be reported using a new form within 10 days of the change.

How to Use California Fl 191

Completing the California FL-191 form is an essential step in the child support process. This form collects vital information related to child support cases and must be submitted to the court along with your court order. It is important to ensure that all sections are filled out accurately to avoid any delays in processing.

Begin by filling out the top section of the form. Include your name, address, telephone number, fax number (if applicable), and email address (if applicable). If you are an attorney, include your State Bar number.
In the second box, provide the name of the county and the court's address as indicated on your court order.
In the third box, enter the names of the petitioner/plaintiff, respondent/defendant, and other parent as listed on the court order.
In the fourth box, indicate whether you are the mother or father. If this is your first time completing the form, check "First form completed." If you are making changes to previous information, check "Change to previous information."
Leave the first box on the right side blank for the court's use. In the second box on the right side, print the court case number as shown on your court papers.
For section 1, enter the date the court order was filed. If the order has not been filed, leave this blank for the court clerk.
Indicate whether this is the initial child support order or a modification by checking the appropriate box.
Provide the total monthly base current child or family support amount ordered. If applicable, include any amounts for past due support. Check the appropriate boxes for reserved orders or zero orders as indicated on your court order.
In section 2, write the name of the person required to pay child or family support and their relationship to the child.
In section 3, provide the name of the person or agency designated to receive child or family support payments and their relationship to the child.
For section 4, list the names, dates of birth, and social security numbers of each child included in the support order. If you have more than five children, attach an additional sheet with their information.
In section 5, fill out the father’s information, including date of birth, social security number, addresses, and employment details.
In section 6, complete the mother’s information similarly to the father’s section.
In section 7, indicate if there is a restraining order in effect. Provide details about who is protected, who is restrained, and the expiration date of the order.
Finally, type or print your name, fill in the date, and sign the form under penalty of perjury, confirming that all information provided is true and correct.

Key Facts about California Fl 191

What is the California FL 191 form?

The California FL 191 form is known as the Child Support Case Registry Form. It is used to collect and maintain information related to child support cases in California. This form helps ensure that child support payments are tracked and managed effectively. It is not filed in the court file but is kept confidential by the State of California.

Who needs to fill out the FL 191 form?

Both parents involved in a child support case are required to complete the FL 191 form. If you are the petitioner or respondent in a child support case, you must provide your information on this form. It is also important for the local child support agency to have accurate information to assist in tracking support payments.

When should I submit the FL 191 form?

You must submit the FL 191 form to the court clerk along with your court order for support. If you did not file a court order, you need to deliver the completed form within 10 days of receiving a copy of the support order. Any changes to the information on the form must also be reported to the court within 10 days using a new form.

What information is required on the FL 191 form?

The form requires various details, including the names and addresses of both parents, the child or children involved, and the specifics of the support order. You will need to provide information such as the amount of child support, family support, and spousal support ordered, as well as the relationship of the individuals involved.

Is the information on the FL 191 form public?

No, the information on the FL 191 form is confidential. It will not be filed in the court file and will be maintained in a confidential file by the State of California. This ensures that sensitive personal information remains private.

What happens if I do not submit the FL 191 form?

If you fail to submit the FL 191 form as required, it could delay the processing of your child support case. Additionally, not providing accurate information may impact the enforcement of child support orders and the ability to track payments effectively.

Can I make changes to the FL 191 form after submitting it?

Yes, you can make changes to the information provided on the FL 191 form. If any of the details change, such as your address or employment status, you must complete a new form and submit it to the court within 10 days of the change.

What should I do if I have a restraining order?

If there is a restraining order, protective order, or nondisclosure order in effect due to domestic violence, you should indicate this on the FL 191 form. You must specify who is protected by the order and the details of the order, including its expiration date.

What if I need assistance filling out the FL 191 form?

If you need help completing the FL 191 form, consider seeking assistance from a legal professional or a local child support agency. They can provide guidance on how to fill out the form accurately and ensure that you meet all requirements.

Where do I submit the FL 191 form?

You should submit the FL 191 form to the court clerk at the superior court where your child support case is being handled. The address for the court clerk is typically listed on your court order. Make sure to keep a copy of the submitted form for your records.

Common mistakes

Filling out the California FL-191 form can be a straightforward process, but there are common mistakes that individuals often make. One frequent error is failing to provide complete information in the required fields. Every section of the form is important, and leaving any part blank can lead to delays in processing. Ensure that all names, addresses, and relevant details are filled out accurately.

Another common mistake is not using the correct names as listed on the court order. It is essential to match the names exactly, including spelling and order, as discrepancies can cause confusion and may require additional court appearances to rectify. Always double-check that the names of the petitioner, respondent, and any other parent are consistent with the official documents.

People often overlook the importance of the court case number. This number is crucial for tracking and processing the case. Omitting this information or entering it incorrectly can lead to misfiling and delays. Always verify the case number on your court documents before submitting the form.

In addition, many individuals do not pay attention to the deadlines associated with the FL-191 form. The form must be submitted within 10 days of receiving a court order. Failing to meet this deadline can result in complications or penalties. It is advisable to mark your calendar with important dates to ensure timely submission.

Another mistake is neglecting to check the appropriate boxes related to support orders. If there is a child support, family support, or spousal support order, it is critical to check the corresponding boxes and provide accurate amounts. Misrepresenting or failing to report these figures can lead to legal issues down the line.

People sometimes forget to update their information if there are changes after the initial submission. If any details change, such as addresses or employment status, a new form must be filled out and submitted within 10 days of the change. Keeping the court informed helps avoid complications and ensures that all parties receive necessary communications.

Another frequent oversight is not signing the form. The signature certifies that the information provided is true and correct under penalty of perjury. Failure to sign can render the form incomplete and invalid, necessitating a resubmission.

Lastly, individuals may not realize that the FL-191 form is confidential. Although it is important to provide as much information as possible, sensitive data should be handled with care. Understanding the confidentiality of the form can help individuals feel more secure when providing personal details.

Documents used along the form

When dealing with child support cases in California, several forms and documents accompany the California FL-191 form. Each of these documents serves a specific purpose, ensuring that the necessary information is collected and processed efficiently. Below is a list of commonly used forms and documents that you may encounter alongside the FL-191.

FL-195: Order/Notice to Withhold Income for Child Support - This document is used to inform an employer to withhold a portion of an employee's income for child support payments. It outlines the amount to be deducted and the frequency of payments.
FL-300: Request for Order - This form is used to request a court order for child support, spousal support, or modifications to existing support orders. It provides the court with the necessary details to make a decision.
FL-320: Response to Request for Order - If you receive a Request for Order (FL-300), this form allows you to respond to the request. It is essential for presenting your side of the case to the court.
FL-341: Child Custody and Visitation Application - This form is used to request custody and visitation orders. It is often filed alongside child support forms to address parenting arrangements.
FL-342: Child Custody and Visitation Order - This document serves as the official order from the court regarding custody and visitation rights. It outlines the terms agreed upon or decided by the judge.
FL-150: Income and Expense Declaration - This form provides a detailed account of your income, expenses, and financial situation. It is crucial for determining child support amounts and obligations.
FL-155: Financial Statement - Similar to the Income and Expense Declaration, this form summarizes your financial status and is often required in support cases.
FL-160: Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act - This document is used to establish jurisdiction for child custody cases, ensuring that the correct court has authority over the matter.
FL-180: Judgment - This form is the final court order that outlines the terms of the child support agreement, custody arrangements, and any other relevant decisions made by the court.
FL-191: Child Support Case Registry Form - This is the form you are already familiar with. It collects essential information for the child support case registry and must be submitted to the court.

Understanding these forms can greatly assist in navigating the child support process in California. Each document plays a vital role in ensuring that all parties are informed and that the court has the necessary information to make fair decisions. Keeping these forms organized and readily available will help streamline your experience with the legal system.

Similar forms

The California FL-191 form is similar to several other documents related to child support and family law. Below is a list of those documents and how they compare to the FL-191 form:

FL-150: Income and Expense Declaration - This form requires individuals to provide detailed information about their income and expenses. Like the FL-191, it is used in child support cases to determine the appropriate support amount.
FL-155: Child Support Information and Order Attachment - This document is attached to the child support order and outlines the specifics of the support arrangement. It shares the purpose of documenting child support details, similar to the FL-191.
FL-195: Order/Notice to Withhold Income for Child Support - This form is used to initiate wage withholding for child support payments. It complements the FL-191 by enforcing the support order outlined in that form.
FL-300: Petition for Custody and Support of Minor Children - This petition addresses custody and support issues in family law cases. Like the FL-191, it is integral in establishing support obligations for children.
FL-310: Request for Order - This form is used to request changes to existing orders, including child support. It serves a similar function to the FL-191 by facilitating communication of changes in support circumstances.
FL-340: Child Support Case Registry Form - This document is specifically for registering child support cases. It is similar to the FL-191 in that both forms collect essential information for maintaining child support records.
FL-680: Stipulation to Establish or Modify Child Support - This form is used when both parties agree to establish or modify child support terms. Like the FL-191, it documents support arrangements and changes to ensure compliance with court orders.

Dos and Don'ts

When filling out the California FL-191 form, it is crucial to adhere to specific guidelines to ensure accuracy and compliance. Here are eight essential dos and don'ts:

Do print clearly and use ink to fill out the form.
Do provide complete information for both parents, if possible.
Do deliver the completed form to the court clerk within the specified timeframe.
Do keep a copy of the form for your records.
Don't leave any required fields blank; fill in all applicable sections.
Don't include information about child care or medical expenses in the support amounts.
Don't forget to update the court with any changes to your information within 10 days.
Don't submit pages 3 and 4 of the form to the court, as they are instructional only.

Following these guidelines will help streamline the process and maintain compliance with court requirements.

Misconceptions

Misconception 1: The FL-191 form is filed with the court.

The FL-191 form is not filed in the court file. Instead, it is maintained in a confidential file with the State of California.

Misconception 2: Only one parent needs to complete the form.

Both parents are encouraged to complete the FL-191 form to ensure accurate information is provided for the child support case registry.

Misconception 3: The information on the form is public.

The details submitted on the FL-191 form are confidential and will not be accessible to the public.

Misconception 4: You can submit the form at any time.

The completed form must be delivered to the court within 10 days of receiving a copy of the support order or any changes to the information.

Misconception 5: All pages of the form must be submitted to the court.

Only pages 1 and 2 need to be submitted with the court order; pages 3 and 4 are instructional and should not be delivered to the court.

Misconception 6: The form can be completed in any format.

The FL-191 form must be completed by typing or printing in ink to ensure clarity and legibility.

Misconception 7: You can skip providing information about the other parent.

Misconception 8: The form is not necessary if you have a lawyer.

Even if you have an attorney, both parents must complete the FL-191 form as part of the child support process.

Misconception 9: The form is only for child support cases.

The FL-191 form is also applicable for family support and spousal support cases, not just child support.

Misconception 10: Changes to information can be reported anytime.

Any changes to the information provided on the FL-191 form must be reported within 10 days of the change to ensure accurate records.

Key takeaways

Filling out the California FL-191 form is an important step in the child support process. Here are some key takeaways to keep in mind:

Confidentiality: The information you provide on the FL-191 form is confidential. It will not be filed in the court file but will be maintained in a separate confidential file with the State of California.
Timeliness: If you receive a court order, you must submit this form to the court within 10 days. This ensures that the child support case is registered promptly.
Completeness: Ensure that all required sections are filled out accurately. Missing information can delay the processing of your case.
Support Amounts: Clearly indicate the amounts for child support, family support, and spousal support as stated in the court order. Do not include additional expenses like childcare or medical costs.
Changes in Information: If any information changes after you submit the form, you must fill out a new FL-191 form and submit it within 10 days of the change.
Multiple Children: If there are more than five children involved, list their details on an attached sheet. This ensures all relevant information is captured.
Legal Representation: If you have an attorney, they should complete the form on your behalf. If you do not have an attorney, you are responsible for filling it out correctly.
Signature Requirement: The form must be signed under penalty of perjury, which means you are affirming that the information provided is true and correct.
Restraining Orders: If there is a restraining order in effect, you must indicate this on the form and provide relevant details, such as who is protected and the expiration date of the order.

By keeping these points in mind, you can ensure that the FL-191 form is filled out correctly and submitted on time, helping to facilitate the child support process efficiently.