All court forms FL-150

Income and Expense Declaration

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California · Before any support hearing; preliminary disclosures within 60 days.

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    What is FL-150?

    Mandatory financial disclosure for any California family-law case involving child support, spousal/partner support, or attorney fees. Each party signs their own FL-150 under penalty of perjury, attaches recent pay stubs and the most recent tax return, and serves the other side. Used at preliminary disclosure (Family Code section 2104) and updated for every Request for Order touching support.

    What happens if you miss the deadline: Filing without a current FL-150 (within 90 days of the hearing) often draws a continuance and can result in adverse inferences. The court may impute income at minimum wage or attribute earning capacity if disclosure is incomplete.

    How to file

    Filing fee
    No separate filing fee for FL-150. It is filed in the existing case (with FL-100, FL-120, FL-300, FL-320, or as an update before a hearing).
    Filing method
    in-person, mail, efile (county-specific; most California family-law courts accept e-filing)
    Filing deadline
    Cal. Rule of Court 5.260 requires a 'current' FL-150 (completed within the past 3 months with no material change in facts) before any hearing on support or attorney fees. The requesting party files FL-150 with the Request for Order (FL-300); the responding party files FL-150 with their Response (FL-320). For dissolutions, FL-150 is also part of the Preliminary Declaration of Disclosure under Family Code section 2104, served within 60 days of filing FL-100 or FL-120.
    How to serve
    FL-150 is served on the other party (or their attorney) along with the underlying paper (FL-300, FL-320, or the preliminary disclosure cover sheet FL-141). Service is by personal service or first-class mail under Code Civ. Proc. sections 1010-1013, documented on POS-030 (mail) or POS-040 (personal). The declarant cannot serve their own paper; a non-party adult must do it.
    Wet signature
    Yes, sign in pen after printing.
    Notarization
    No
    Original and copies
    One original to the clerk plus 1 copy for the filer's records and 1 copy for service on each other party. If filing with FL-300 / FL-320, follow that form's copy requirement (1 original + 1 conformed file-stamp + 1 service copy is typical).

    Common pitfalls

    (1) Currency: the form must be 'completed within the past three months providing no facts have changed' (Rule 5.260). The “Today's date” should be within 90 days of any upcoming hearing. (2) Attachments: the form text requires attaching the last two months of pay stubs (item 5) and self-employment requires P&L or Schedule C (item 7). The wizard cannot verify attachments are physically clipped, but the review should remind the filer if they declared salary/self-employment income with no attachment narrative. (3) Internal consistency: salary 'last month' should be in the same order of magnitude as 'average monthly' unless item 9 (change in income) is checked. Income from a job in item 1 should reconcile with item 5a (salary). Total expenses (13r) should be the sum of 13a-q (excluding 13a(1)(a) and (b)).

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    Field-by-field guidance

    We've mapped every field on FL-150: what it asks, what counts as a blocker, what trips most filers up. Ezel puts all of it in front of you as you fill. Plain-English questions in, court-ready PDF out.

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    Your Name
    Required

    Caption must identify the declarant.

    • Filer lists nickname.
    • Filer omits middle name.
    Firm Name

    Attorneys only.

    • Pro se filers fill with employer.
    • Attorneys list lead partner only.
    Bar Number

    Attorneys only.

    • Pro se filers fill with DL.
    • Out-of-state attorneys use home-state bar.
    Your Street
    Required

    Caption street address. DV note: filers leaving abuse should consider Safe at Home or a friend's address.

    • Filer lists outdated address.
    • Filer lists P.O. Box only.
    Your City
    Required

    Caption city.

    • Filer lists county.
    • Filer abbreviates.
    Your State
    Required

    Caption state.

    • Filer spells out California.
    • Filer uses lowercase.
    Your Zip
    Required

    Caption ZIP.

    • Filer pastes ZIP+4 with dash.
    • Filer guesses.
    Your Phone
    Required

    Caption phone.

    • Filer lists outdated phone.
    • Filer lists work number.
    Your Email

    Optional in practice for self-represented filers.

    • Filer pastes rarely-checked email.
    • Pro se filers worry about leaving blank.
    Atty For
    Required

    Identifies who the filer represents. Pro se filers write 'Self-represented' or 'In Pro Per'.

    • Pro se filers leave blank.
    • Filer writes the wrong role.
    Court County
    Required

    Same county as the underlying case.

    • Filer lists county they live in.
    • Filer adds 'County of'.
    Court Street
    Required

    Court street address.

    • Filer lists courthouse name.
    • Filer uses old address.
    Court Mailing

    Optional; only when different from street.

    • Filer fills when same as street.
    • Filer pastes their own P.O. Box.
    Court City Zip
    Required

    Court city and ZIP.

    • Filer lists only the city.
    • Filer uses old courthouse ZIP.
    Court Branch
    Required

    Branch name; required for routing in counties with multiple courthouses.

    • Filer leaves blank in multi-branch counties.
    • Filer types informal name.
    Petitioner Caption
    Required

    Petitioner from the underlying case caption.

    • Filer shortens petitioner's name.
    • Filer uses nickname.
    Respondent Caption
    Required

    Respondent from the underlying case caption.

    • Filer shortens respondent's name.
    • Filer uses nickname.
    Other Party Caption

    Used in parentage or government-led support cases (DCSS as claimant). Blank in most marital dissolutions.

    • Filer leaves blank when third party joined.
    • Filer fills when no third party.
    Case Number
    Required

    FL-150 is filed inside an existing case, so the case number is always assigned by the time of filing.

    • Filer leaves blank.
    • Filer paste with extra spaces.
    Employer Name
    Recommended

    Current employer; if unemployed, most recent. Blank flagged as warning because the form text says 'Give information on your current job or, if you're unemployed, your most recent job', which the court treats as required.

    • Filer lists job title.
    • Filer leaves blank when employed.
    Employer Address
    Recommended

    Employer address. Used for income verification subpoenas.

    • Filer lists their own address.
    • Filer leaves blank when employed.
    Employer Phone
    Optional

    Employer phone. Used for income verification.

    • Filer lists their own phone.
    • Filer leaves blank when employed.
    Occupation
    Recommended

    Job title or trade. Used by the court when imputing earning capacity (Family Code section 4058) if the filer is underemployed.

    • Filer lists job title acronym.
    • Filer is vague.
    Date Started Job
    Optional

    Job start date. Helps the court see income tenure.

    • Filer guesses.
    • Filer lists year only.
    Date Ended Job

    Required ONLY if currently unemployed. If employed, leave blank.

    • Filer fills when still employed.
    • Filer leaves blank when ended.
    Hours Per Week
    Recommended

    Hours worked per week. Used to test imputed full-time income.

    • Filer lists daily hours.
    • Filer guesses.
    Gross Pay Amount
    Recommended

    Gross pay (before taxes). The amount on the gross pay line of the most recent pay stub.

    • Filer lists net.
    • Filer lists annual when monthly expected.
    Gross Pay Period
    Recommended

    Per month / week / hour. Required if “Gross pay” is filled.

    • Filer confuses bi-weekly with semi-monthly.
    • Filer leaves blank.
    Age
    Required

    Required by the form ('My age is').

    • Filer guesses.
    • Filer leaves blank.
    Completed High School
    Required

    Yes/No required.

    • Filer leaves blank.
    • Filer marks both yes and no.
    Highest Grade If No Hs
    Recommended

    Required only if the answer to “Did you complete high school or equivalent?” is “No”.

    • Filer fills when completed HS.
    • Filer leaves blank when did not.
    College Years

    Optional. Leave blank if no college.

    • Filer guesses.
    • Filer leaves blank.
    College Degrees

    Optional. Leave blank if no degree.

    • Filer is vague.
    • Filer leaves blank.
    Graduate Years

    Optional. Leave blank if no graduate school.

    • Filer guesses.
    • Filer leaves blank.
    Graduate Degrees

    Optional. Leave blank if no graduate degree.

    • Filer is vague.
    • Filer leaves blank.
    Professional License

    Optional. Affects imputed earning capacity if filer is licensed but not working.

    • Filer leaves blank when licensed.
    • Filer is vague.
    Vocational Training

    Optional.

    • Filer leaves blank when applicable.
    • Filer is vague.
    Last Filed Tax Year
    Required

    Required ('I last filed taxes for tax year').

    • Filer lists current year (which has not been filed yet).
    • Filer guesses.
    Tax Filing Status
    Required

    Required.

    • Filer leaves blank.
    • Filer's status does not match the actual return.
    Joint Filer Name
    Recommended

    Required only if the answer to “Tax filing status” is “Married, filing jointly”.

    • Filer leaves blank when MFJ.
    • Filer fills when single.
    State Tax Returns
    Required

    Required: California or other state.

    • Filer leaves blank.
    • Filer fills when CA.
    Other State
    Recommended

    Required only if the answer to “Where you file state tax returns” is “Other state”.

    • Filer leaves blank when state is other than CA.
    • Filer fills when CA.
    Exemptions
    Required

    Required ('I claim the following number of exemptions').

    • Filer leaves blank.
    • Filer guesses.
    Other Party Estimated Income
    Recommended

    Estimate of the other party's gross monthly income. Best honest estimate; the court uses it as a starting point until the other side files.

    • Filer leaves blank.
    • Filer guesses without basis.
    Other Party Estimate Basis
    Recommended

    Required if “Estimated gross monthly income of the other party” is filled.

    • Filer is vague.
    • Filer leaves blank.
    Salary Last Month
    Recommended

    Salary or wages from last calendar month, gross before taxes. Required if filer is employed.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when salary/wages received.
    Salary Avg Monthly
    Recommended

    Average monthly salary over last 12 months. Required if filer is employed.

    • Filer uses last month value here.
    • Filer leaves blank when salary/wages received.
    Overtime Last Month

    Overtime gross last month. Optional if no overtime.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when overtime received.
    Overtime Avg Monthly

    Average monthly overtime. Optional if no overtime.

    • Filer uses last month value here.
    • Filer leaves blank when overtime received.
    Commissions Last Month

    Commissions or bonuses last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when commissions/bonuses received.
    Commissions Avg Monthly

    Average monthly commissions/bonuses. Optional if none.

    • Filer uses last month value here.
    • Filer leaves blank when commissions/bonuses received.
    Public Assistance Currently Receiving

    Boolean: currently receiving TANF, SSI, GA/GR.

    • Filer leaves blank.
    • Filer marks 'no' when receiving.
    Public Assistance Last Month
    Recommended

    Public assistance last month. Required if currently receiving.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when public assistance received.
    Public Assistance Avg Monthly
    Recommended

    Average monthly public assistance. Required if currently receiving.

    • Filer uses last month value here.
    • Filer leaves blank when public assistance received.
    Spousal Support Received Source

    Source of spousal support received. Optional if not receiving.

    • Filer leaves blank when receiving.
    • Filer is vague.
    Spousal Support Last Month

    Spousal support received last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when spousal support received received.
    Spousal Support Avg Monthly

    Average monthly spousal support received.

    • Filer uses last month value here.
    • Filer leaves blank when spousal support received received.
    Partner Support Received Source

    Source of partner support received. Optional.

    • Filer leaves blank when receiving.
    • Filer is vague.
    Partner Support Last Month

    Partner support received last month. Optional.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when partner support received received.
    Partner Support Avg Monthly

    Average monthly partner support received.

    • Filer uses last month value here.
    • Filer leaves blank when partner support received received.
    Pension Last Month

    Pension/retirement last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when pension/retirement received.
    Pension Avg Monthly

    Average monthly pension/retirement. Optional if none.

    • Filer uses last month value here.
    • Filer leaves blank when pension/retirement received.
    Ssr Last Month

    Social Security retirement (not SSI) last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when Social Security retirement received.
    Ssr Avg Monthly

    Average monthly SSR. Optional if none.

    • Filer uses last month value here.
    • Filer leaves blank when Social Security retirement received.
    Disability Source

    Source of disability income. Optional if no disability income.

    • Filer leaves blank when receiving.
    • Filer is vague.
    Disability Last Month

    Disability last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when disability income received.
    Disability Avg Monthly

    Average monthly disability. Optional if none.

    • Filer uses last month value here.
    • Filer leaves blank when disability income received.
    Unemployment Last Month

    Unemployment last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when unemployment compensation received.
    Unemployment Avg Monthly

    Average monthly unemployment. Optional if none.

    • Filer uses last month value here.
    • Filer leaves blank when unemployment compensation received.
    Workers Comp Last Month

    Workers' comp last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when workers comp received.
    Workers Comp Avg Monthly

    Average monthly workers' comp. Optional if none.

    • Filer uses last month value here.
    • Filer leaves blank when workers comp received.
    Other Income Describe

    Describe any 'other' income (military allowances, royalties).

    • Filer is vague.
    • Filer leaves blank when receiving other.
    Other Income Avg Monthly
    Recommended

    Average monthly 'other' income. Required if “Other income” is filled.

    • Filer leaves blank.
    • Filer guesses.
    Dividends Last Month

    Dividends/interest last month. Optional if none.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when dividends/interest received.
    Dividends Avg Monthly

    Average monthly dividends/interest.

    • Filer uses last month value here.
    • Filer leaves blank when dividends/interest received.
    Rental Last Month

    Rental income last month, net of cash expenses. Attach a schedule (gross receipts minus expenses) per item 6 instructions.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when rental property received.
    Rental Avg Monthly

    Average monthly rental.

    • Filer uses last month value here.
    • Filer leaves blank when rental property received.
    Trust Last Month

    Trust income last month.

    • Filer averages instead of using last month's actual.
    • Filer leaves blank when trust income received.
    Trust Avg Monthly

    Average monthly trust income.

    • Filer uses last month value here.
    • Filer leaves blank when trust income received.
    Investment Other Describe

    Describe other investment income.

    • Filer is vague.
    • Filer leaves blank.
    Investment Other Avg Monthly
    Recommended

    Other investment income, monthly. Required if “Other investment income” is filled.

    • Filer leaves blank.
    • Filer guesses.
    Self Employment Amount

    Self-employment income net of business expenses. Form text requires attaching P&L for the last 2 years or a Schedule C.

    • Filer lists gross when net expected.
    • Filer leaves blank when self-employed.
    Self Employment Role
    Recommended

    Owner / sole proprietor / business partner. Required if “Self-employment income” is filled.

    • Filer is vague.
    • Filer leaves blank.
    Self Employment Other Role

    Optional 'other' role description.

    • Filer leaves blank when other role.
    • Filer fills when not other.
    Years In Business
    Recommended

    Years in this business. Required if self-employed.

    • Filer guesses.
    • Filer leaves blank.
    Business Name
    Recommended

    Business name. Required if self-employed.

    • Filer is vague.
    • Filer leaves blank.
    Business Type
    Recommended

    Type of business. Required if self-employed.

    • Filer is vague.
    • Filer leaves blank.
    Received One Time Income

    Boolean: received one-time money in last 12 months.

    • Filer marks 'no' to avoid disclosure.
    • Filer leaves blank.
    One Time Income Describe
    Recommended

    Describe source and amount. Required if “I received one-time money in the last 12 months” is checked.

    • Filer leaves blank when one time income received.
    • Filer is vague.
    Income Changed Significantly

    Boolean: financial situation changed significantly in last 12 months.

    • Filer marks 'no' when income changed materially.
    • Filer leaves blank.
    Income Change Describe
    Recommended

    Describe the change. Required if “My financial situation has changed significantly in the last 12 months” is checked.

    • Filer is vague.
    • Filer leaves blank when changed.
    Union Dues

    Required union dues. Optional if none.

    • Filer leaves blank.
    • Filer guesses.
    Retirement Required

    Required retirement only. Voluntary 401(k) and IRA contributions do NOT count here. Common filer error: putting voluntary contributions in this slot.

    • Filer leaves blank.
    • Filer guesses.
    Health Insurance
    Recommended

    Total monthly amount filer pays for health insurance. Excludes employer's share.

    • Filer leaves blank.
    • Filer guesses.
    Child Support Other Relationships

    Child support filer pays for children from other relationships. Optional if none.

    • Filer leaves blank.
    • Filer guesses.
    Spousal Support Paid Fed Deductible

    Boolean: spousal support paid is federally tax-deductible (pre-2019 order).

    • Filer leaves blank.
    • Filer guesses.
    Spousal Support Paid

    Spousal support paid by court order from a different marriage. Optional if none.

    • Filer leaves blank.
    • Filer guesses.
    Partner Support Paid

    Partner support paid by court order from a different DP. Optional if none.

    • Filer leaves blank.
    • Filer guesses.
    Job Related Expenses

    Necessary, unreimbursed job-related expenses. Form requires attaching an explanation labeled 'Question 10g' if filled.

    • Filer leaves blank.
    • Filer guesses.
    Cash Accounts
    Recommended

    Cash, checking, savings, credit union, money market. Best estimate as of today.

    • Filer omits savings/checking.
    • Filer guesses.
    Stocks Bonds
    Optional

    Stocks, bonds, easily-sold assets. 0 is a valid answer; blank is suspect.

    • Filer omits brokerage.
    • Filer includes retirement.
    Other Property Includes

    Real or personal property checkbox(es). Optional if “All other property” is 0.

    • Filer is vague.
    • Filer leaves blank.
    Other Property Value
    Optional

    Net value of other real and personal property.

    • Filer guesses.
    • Filer leaves blank.
    Household Member 1 Name

    First household member's name. Required only if anyone else lives with the filer.

    • Filer uses nickname.
    • Filer leaves blank when household member exists.
    Household Member 1 Age

    First household member's age.

    • Filer guesses.
    • Filer leaves blank.
    Household Member 1 Relation

    Relationship to filer.

    • Filer is vague.
    • Filer leaves blank.
    Household Member 1 Income

    Household member's gross monthly income.

    • Filer leaves blank when member earns income.
    • Filer guesses.
    Household Member 1 Pays Expenses

    Whether household member pays some household expenses (yes/no).

    • Filer marks 'no' when member contributes.
    • Filer leaves blank.
    Household Member 2 Name

    Optional second household member.

    • Filer uses nickname.
    • Filer leaves blank when household member exists.
    Household Member 2 Age

    Optional.

    • Filer guesses.
    • Filer leaves blank.
    Household Member 2 Relation

    Optional.

    • Filer is vague.
    • Filer leaves blank.
    Household Member 2 Income

    Optional.

    • Filer leaves blank when member earns income.
    • Filer guesses.
    Household Member 2 Pays Expenses

    Optional.

    • Filer marks 'no' when member contributes.
    • Filer leaves blank.
    Household Member 3 Name

    Optional third household member.

    • Filer uses nickname.
    • Filer leaves blank when household member exists.
    Household Member 3 Age

    Optional.

    • Filer guesses.
    • Filer leaves blank.
    Household Member 3 Relation

    Optional.

    • Filer is vague.
    • Filer leaves blank.
    Household Member 3 Income

    Optional.

    • Filer leaves blank when member earns income.
    • Filer guesses.
    Household Member 3 Pays Expenses

    Optional.

    • Filer marks 'no' when member contributes.
    • Filer leaves blank.
    Expense Basis
    Required

    Required: must mark estimated, actual, or proposed needs.

    • Filer leaves blank.
    • Filer marks both estimated and actual.
    Home Type
    Recommended

    Required: rented or mortgaged. If neither (e.g., living rent-free), the filer should describe in item 13q.

    • Filer leaves blank.
    • Filer marks multiple.
    Home Payment
    Recommended

    Monthly rent or mortgage. Required if the answer to “Your home is” is “Rented” or “Mortgaged”.

    • Filer leaves blank.
    • Filer guesses.
    Mortgage Avg Principal
    Recommended

    Required if the answer to “Your home is” is “Mortgaged”.

    • Filer lists total payment.
    • Filer leaves blank when mortgaged.
    Mortgage Avg Interest
    Recommended

    Required if the answer to “Your home is” is “Mortgaged”.

    • Filer lists total payment.
    • Filer leaves blank when mortgaged.
    Real Property Taxes

    Real property taxes (monthly). Optional if renting.

    • Filer lists annual.
    • Filer leaves blank.
    Homeowners Renters Insurance

    Insurance. Optional if not separately paid.

    • Filer lists annual.
    • Filer leaves blank.
    Home Maintenance

    Maintenance/repair. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Health Care Uncovered

    Health-care costs not paid by insurance. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Child Care Expense

    Child care monthly. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Groceries Expense
    Recommended

    Groceries and household supplies. Real but ubiquitous; warn if blank because most filers have grocery costs.

    • Filer leaves blank.
    • Filer guesses.
    Eating Out Expense

    Eating out. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Utilities Expense
    Recommended

    Utilities. Warn if blank.

    • Filer leaves blank.
    • Filer guesses.
    Phone Internet Expense
    Optional

    Phone/internet/email. Most filers have this expense.

    • Filer leaves blank.
    • Filer guesses.
    Laundry Expense

    Laundry/cleaning. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Clothes Expense

    Clothes monthly. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Education Expense

    Education. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Entertainment Expense

    Entertainment, gifts, vacation. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Auto Transportation Expense
    Optional

    Auto and transportation. Common cost.

    • Filer leaves blank.
    • Filer guesses.
    Other Insurance Expense

    Other insurance (life, accident). NOT auto/home/health.

    • Filer leaves blank.
    • Filer guesses.
    Savings Investments Expense

    Savings and investments. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Charitable Expense

    Charitable contributions. Optional.

    • Filer leaves blank.
    • Filer guesses.
    Installment Payments Total

    Sum of monthly installment minimums from item 14. Should equal sum of debt N amount fields.

    • Filer leaves blank.
    • Filer guesses.
    Expense Other Describe

    Describe any 'other' expense.

    • Filer leaves blank when expense other is more than 0.
    • Filer is vague.
    Expense Other Amount
    Recommended

    Amount of 'other' expense. Required if “Other monthly expense” is filled.

    • Filer leaves blank.
    • Filer double-counts.
    Expense Total
    Required

    TOTAL row (a-q). Form text says 'do not add in the amounts in a(1)(a) and (b)' (mortgage principal/interest are inside the rent-or-mortgage line). Often blank in pro se filings; a court reviewer will hand-tally if missing, but blank invites scrutiny.

    • Filer's arithmetic does not match.
    • Filer leaves blank.
    Expense Paid By Others

    Of the total above, amount paid by others (e.g., parents covering rent). Optional if zero.

    • Filer marks 'no' when others contribute.
    • Filer leaves blank.
    Debt 1 Paid To

    Debt 1 creditor name. Optional if no debt.

    • Filer leaves blank when debt 1 exists.
    • Filer is vague.
    Debt 1 For

    Debt 1 type (credit card, auto loan, etc.).

    • Filer is vague.
    • Filer leaves blank.
    Debt 1 Amount

    Debt 1 monthly payment.

    • Filer leaves blank.
    • Filer guesses.
    Debt 1 Balance

    Debt 1 total balance.

    • Filer lists original loan.
    • Filer leaves blank.
    Debt 1 Last Payment

    Debt 1 date of last payment.

    • Filer guesses.
    • Filer leaves blank.
    Debt 2 Paid To

    Optional second debt.

    • Filer leaves blank when debt 2 exists.
    • Filer is vague.
    Debt 2 For

    Optional.

    • Filer is vague.
    • Filer leaves blank.
    Debt 2 Amount

    Optional.

    • Filer leaves blank.
    • Filer guesses.
    Debt 2 Balance

    Optional.

    • Filer lists original loan.
    • Filer leaves blank.
    Debt 2 Last Payment

    Optional.

    • Filer guesses.
    • Filer leaves blank.
    Debt 3 Paid To

    Optional third debt.

    • Filer leaves blank when debt 3 exists.
    • Filer is vague.
    Debt 3 For

    Optional.

    • Filer is vague.
    • Filer leaves blank.
    Debt 3 Amount

    Optional.

    • Filer leaves blank.
    • Filer guesses.
    Debt 3 Balance

    Optional.

    • Filer lists original loan.
    • Filer leaves blank.
    Debt 3 Last Payment

    Optional.

    • Filer guesses.
    • Filer leaves blank.
    Atty Fees Paid To Date

    Required if anyone in the case is requesting attorney fees and costs.

    • Pro se filers leave blank.
    • Filer guesses.
    Atty Fees Source

    Source of fees paid. Required if “Total fees and costs you have paid your attorney to date” is more than 0.

    • Pro se filers leave blank.
    • Filer is vague.
    Atty Fees Owed

    Amount still owed to attorney. Optional.

    • Pro se filers leave blank.
    • Filer guesses.
    Atty Hourly Rate

    Attorney's hourly rate. Required for fee requests.

    • Pro se filers leave blank.
    • Filer guesses.
    Atty Sign Date

    Attorney signature date. Required only if attorney signs the fee confirmation block.

    • Pro se filers leave blank.
    • Filer post-dates.
    Atty Print Name

    Attorney printed name. Required only if attorney signs the fee confirmation block.

    • Pro se filers leave blank.
    • Filer prints firm name only.
    Case Involves Child Support

    Boolean gate for page 4. Page text: 'Fill out this page only if your case involves child support.'

    • Filer marks 'no' when CS at issue.
    • Filer leaves blank.
    Number Of Children With Other Parent

    Required if the answer to “Does this case involve child support?” is Yes.

    • Filer guesses.
    • Filer leaves blank.
    Percent Time With Me

    Required if the answer to “Does this case involve child support?” is Yes. Drives the timeshare input to the statewide guideline calculator (Family Code section 4055).

    • Filer guesses without parenting calendar.
    • Filer percent does not sum to 100 with other parent.
    Percent Time With Other

    Required if the answer to “Does this case involve child support?” is Yes. Should sum to 100 with “Percent of time the children spend with me”.

    • Filer guesses.
    • Filer percent does not sum to 100 with self.
    Parenting Schedule Describe

    Describe the schedule if percentages are uncertain. Use when timeshare is variable or under negotiation.

    • Filer is vague.
    • Filer leaves blank.
    Child Health Insurance Available

    Required if the answer to “Does this case involve child support?” is Yes. Affects which parent the court orders to provide insurance.

    • Filer marks 'no' when employer offers.
    • Filer leaves blank.
    Insurance Company Name

    Required if the answer to “Health insurance available through my job for the children?” is “Yes, I do have health insurance available”.

    • Filer leaves blank.
    • Filer is vague.
    Insurance Company Address

    Required if the answer to “Health insurance available through my job for the children?” is “Yes, I do have health insurance available”.

    • Filer leaves blank.
    • Filer is vague.
    Insurance Monthly Cost

    Monthly cost for the children's coverage (filer's share only). Required if the answer to “Health insurance available through my job for the children?” is “Yes, I do have health insurance available”.

    • Filer lists annual.
    • Filer leaves blank.
    Child Childcare For Work

    Mandatory add-on to guideline support. Optional if zero.

    • Filer leaves blank.
    • Filer guesses.
    Child Health Uncovered

    Mandatory add-on. Optional if zero.

    • Filer leaves blank.
    • Filer guesses.
    Child Visitation Travel

    Discretionary add-on. Optional if zero.

    • Filer leaves blank.
    • Filer guesses.
    Child Special Needs Describe

    Describe educational or special needs.

    • Filer is vague.
    • Filer leaves blank when child has special needs.
    Child Special Needs Amount

    Monthly amount. Required if “Children's educational or special needs” is filled.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Extraordinary Health Amount

    Special hardship deduction from guideline support. Documentation required if claimed.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Extraordinary Health Months

    Number of months for the hardship.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Major Loss Amount

    Major losses (fire, theft) hardship.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Major Loss Months

    Months. Required if amount > 0.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Other Children Amount

    Hardship for filer's children from other relationships.

    • Filer leaves blank when supporting other children.
    • Filer guesses.
    Hardship Other Children Months

    Months. Required if amount > 0.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Other Children Names Ages

    Names and ages of children. Required if “Expenses for my minor children from other relationships living with me, monthly amount” is more than 0.

    • Filer is vague.
    • Filer leaves blank.
    Hardship Other Children Support Received

    Child support filer receives for those children.

    • Filer leaves blank.
    • Filer guesses.
    Hardship Explanation
    Recommended

    Required if any hardship in 19a-c is claimed: explain why these expenses create extreme financial hardship.

    • Filer is vague.
    • Filer leaves blank when hardship requested.
    Other Support Info

    Free-text catchall for anything else the court should know about support.

    • Filer is vague.
    • Filer leaves blank.
    Pages Attached
    Optional

    Number of attachment pages. Filer must count and write on the form.

    • Filer leaves blank when attachments exist.
    • Filer undercounts.
    Verification Date
    Required

    Required date for the under-penalty-of-perjury declaration. Should be within 90 days of any upcoming hearing.

    • Filer post-dates.
    • Filer signs before completing.
    Verification Name
    Required

    Printed name of declarant. Wet signature goes on the line below after printing.

    • Filer prints nickname.
    • Filer leaves blank.

    Ezel is a self-help tool. Ezel is not a law firm and does not provide legal advice. You are the filer. Review the form carefully before submitting it to the court, and consult a licensed attorney if you have questions about your case. For free legal help, contact your local legal aid office or court self-help center.

    Sources

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