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The FL-191 form is a key document used in California for child support cases. It serves as a Child Support Case Registry Form, which collects essential information necessary for establishing and maintaining child support orders. This form includes sections where parties involved—such as the petitioner, respondent, and other parents—are required to indicate their names, contact details, and the specifics of their support agreements. Important details such as order dates, payment amounts for current child or family support, and any modifications to existing orders must be clearly stated. Further, the FL-191 form ensures confidentiality, as it will not be included in the court file but rather kept in a separate confidential file with the State of California. Additionally, parents must notify the court of any changes related to address or telephone numbers within a specific timeframe. Understanding which sections must be filled, and the importance of timely submission, can significantly affect the management of child support obligations.

Fl 191 Example

FL-191

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

 

COURT PERSONNEL:

 

 

 

 

STAMP DATE RECEIVED HERE

 

 

 

 

 

To keep other people from

 

 

 

 

 

 

 

 

seeing what you entered

 

 

 

 

 

on your form, please

 

 

 

 

 

press the Clear This Form

 

 

TELEPHONE NO.:

FAX NO. (Optional):

 

buttonDOatNOTthe endFILEof the

 

 

 

form when finished.

 

E-MAIL ADDRESS (Optional):

 

 

 

 

 

 

 

 

ATTORNEY FOR (Name):

 

 

 

 

 

 

 

 

 

 

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

 

 

MAILING ADDRESS:

 

 

CITY AND ZIP CODE:

 

 

BRANCH NAME:

 

 

PETITIONER/PLAINTIFF:

 

 

RESPONDENT/DEFENDANT:

 

 

OTHER PARENT:

 

 

CHILD SUPPORT CASE REGISTRY FORM

CASE NUMBER:

Mother

First form completed

 

Father

Change to previous information

 

THIS FORM WILL NOT BE PLACED 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:

b. 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:

Child Support:

Family Support:

Spousal Support:

(1) Current $ base child support:

(2)

 

Additional

$

 

 

monthly

 

 

 

support:

 

(3)

 

Total

$

 

 

 

past-due

 

 

 

support:

 

Reserved order $0 (zero) order

Current

$

 

 

base family

 

 

Reserved order

 

 

support:

 

 

 

 

 

 

$0 (zero) order

Additional

$

 

 

 

 

monthly

 

 

 

support:

 

 

 

Total

$

 

 

past-due

 

 

 

support:

 

 

 

Current

$

 

spousal

 

 

 

 

support:

 

 

 

 

 

 

 

 

 

Total $ past-due support:

Reserved order $0 (zero) order

(4) Payment $ on past- due support:

(5)Wage withholding was

 

 

 

 

Payment $

 

 

 

 

on past-

 

 

 

 

due support:

ordered

 

 

ordered but stayed until (date):

 

 

Payment $ on past- due support:

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):

TYPE OR PRINT IN INK

 

 

Page 1 of 4

Form Adopted for Mandatory Use

CHILD SUPPORT CASE REGISTRY FORM

Family Code, § 4014

Judicial Council of California

www.courtinfo.ca.gov

FL-191 [Rev. July 1, 2005]

 

 
Social security number
Date of birth

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

CASE NUMBER:

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

Child’s name

a.

b.

c.

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

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:

6. Mother’s name:

a. Date of birth:

a. Date of birth:

b. Social security number:

b. Social security number:

c. Street address:

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:

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:

 

 

Self-employed

Street address:

Street address:

City, state, zip code:

City, state, zip code:

Telephone number:

Telephone number:

7.

 

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

 

 

 

a. The order protects:

 

Father

 

Mother

 

Children

 

 

 

 

 

 

b. From:

 

Father

 

Mother

 

 

 

 

 

 

 

c. The restraining order expires on (date):

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. July 1, 2005]

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 that, 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.

Page 1, 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 identification numbers.

Page 1, second box, top of form, 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.

Page 1, third box, top of form, left side: Print the names of the 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.

Page 1, fourth box, top of form, 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.”

Page 1, first box, right side: Leave this box blank for the court’s use in stamping the date of receipt.

Page 1, 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 page 1 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 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)If your order provides for any type of current support, check all boxes that describe that support. For example, if your order provides for both child and spousal support, check both of those boxes. 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 here These amounts will go in (2). Do NOT complete the Child Support Case Registry form if you receive spousal support only.

(2)If your order provides for a set monthly amount to be paid as additional support for such needs as child care, special needs, uninsured medical expenses or travel for visitation check the box in Item 2 and enter the monthly amount. For example, if your order provides for base child support and in addition the paying parent is required to pay $300 per month, check the box in item 2 underneath the "Child Support" column and enter $300. Do NOT check this box if your order provides only for a payment of a percentage, such as 50% of the childcare.

FL-191 [Rev. July 1, 2005]

CHILD SUPPORT CASE REGISTRY FORM

Page 3 of 4

(3)If your order determined the amount of past due support, check the box in Item 3 that states the type of past due support and enter the amount. For example, if the court determined that there was $5000 in past due child support and $1000 in past due spousal support, you would check the box in item 3 in the "Child Support" column and enter $5000 and you would also check the box in item 3 in the "Spousal Support" column and enter $1000.

(4)If your order provides for a specific dollar amount to be paid towards any past due support, check the box in Item 4 that states the type of past due support and enter the amount. For example, the court ordered $350 per month to be paid on the past due child support, you would check the box in Item 4 in the "Child Support" column and enter $350.

(5)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 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 below 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 page 2, 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 page 1.

Top of page 2, box on right side: Print your court case number in this box. Use the same case number as on page 1, 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 street 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, not employed, self-employed, or 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. July 1, 2005]

CHILD SUPPORT CASE REGISTRY FORM

 

 

 

 

 

 

 

 

 

 

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Form Characteristics

Fact Name Description
Form Purpose The FL-191 form is used to register child support information with the state. It is crucial for maintaining updated records in child support cases.
Confidentiality This form will not be placed in the court file. Instead, it is kept in a confidential file with the State of California.
Governing Law The use of the FL-191 form is governed by the Family Code, § 4014. This law outlines the requirements for child support documentation.
Delivery Requirements Completed forms must be delivered to the court within 10 days after receiving a court order. Changes to information must also be reported within 10 days.

Guidelines on Utilizing Fl 191

Completing the FL-191 form requires careful attention to detail. This guide will help you navigate the process smoothly. Ensure you have all relevant information at hand, as you will need to provide details about the child support order, the parties involved, and relevant personal data.

  1. Begin with the upper section of the form. Fill in the name, address, telephone number, fax number (if applicable), and email address (if applicable) in the first box. Attorneys should include their State Bar identification numbers.
  2. Below, indicate the name of the county and the court address. Use the address from the court order you are submitting.
  3. In the next box, enter the names of the petitioner/plaintiff, respondent/defendant, and the other parent as they appear in the court order.
  4. Indicate your relationship by checking the appropriate box (Mother or Father). Mark whether this is the first form completed or a change to previous information.
  5. Leave the box for court use blank. In the second box, print the court case number.
  6. For the support order information:
    a. Enter the date the order was filed.
    b. Check if this is the initial order or a modification.
    c. Fill in the details on the current support amounts as indicated on the order. If multiple support types are ordered, indicate each one.
  7. Provide the name of the person required to pay support and their relationship to the child.
  8. Next, list the name of the person or agency receiving payments along with their relationship to the child.
  9. Detail the information for each child included in the support order, including full name, date of birth, and social security number. If there are more than five children, attach an additional sheet.
  10. Complete the personal information about yourself. Fill in your full name, date of birth, social security number, and addresses for living and mailing. Include your driver's license number and the state where it was issued.
  11. Indicate your telephone number and employment status. If employed, provide your employer's details.
  12. If applicable, denote if there is a restraining order and detail the protections provided and expiration date.
  13. Finally, print your name, sign the form, and date it. Your signature is a declaration that the information is true and correct.

After completing the form, ensure to submit it alongside the appropriate court orders. It is crucial to maintain the confidentiality of the information provided, as this form is kept in a confidential file with the State of California.

What You Should Know About This Form

What is the FL-191 form used for?

The FL-191 form is the Child Support Case Registry Form used in California. It helps keep track of child and family support cases. When you file a child support order, you must submit this form to the court along with your court order. The information collected is confidential and will be stored in a secure state file, not the court's public file.

Who needs to complete the FL-191 form?

Both parents involved in a child support case are required to fill out the FL-191 form. If you have an attorney, they can assist you in completing it. This form is necessary whether you are the payee or the payer of child support.

What information do I need to provide on the form?

You will need to include details about yourself, the other parent, and the child or children listed in the support order. This includes names, addresses, social security numbers, dates of birth, and employment information. Specific information regarding the support order, such as amounts and payment details, must also be filled out.

Is this form public information?

No, the information on the FL-191 form is confidential and will not be placed in the public court file. It will be maintained separately in a confidential file with the State of California, ensuring your privacy is protected.

What should I do if my information changes?

If there are any changes to the information you provided on the FL-191 form, you must complete a new form and submit it to the court within 10 days of that change. Keeping your information up to date is crucial for communication about the support case.

How soon do I need to submit the FL-191 form after receiving a court order?

If you did not file the court order yourself, you must deliver the completed FL-191 form to the court within 10 days of receiving a copy of your court order. Timely submission helps ensure that your support case is handled correctly.

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

Failing to submit the FL-191 form could lead to delays or problems with your child support case. The court requires this information to track payments and enforce support orders, so it is in your best interest to ensure it is completed and filed promptly.

Common mistakes

Filling out the FL-191 form can be a daunting task. Many individuals make common mistakes that can lead to delays or complications in their child support cases. Understanding these pitfalls is essential for ensuring a smooth process.

One frequent error is not providing complete information. Applicants often leave out essential details such as dates of birth, social security numbers, or full names of involved parties. Omitting this information can result in the court not being able to process the form correctly. Always double-check that every required field is filled out completely before submitting.

Another mistake occurs with the order information. Many applicants mistakenly check the wrong box regarding the type of order they are filing. For instance, misidentifying whether the support order is initial or a modification can complicate the matter. It’s crucial to read each section carefully to ensure the correct information is indicated.

Some individuals also fail to correctly list the relationship to the child. When filling out the form, you must specify your relationship to the child accurately. Inaccuracies here can lead to misunderstandings and potential challenges later in proceedings.

Failing to update changes is another common issue. If circumstances change—such as a new address or job—you must inform the court within ten days of the change. Ignoring this responsibility can lead to missed communications or legal consequences down the line.

Another area where mistakes frequently arise is in completing the section about support amounts. Some individuals enter inaccurate figures or fail to account for all necessary components of their support order. Ensure that you fully understand the amounts specified in the court order and properly fill in each related field on the FL-191 form.

Additionally, many people leave the contact information section blank. This information is essential for the court to reach you if needed. Always provide accurate telephone numbers, addresses, and any optional email addresses to maintain open lines of communication.

Lastly, not signing the form can invalidate it. Many individuals forget to sign the FL-191 after filling it out. This simple mistake can lead to significant delays in processing your case. To avoid issues, always remember to include your signature at the bottom of the form before submission.

By being aware of these common mistakes and taking steps to avoid them, you can help ensure that your FL-191 form is completed properly. Taking the time to meticulously review your form before submission will provide peace of mind and help your case proceed smoothly.

Documents used along the form

When filing the FL 191 form, several other documents may be required to ensure a smooth process regarding child support cases. These forms help to establish, modify, or collect child support and provide necessary information to the court and related agencies.

  • FL-150: Financial Statement - This document outlines the income, expenses, and assets of the party involved. It is essential for determining support obligations and is required during child support hearings.
  • FL-300: Request for Order - Used to ask the court for orders related to child support and other family law matters. This form is critical when initiating a request for support modification.
  • FL-310: Response to Request for Order - This form allows the respondent to reply to requests made by the other party. It includes information about supporting or denying the requests regarding child support.
  • FL-430: Income and Expense Declaration - Similar to FL-150, this form is specifically utilized to detail financial circumstances in cases where support modification is sought.
  • FL-385: Notice of Change of Address - This document is used to notify the court of any change in address by the parties involved. It ensures that all parties receive important communication regarding the case.
  • FL-191(A): Child Support Case Registry Form (Continuation) - If there are more children than the FL-191 can accommodate, this form serves as an extension where the additional children’s details can be recorded.
  • FL-800: Application for Modification of Child Support - This application is specifically designed for individuals seeking to modify an existing child support order based on changed financial circumstances.
  • FL-346: Stipulation to Establish or Modify Child Support - This form is used when both parties agree on the terms for establishing or modifying child support. It simplifies the court process and often leads to faster resolutions.
  • FL-395: Child Support Evaluation - This form enables the court to assess the appropriate child support amount based on provided financial information and guidelines.

Using these forms in conjunction with the FL 191 will facilitate effective communication with the court regarding child support matters. Having all necessary documentation ready can expedite the process, ensuring that the best interests of the children involved are maintained.

Similar forms

  • FL-150 - Income and Expense Declaration: This form helps determine the financial situation of individuals involved in a support case. Similar to FL-191, it requires detailed personal information to assess support obligations.
  • FL-300 - Request for Order: This document is used to request a court order regarding family law matters, including support. Just like FL-191, it facilitates the correction and communication of essential information to the court.
  • FL-341 - Child Support Information and Order Attachment: This attachment provides specific child support payment information and is directly related to the FL-191 form, functioning to record support award details.
  • FL-320 - Spousal or Partner Support Declaration: This form tracks spousal support matters and requires financial information, similar to how FL-191 collects data necessary for child support assessments.
  • FL-382 - Declaration for Default or Uncontested Judgment: This form is used when one party does not respond in a court case. Like FL-191, it still documents crucial information pertaining to support obligations.
  • FL-040 - Petition for Dissolution of Marriage: A central document in divorce proceedings, it outlines issues like support. The FL-191 form complements this by detailing the child support aspect specifically.
  • FL-250 - Notice of Motion and Motion: This form initiates a court request similar to FL-191, both aiming to inform the court of necessary actions related to family support.
  • FL-315 - Child Support Order: This form establishes child support payment terms. It directly correlates with FL-191 since both are used to ensure clarity and proper procedure in child support cases.
  • FL-155 - Spousal Support Order: Just as FL-191 tracks child support, FL-155 specifically documents spousal support, highlighting the importance of complete financial declarations in family law.
  • FL-290 - Judgment for Dissolution of Marriage: This document finalizes divorce proceedings, documenting all aspects including child support. The FL-191 form serves the purpose of detailing ongoing support obligations.

Dos and Don'ts

When completing the FL-191 form, individuals should adhere to the following guidelines. These will enhance accuracy and ensure compliance with necessary legal standards.

  • Do ensure clarity: Write legibly using print or type. This helps prevent misunderstandings or errors.
  • Do include all required information: Make sure to provide all details requested, especially names, relationships, and financial information.
  • Do verify your information: Double-check dates, social security numbers, and other essential pieces of information for accuracy.
  • Do submit in a timely manner: Deliver the form within the stipulated time frame, especially noting the 10-day period after receiving a court order.
  • Do keep a copy: Maintain a record of the completed form for your files and future reference.
  • Don't leave sections blank: If a section does not apply, indicate that with "N/A" rather than leaving it empty to avoid confusion.
  • Don't provide unnecessary information: Only provide details pertinent to the support case. Avoid including extraneous personal data.
  • Don't forget confidentiality: Be aware that while the form contains sensitive information, it will be maintained confidentially.
  • Don't neglect updates: If any information changes, be proactive in submitting a new form within the required time.
  • Don't hesitate to ask for help: If you are unsure about how to fill out the form, seek assistance from an attorney or a legal aid organization.

Misconceptions

Understanding the FL-191 form is vital for anyone involved in a child support case in California. However, several misconceptions surround this form. Below are some common misunderstandings along with clarifications.

  • The FL-191 form is publicly accessible. Many believe that forms filed with the court are public records. In reality, this form is kept confidential and is not accessible to the public.
  • You must provide information about both parents on the form. While it is encouraged to include information about the other party, it is not mandatory. You only need to complete your own information.
  • This form needs to be filed with every court appearance. This is incorrect. You only need to file the FL-191 form when you are first filing a support order or when there are changes to the information previously provided.
  • Pages 3 and 4 should be submitted to the court. This is a common error. Pages 3 and 4 serve as instructional materials and are not required for court submission.
  • You can submit the form anytime after receiving the court order. There is a strict 10-day deadline. The form must be submitted within 10 days of receiving the support order.
  • The information on this form is only for child support cases. It can also relate to family support and spousal support. This broad usage can cause confusion.
  • Filling out the form incorrectly is inconsequential. Any inaccuracies can lead to delays in processing or complications in the enforcement of support orders. It is crucial to ensure all information is accurate.
  • I can ignore updates after initial filing. It is essential to keep the court updated with any changes, such as a change of address or employment status, within 10 days.

Key takeaways

Filling out and using the FL 191 form is a crucial step in managing child support cases in California. Here are some key takeaways:

  • Confidentiality is Important: The FL 191 form contains sensitive information and is kept confidential by the court. It will not be placed in the public court file.
  • Timely Submission: You need to file the completed form with the court within 10 days of receiving a court order if you haven't done so already. Any changes to the information must also be reported within 10 days.
  • Specific Details Required: Ensure you accurately fill in all required details about support amounts, the persons involved, and any relevant court orders. Incomplete or incorrect information can delay processing.
  • Use the Correct Format: The form must be filled out in ink, and typed or printed clearly. Entering information correctly, following specified instructions, is essential for acceptance by the court.
  • Seek Assistance if Needed: If you are unsure of how to fill out the form, consider seeking help from a legal professional, especially if complex support matters are involved.

Understanding these points will help ensure that the FL 191 form is filled out correctly and submitted successfully, facilitating smoother child support proceedings.

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