FL-191

Child Support Case Registry Form

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California · With the order, or 10 days after receiving it.

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What Ezel does with FL-191

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What is FL-191?

Confidential parent-information form filed alongside any California child support, family support, or spousal support order. Family Code section 4014. Both parents complete it. Information feeds the federal Case Registry used to locate absent parents and enforce orders across states.

What happens if you miss the deadline: Failing to file FL-191 does not stop the support order, but it leaves your contact info out of the federal Case Registry. The other parent's enforcement actions (wage assignment, license suspension) will still follow the order; without your address on file, paperwork may be served by publication or default.

How to file

Filing fee: No filing fee. FL-191 is held by the State of California Case Registry, not filed in the public court file.
Filing method: in-person, mail
Filing deadline: Family Code section 4014: deliver pages 1 and 2 of FL-191 to the court clerk along with the support order if you filed the order. If you did not file the order, deliver FL-191 within 10 days of receiving a copy of the support order. Any later change to your address, phone, employer, or other registry information must be reported on a new FL-191 within 10 days of the change.
How to serve: Not served on the other party. Delivered directly to the court clerk; the clerk forwards to the State Case Registry. The form is confidential and is not in the public court file.
Wet signature: Yes, sign in pen after printing.
Notarization: No
Original and copies: One original of pages 1 and 2 to the court clerk. Pages 3 and 4 are instructions only and are not delivered. Keep a copy for your records.

Common pitfalls

Three highest-leverage checks for the AI review on FL-191. (1) Mother / Father checkbox at top right must be checked (one or the other) so the State Case Registry knows which parent filed. (2) Item 1 amounts must reconcile with the underlying support order: at least one of (Current base CS / FS / SS) should be filled or marked as Reserved or $0; wage-withholding must be marked Ordered or Stayed-Until-Date. Mismatches between the order and FL-191 cause the registry to chase corrections. (3) Item 5 (Father) or item 6 (Mother) for the filer's own info should be filled fully (name, DOB, SSN, current address, phone, employment status). The other-parent block is optional but encouraged. Bonus check: if item 7 (DV restraining order) is checked, the protected party's address can be suppressed; the wizard should not warn about a missing address for the protected party.

Don't memorize the rules. Ezel walks you through FL-191 field by field, flags what the AI review treats as a blocker, and renders a court-ready PDF.

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You'll likely also file

Other Ezel-supported forms that commonly file alongside FL-191. Each one has its own guided fill, AI review, and PDF render.

FL-150

Income and Expense Declaration

Income and Expense Declaration. FL-150 is filed at every support hearing where amounts are set or modified under Family Code section 3552; the court 'shall' require a current FL-150 from each party before issuing any order for child or spousal support. The FL-150 must be current within 90 days of the hearing under Cal. Rules of Court rule 5.260(a)(3) (or accompanied by a no-material-change declaration); the court applies the FC 4055 statewide uniform child-support guideline (the DissoMaster / X-Spouse calculation that drives the order amount) and the FC 4320 factors (spousal support: age, health, marketable skills, earning capacity, marriage duration, marital standard of living, etc.). FL-191 captures the resulting order's amounts plus each parent's contact and employer information; FL-150 captures the income that drove the order. Each parent files their own FL-150 and their own FL-191 separately under FC 4014 (the parent on each side files; not a joint document, not a representative filing for both). FL-150 goes in the public court file; FL-191 is confidential and held by the State Case Registry, not in the public court file (FC 4014(a)(2) plus the FL-191 form text directs the clerk to hold it confidentially). Updating FL-191 within 10 days of any change to the parent's address, employer, or phone number is mandatory under FC 4014(a) for as long as the support order is in effect; missing the update can frustrate FL-435 / FL-195 wage-assignment service and FC 4505 / 17600 LCSA enforcement. FL-150 + FL-191 together drive both the support amount and the FL-435 (spousal) or FL-195 (child) wage-assignment enforcement that follows the order, plus the FL-300 / FL-320 modification mechanics when income or expenses change materially (FC 3651). Imputed income under FC 3667 may apply when an FL-150 reports zero or implausibly low income without documentation; the judicial officer can set support based on earning capacity rather than reported earnings.

FL-300

Request for Order

Request for Order. FL-300 is the most common pathway for a new or modified support order after the initial FL-100 + FL-120 round; Family Code section 4014(a) requires each parent to file an FL-191 with the court within 10 days of any new or modified child-support order, so FL-191 attaches to the order issued from an FL-300 hearing or any stipulated FL-300 agreement that resolves support. The moving party files their own FL-191 with the FL-300 packet at filing; the responding party files theirs with FL-320 (responsive declaration). Each parent fills out FL-191 separately and confidentially: full name, mailing address, Social Security number under 42 USC 666(a)(13) (federally mandated SSN reporting on support orders for federal Title IV-D child-support enforcement), driver's license number under FC 17520, and employer information including the address and federal employer identification number (FEIN) so the State Case Registry under FC 17600-17630 and the local Department of Child Support Services (DCSS, the 'IV-D agency' under FC 17304) can enforce wage assignments (FL-195 for child support under FC 5230(a), FL-435 for spousal or partner support under FC 5208) and track address and employer changes under FC 4014(c) (continuing 10-day update obligation: any party whose address, telephone number, employer name, employer address, employer telephone number, or driver's license changes after the FL-191 is filed must update FL-191 within 10 days of the change, regardless of whether new orders are pending). FL-191 is not part of the public court file under FC 4014(b) and FC 17212(b) (the registry record is exempt from public access under Cal Const Art I section 1 privacy and FC 17212 confidentiality rules) and is not served on the other party; it goes to the State Case Registry under FC 4014(b) and from there to the federal Office of Child Support Enforcement under 42 USC 654a (the federal Federal Case Registry of Child Support Orders, FCR). For domestic-violence cases (DV-100 / DV-110 history in the file), FL-191 also enables the FC 6224 confidential-address protection: the protected party's address remains private from the obligor and is held only by the registry. Failure to file FL-191 with the FL-300 stipulation or order is a common reason DCSS cannot promptly initiate income withholding, leaving the obligee to chase voluntary payment until FL-191 is corrected.

FL-320

Responsive Declaration to Request for Order

Responsive Declaration to Request for Order. Family Code section 4014(a) requires each parent to file an FL-191 with the court within 10 days of the issuance of any child-support order, including any new or modified order issued out of an FL-300 hearing under FC 3651 (modification of child-support order) or FC 3590 (stipulated modification), or any spousal-support modification carried by FL-300 that will run through wage assignment under FC 5208. The responding party files their own FL-191 alongside FL-320 if the underlying FL-300 asks for child support, spousal support that will run through wage assignment, or attorney-fee orders under FC 2030 that will be reduced to a sum-certain judgment. Each parent fills out FL-191 separately and confidentially: the form captures full name, mailing address, Social Security number under 42 USC 666(a)(13) (federally mandated SSN reporting on support orders for federal Title IV-D enforcement), driver's license number under FC 17520, date of birth, telephone, employer name and address and federal employer identification number (FEIN), and health-insurance coverage details so the State Case Registry under FC 17600-17630 (the California Case Registry that feeds the federal Federal Case Registry of Child Support Orders under 42 USC 654a) and the local Department of Child Support Services (the IV-D agency under FC 17304) can enforce wage assignments (FL-195 for child support under FC 5230(a), FL-435 for spousal or partner support under FC 5208) and track address and employer changes; FC 4014(c) imposes a continuing 10-day update duty for the life of the support order. FL-191 is confidential under FC 4014(b) and FC 17212(b) (the registry record is exempt from public access under Cal. Const. art. I section 1 privacy and FC 17212 confidentiality rules); the registry record is not part of the public court file and is not served on the other party. The data drives wage-assignment routing on FL-195 / FL-435, tax-refund intercept under FC 17500 et seq., license suspension under FC 17520, passport denial under 42 USC 652(k), and credit-bureau reporting under FC 17522; UIFSA enforcement under FC 5700.101 et seq. (Uniform Interstate Family Support Act) uses the registry data to register and enforce California orders against out-of-state employers (FC 5700.205 controlling-order analysis for multi-state cases). For DV-100 / DV-110 history in the case file, FL-191 also activates the FC 6224 confidential-address protection that keeps the responding party's address private from the obligor when the responding party is a DV-protected person. Missing FL-191 will not block the court from ruling on FL-320 but delays enforcement once a support order issues, because DCSS has no parent-locator data to attach earnings to and the obligee's first FL-195 / FL-435 wage-withholding attempt may bounce against an unknown employer. The court can include a written direction in the FL-340 order resulting from the FL-300 / FL-320 hearing that the parties shall file or update FL-191 within 10 days; non-compliance with that direction is a contempt hook under FC 4012 / CCP 1209(a)(5) for non-filers.

FL-100

Petition (Marriage/Domestic Partnership)

Petition (Marriage/Domestic Partnership). When FL-100 involves minor children (item 4.b checked) and the case will produce child-support orders, each parent files their own FL-191 separately under Family Code section 4014(a); the petitioner often files FL-191 alongside FL-100 + FL-110 at case opening to register contact and employer information with the State Case Registry under FC 17600 and the Department of Child Support Services (DCSS) intake. The respondent files their own FL-191 with FL-120 or later when child support is set. FL-191 is held confidentially by the State Case Registry, NOT in the public court file (FC 4014(a)(2) and the FL-191 form text direct the clerk to seal it); FL-100 by contrast is public unless filed with FL-160(C) or sealed under CRC 2.550 / 2.551 after a motion. Each parent is required to update FL-191 within 10 days of any change to address, employer, or contact information for as long as the support order remains in effect (FC 4014(b)); missing updates frustrates DCSS FC 17400 case-management, FL-195 child-support wage assignment service, and FC 17520 license-suspension enforcement (CSLI). The data drives wage assignment routing (FL-195 uses the FL-191 employer record), federal and state tax intercept under 42 USC 664 (TOP) and FC 17520, license-suspension enforcement, and IV-D agency communication with out-of-state child-support enforcement (UIFSA under FC 5700.101 et seq.). FL-191 is NOT required for FL-100 cases without children or without support orders, even when FL-100 is filed (a dissolution between spouses with no minor children and no spousal-support request need not file FL-191; spousal-support-only cases use FL-150 + FL-435 instead of FL-191 + FL-195). When FL-100 cites multi-state custody facts (FL-105 UCCJEA), the FL-191 also captures the respondent's current employer-state, which UIFSA routing uses to determine the controlling-order state under FC 5700.205.

FL-120

Response (Marriage/Domestic Partnership)

Response (dissolution / legal separation). Family Code section 4014(a) requires each parent to file an FL-191 with the court within 10 days of the issuance of any child-support order; the responding parent files their own FL-191 alongside FL-120 if the dissolution involves child support, and either parent files when spousal support that will run through wage assignment is sought under FC 5208. Each parent fills out FL-191 separately and confidentially: the form captures full name, mailing address, Social Security number under 42 USC 666(a)(13) (federally mandated SSN reporting on support orders for Title IV-D enforcement), driver's license number under FC 17520, date of birth, telephone, employer name and address and federal employer identification number (FEIN), and health-insurance coverage details so the State Case Registry under FC 17600-17630 and the local Department of Child Support Services (the IV-D agency under FC 17304) can enforce wage assignments (FL-195 for child support under FC 5230(a), FL-435 for spousal or partner support under FC 5208) and track address and employer changes (FC 4014(c) requires continuing 10-day updates: any party whose address, telephone, employer name, employer address, employer telephone, or driver's license changes after the FL-191 is filed must update FL-191 within 10 days of the change, regardless of whether new orders are pending; the obligation runs for the life of the support order). FL-191 is confidential under FC 4014(b) and FC 17212(b) (the registry record is exempt from public access under Cal. Const. art. I section 1 privacy and FC 17212 confidentiality rules) and is not served on the other party; it goes to the State Case Registry under FC 4014(b) and from there to the federal Office of Child Support Enforcement under 42 USC 654a (the federal Federal Case Registry of Child Support Orders, FCR). For domestic-violence cases (DV-100 / DV-110 history in the file), FL-191 also enables the FC 6224 confidential-address protection: the protected party's address remains private from the obligor and is held only by the registry. The data drives wage-assignment routing on FL-195 / FL-435, tax-refund intercept under FC 17500 et seq., license suspension under FC 17520, passport denial under 42 USC 652(k), and credit-bureau reporting under FC 17522; UIFSA enforcement under FC 5700.101 et seq. (Uniform Interstate Family Support Act) uses the registry data to register and enforce California orders against out-of-state employers, and the responding parent's FL-191 employer-state entry under FC 5700.205 helps determine the controlling-order state for any multi-state enforcement. Missing FL-191 will not block the court from ruling on the FL-120 response but will delay enforcement once a support order issues, because DCSS has no parent-locator data to attach earnings to and the obligee's first FL-195 / FL-435 wage-withholding attempt may bounce.

FL-105

Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)

Declaration Under UCCJEA. FL-105 establishes the court's custody jurisdiction over the same minor children FL-191 lists under the Uniform Child Custody Jurisdiction and Enforcement Act (Family Code sections 3400-3465, enacted in California in 1999 to replace the former UCCJA at former FC 3400-3425; the UCCJEA is a uniform-act adoption in 49 states plus DC plus the U.S. Virgin Islands, with Massachusetts and Puerto Rico the only non-UCCJEA jurisdictions, plus the parallel federal Parental Kidnapping Prevention Act at 28 USC 1738A). Family Code section 3409(a) bars the court from making custody orders without an FL-105 on file from the party who first raised custody (the petitioner files FL-105 as a mandatory companion to FL-100; the respondent files an updated FL-105 with FL-120 if the respondent contests any jurisdictional fact). Family Code section 3402(g) defines the 'home state' rule that FL-105 documents (state in which the child lived with a parent or person acting as a parent for at least 6 consecutive months immediately before the commencement of the proceeding, or since birth if child is less than 6 months); FC 3421(a) sets the initial-child-custody-determination jurisdictional priority (home-state preferred under FC 3421(a)(1), with significant-connection-and-substantial-evidence backup under FC 3421(a)(2), more appropriate forum under FC 3421(a)(3), and emergency under FC 3424). Both forms are mandatory in dissolution under FC 2330, parentage under FC 7600 series (especially FC 7630 actions to establish parentage), custody (FC 3022), and support cases where the children appear: FL-105 at the caption stage (filed with FL-100 / FL-120 / FL-200 (Petition to Establish Parental Relationship) / FL-260 (Petition for Custody and Support of Minor Children) to confirm UCCJEA jurisdiction under FC 3424), and FL-191 (Child Support Case Registry Form) at the support-order stage to register each parent's contact and employer information with the State Case Registry under FC 4014 (Title IV-D federal requirement codified at 42 USC 654a, plus FC 4014 California implementation; both parents file separately under FC 4014(a) as a precondition to FC 5230 immediate-income-withholding for any support order). The child-list cross-walk must match: the children listed on FL-105 items 1.a, 2.a, 3.a, and 4.a (up to 4 children per FL-105 with FL-105(A) Attachment for overflow under CRC 5.83 (court-filed UCCJEA continuation)) are the same children identified on FL-191 page 1 item 7 (children supported by the order, up to 10 children with FL-191 Attachment for overflow), including full name, date of birth, and Social Security number under FC 4014(a)(2) (SSN required for IV-D matching under 42 USC 666(a)(13) federal-state automated enforcement). A mismatch is a clerk-rejection trigger because the State Case Registry indexes by SSN / DOB and the court file must show the same set of children for both jurisdictional (FC 3409 UCCJEA) and enforcement (FC 4014 / 42 USC 666(a)(13) IV-D) purposes. FL-105 stays in force throughout the case and is updated when residence facts change under FC 3429 (continuing-update obligation under FC 3429(c) within reasonable time of changed circumstances; failure to update is grounds for sanctions under In re Marriage of Nurie 176 Cal.App.4th 478 (2009)); FL-191 is updated when parent contact, employer, or insurance information changes within 10 days under FC 4014(b) (mandatory parent-disclosure update for IV-D records under FC 4014(b) and 42 USC 666(a)(20)). FL-105 is part of the public court file (custody jurisdiction is a public adjudicative fact under CRC 5.65 and pre-1994 publication-of-custody rule); FL-191 is confidential and held only in the State Case Registry under FC 4014(a) (with parent-disclosure exceptions under FC 4014(c)(1) for state IV-D agency / parent / child / family-court-services release on request), so the two forms travel separately even when they reference the same children. Confidential-address petitioners (FC 3429(d) safe-at-home / DV-protected parent) submit FL-105 with FL-105(A) Attachment hiding their address from the respondent under FC 3429(d) / Gov. Code 6206-6210 Safe at Home protocol, and FL-191 is auto-confidential by statute so no parallel sealing is needed.

MC-025

Attachment to Judicial Council Form

Attachment MC-025 (Judicial Council continuation page) extends FL-191 when item 4's three child rows are not enough; FL-191's 'more children attachment' checkbox in item 4 plus the form's instruction to continue on a plain-paper attachment make MC-025 the standard vehicle because it carries the case caption, party names, and item-number header the State Case Registry needs to keep the record together (the Registry indexes by case number plus party SSN under Family Code section 4014 and 17600, so a free-floating attachment without the case header risks being lost on intake). Label the MC-025 'Attachment 4 to FL-191' and list each additional child's name, date of birth, and SSN in the same three-column shape as FL-191 rows 1 to 3 (SSN is requested but not strictly required if unknown under 42 USC 666(a)(13)(D); the Registry can match by name + DOB under FC 4014(b) when SSN is genuinely unavailable, but the case will route through additional matching steps and may delay wage assignment service to the obligor's employer). Each parent files separately under FC 4014, each with its own MC-025 if the case involves four or more children, and the whole package is held confidentially by the State Case Registry rather than in the public court file under FC 4014(a)(2). Updates to the MC-025 attachment follow the FC 4014(b) 10-day rule the same as FL-191 itself: within 10 days of any change to a child's address, the supported parent's address, or the obligor parent's employer or address, the parent files a refreshed FL-191 + MC-025 packet to keep the Registry record current for FC 17400 enforcement, FC 17520 license-suspension routing, and 42 USC 664 federal tax intercept. The MC-025 attachment is NOT used for FL-191 item 5 (employer information) or item 6 (contact information); those have their own per-parent rows and do not support more than one entry per parent. For multi-employer or multi-address situations the wizard should surface the FL-300 / FL-150 update path rather than an MC-025 overflow.

FL-180

Judgment (Family Law)

Judgment (Family Law). FL-191 is required as a separate filing alongside any FL-180 judgment that establishes or modifies child support, family support, or spousal support under Family Code section 4014(a) (California's implementation of the federal Title IV-D Personal Responsibility and Work Opportunity Reconciliation Act of 1996, requiring parent-locator information collected at every support order entry per 42 USC 654a (State Case Registry) and 42 USC 666(a)(13) (mandatory information collection)) and California Rules of Court rule 5.270 (FL-191 attached to every family-law support order). This is the moment the support order goes live, and the State Case Registry (and the local Department of Child Support Services, IV-D agency under FC 17400, for child support) needs parent-locator information to actually enforce the order under FC 17310 (LCSA enforcement authority) and FC 17400(b) (continuing IV-D enforcement). Each parent files their own FL-191 separately (the form is single-party, not joint) at the time FL-180 is signed by the court under FC 4014(a)(1); the parties' separate FL-191 filings give the registry the obligor's employer, address (residence and employer addresses, with Safe at Home substitute under Gov. Code 6206 if the obligee is a confidential-address protected party), SSN under 42 USC 666(a)(13), driver's license number under 42 USC 666(a)(13)(A)(i) (federal IV-D mandate), and health-insurance details (group plan name and policy number) so a wage assignment can be served on the right payroll under FC 5230(a) immediate-income-withholding (FL-195 for child support per FC 5230, FL-435 for spousal or partner support per FC 5208) and so the medical-coverage order under FC 3751 can be served on the obligor's group health plan administrator under 29 USC 1169(a)-(b) (ERISA Qualified Medical Child Support Order Act) and 42 USC 1396g-1 (Medicaid CHIP coordination). Without FL-191, the FL-180 support amount remains an unenforced piece of paper and the clerk may continue the judgment-entry conference under CRC 5.405 (prove-up review) and refuse to enter FL-180 until FL-191 is in the file (per FC 4014(a) read with CRC 5.270, attachment is mandatory). FL-191 is confidential and held only in the State Case Registry under FC 4014(a)(3) (with limited release to state IV-D agency, parent, child, or Family Court Services under FC 4014(c)(1)-(3)); not in the public court file with FL-180. The petitioner's mailed copy of the FL-180 served on the obligor may be redacted or unaccompanied by the FL-191, and any FL-180 served on a non-party (employer for wage assignment, plan administrator for medical-coverage order) is similarly accompanied by a redacted or summarized FL-191. FC 4014(b) imposes a continuing duty to update FL-191 within 10 days of any change in address, phone, employer, or insurance after the FL-180 issues; obligors who change jobs but fail to update FL-191 generate enforcement gaps that DCSS chases through wage-assignment audits (FC 17400(f) LCSA discovery shortcut) and the FC 4505 contempt-for-non-disclosure remedy. Out-of-state obligors at the FL-180 stage still file FL-191 because UIFSA enforcement (Uniform Interstate Family Support Act, FC 5700.101-5700.905, codifying the 1996 amendments to the federal Title IV-D scheme) uses the registry data to forward FL-180 support orders to the responding state's IV-D agency for direct income-withholding under FC 5700.501 (Direct Income Withholding) without requiring a separate registration proceeding under FC 5700.601 (formal registration for modification). For modification of an existing FL-180 support order, an updated FL-191 must accompany the new FL-300 (Request for Order) and the FL-340 (Findings and Order After Hearing) under FC 4014(a)(1) cross-reference to FC 3651 (modification jurisdiction). The Federal Parent Locator Service (FPLS) at 42 USC 653 uses FL-191 data to find obligors who move out of state for IV-D enforcement; California's State Parent Locator Service at FC 17506 cross-matches FL-191 data against IRS, SSA, DMV, EDD, and DOC databases for obligor location.

FL-435

Earnings Assignment Order for Spousal or Partner Support

Earnings Assignment Order for Spousal or Partner Support under Family Code section 5208 (not 5230; section 5230 is the parallel child-support wage-assignment statute that runs through FL-195 instead). FL-191 was filed by both parties as a mandatory attachment to the underlying support order: Family Code section 4014(a) requires each party to provide the Case Registry information at the time the support order is established, and FC 4014(b) imposes a continuing duty to update within 10 days of any change to employer, address, or contact information. California Rules of Court 5.270 sets the FL-191 filing mechanics, and the form captures the obligor's employer name and address (page 2 items 4 and 5), Social Security number, residence address, and contact information; those exact lines are the source data the obligee uses when directing FL-435 service on the payor's payroll office. The SSN block is what the State Disbursement Unit and California Child Support Services Department match against payroll withholding, and an FL-435 served with a stale employer address (because the obligor changed jobs and did not update FL-191 under FC 4014(b)) is returned unprocessed by the new employer; the obligee files an updated FL-191 and re-serves FL-435 plus FL-450 on the current payroll office. FL-191 sits in the confidential portion of the court file under Government Code section 27300 and FC 4014(a), so the FL-435 preparer pulls it through the confidential clerk window or from their own retained copy, not by a general public file search. FL-191 is never served on the employer; only FL-435 plus FL-450 reach payroll, with the SSN redacted under CRC 1.201.

Field-by-field guidance

We've mapped every field on FL-191: what it asks, what counts as a blocker, what trips most filers up. Ezel applies all of it as you fill. Plain-English questions in, court-ready PDF out.

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Filer Block

blocker

Caption block. Required.

Pro se filers leave blank.
Filers list only name without address.

Filer Phone

blocker

Caption phone.

Filers list a phone they no longer use.
Filers list a work number.

Filer Fax

none

Optional.

Filers fill with phone.
Filers worry about leaving blank.

Filer Email

none

Optional.

Filers paste email rarely checked.
Pro se filers leave blank thinking required.

Atty For

blocker

Pro se filers write 'Self-represented'.

Pro se filers leave blank.
Filers write the wrong role.

Court County

blocker

Same county as the support order.

Filers list county they live in.
Filers add 'County of'.

Court Street

blocker

Court street address.

Filers list courthouse name.
Filers use old courthouse address.

Court Mailing

none

Optional.

Filers fill when same as street.
Filers paste their own P.O. Box.

Court City Zip

blocker

Court city and ZIP.

Filers list only the city.
Filers use old courthouse ZIP.

Court Branch

blocker

Branch name.

Filers leave blank in multi-branch counties.
Filers type informal name.

Petitioner Caption

blocker

Match the support order caption.

Filers shorten the petitioner's name.
Filers use a nickname.

Respondent Caption

blocker

Match the support order caption.

Filers shorten name.
Filers use a nickname.

Other Parent Caption

none

Optional; only when there is a separately joined other parent in a parentage case.

Filers leave blank when other parent joined.
Filers fill when no other parent.

Case Number

blocker

Case number from the support order.

Filers leave blank.
Filers paste with extra spaces.

Filer Is Mother

warning

Mark Mother OR Father at the top right of the form. The State Registry uses this flag to assign which parent is filing.

Filer marks both Mother and Father.
Filer leaves both blank.

Filer Is Father

warning

Mark Mother OR Father at the top right of the form.

Filer marks both Mother and Father.
Filer leaves both blank.

Form Status

blocker

First form completed OR Change to previous information. Required.

Filer marks 'Change' on first FL-191 ever filed.
Filer marks 'First form' when previous FL-191 exists.

Order Filed Date

blocker

Date the support order was filed.

Filer uses date of judgment instead of order filing date.
Filer guesses.

Order Type Initial

warning

One of initial / modification must be checked.

Filer marks both initial and modification.
Filer leaves both blank.

Order Type Modification

warning

One of initial / modification must be checked.

Filer marks initial when amending.
Filer leaves both blank.

Current Child Support Amount

info

Item 1c(1) child support column. Required if order set base child support.

Filer lists family support amount here.
Filer omits when order is in place.

Current Child Support Box

warning

Mark when current_child_support_amount > 0.

Filer marks when amount is 0 or reserved.
Filer leaves blank when amount > 0.

Current Child Support Reserved

none

Reserved order: court reserved jurisdiction without setting amount.

Filer marks when amount is set.
Filer leaves blank when court reserved jurisdiction.

Current Child Support Zero

none

$0 (zero) order: court explicitly set support at $0.

Filer marks when amount > 0.
Filer leaves blank when court explicitly set $0.

Current Family Support Amount

none

Item 1c(1) family support column. Family support is a combined child + spousal order under Family Code section 4066.

Filer lists child or spousal amount here.
Filer omits when order is in place.

Current Family Support Box

warning

Mark when current_family_support_amount > 0.

Filer marks when amount is 0 or reserved.
Filer leaves blank when amount > 0.

Current Family Support Reserved

none

Optional.

Filer marks when amount is set.
Filer leaves blank when reserved.

Current Family Support Zero

none

Optional.

Filer marks when amount > 0.
Filer leaves blank when $0.

Current Spousal Support Amount

none

Item 1c(1) spousal support column.

Filer lists family support amount here.
Filer omits when order is in place.

Current Spousal Support Box

warning

Mark when current_spousal_support_amount > 0.

Filer marks when amount is 0 or reserved.
Filer leaves blank when amount > 0.

Current Spousal Support Reserved

none

Optional.

Filer marks when amount is set.
Filer leaves blank when reserved.

Current Spousal Support Zero

none

Optional.

Filer marks when amount > 0.
Filer leaves blank when $0.

Additional Child Support Amount

none

Add-on child support: uninsured medical (Family Code section 4063), child care, special needs.

Filer lists base support here.
Filer omits add-on amounts (childcare, healthcare).

Additional Child Support Box

warning

Mark if additional_child_support_amount > 0.

Filer marks when amount is 0.
Filer leaves blank when add-ons exist.

Additional Family Support Amount

none

Optional.

Filer lists base support here.
Filer omits add-ons.

Additional Family Support Box

warning

Mark if additional_family_support_amount > 0.

Filer marks when amount is 0.
Filer leaves blank when add-ons exist.

Past Due Child Support

none

Past-due child support arrearages.

Filer lists current support here.
Filer omits arrears.

Past Due Child Support Box

warning

Mark if past_due_child_support > 0.

Filer marks when no arrears.
Filer leaves blank when arrears exist.

Past Due Family Support

none

Past-due family support.

Filer lists current support here.
Filer omits arrears.

Past Due Family Support Box

warning

Mark if past_due_family_support > 0.

Filer marks when no arrears.
Filer leaves blank when arrears exist.

Past Due Spousal Support

none

Past-due spousal support.

Filer lists current support here.
Filer omits arrears.

Past Due Spousal Support Box

warning

Mark if past_due_spousal_support > 0.

Filer marks when no arrears.
Filer leaves blank when arrears exist.

Payment Past Due Child

none

Monthly payment toward past-due child support.

Filer lists arrears amount here.
Filer omits payment plan.

Payment Past Due Child Box

warning

Mark if payment_past_due_child > 0.

Filer marks when no payment plan.
Filer leaves blank when payment plan exists.

Payment Past Due Family

none

Monthly payment toward past-due family support.

Filer lists arrears amount.
Filer omits payment plan.

Payment Past Due Family Box

warning

Mark if payment_past_due_family > 0.

Filer marks when no payment plan.
Filer leaves blank when plan exists.

Payment Past Due Spousal

none

Monthly payment toward past-due spousal support.

Filer lists arrears.
Filer omits payment plan.

Payment Past Due Spousal Box

warning

Mark if payment_past_due_spousal > 0.

Filer marks when no payment plan.
Filer leaves blank when plan exists.

Wage Withholding

blocker

Wage withholding is the default for support orders. The court can stay it on good cause; if stayed, the date the stay ends is required.

Filer leaves blank when WH ordered.
Filer marks when no WH.

Wage Withholding Stayed Until

warning

Required when wage_withholding == stayed.

Filer leaves blank when WH stayed.
Filer fills when not stayed.

Payor Name

blocker

Item 2 payor name. Required.

Filer shortens the name.
Filer leaves blank.

Payor Relationship

blocker

Item 2 payor relationship to child. Required.

Filer uses informal language.
Filer leaves blank.

Payee Name

blocker

Item 3 payee name. Required.

Filer shortens the name.
Filer leaves blank.

Payee Relationship

info

Item 3 payee relationship. Required only when payee is a person (not a local child support agency).

Filer uses informal language.
Filer leaves blank.

Child1 Name

blocker

Item 4 row 1 child name.

Filer uses nickname.
Filer lists adult children.

Child1 Dob

blocker

Item 4 row 1 DOB.

Filer lists year only.
Filer guesses.

Child1 Ssn

warning

Item 4 row 1 SSN. Requested but not strictly required if unknown; the State Registry can match by name + DOB if SSN is missing.

Filer leaves blank when SSN known.
Filer guesses SSN.

Child2 Name

none

Item 4 row 2. Optional.

Filer leaves blank when 2+ children.
Filer combines names.

Child2 Dob

none

Optional.

Filer lists year only.
Filer guesses.

Child2 Ssn

none

Optional.

Filer leaves blank when SSN known.
Filer guesses.

Child3 Name

none

Item 4 row 3. Optional.

Filer leaves blank when 3+ children.
Filer combines names.

Child3 Dob

none

Optional.

Filer lists year only.
Filer guesses.

Child3 Ssn

none

Optional.

Filer leaves blank when SSN known.
Filer guesses.

More Children Attachment

none

Mark if more than 3 children. Continue on a plain-paper attachment.

Filer marks without attaching.
Filer leaves blank when 4+ children.

Father Name

warning

Required for the father if filer_is_father. Encouraged but not required for the mother.

Filer uses nickname.
Filer leaves blank.

Father Dob

warning

Required for father-filer.

Filer lists year only.
Filer guesses.

Father Ssn

warning

Required for father-filer; the form is confidential.

Filer leaves blank when SSN known.
Filer guesses.

Father Street

warning

Required for father-filer unless protected by item 7 DV order.

Filer leaves blank.
Filer uses outdated address.

Father Street City Zip

warning

Required for father-filer unless DV-protected.

Filer omits ZIP.
Filer combines with street.

Father Mailing

none

Optional unless different from street address.

Filer fills when same as street.
Filer leaves blank when different.

Father Mailing City Zip

none

Optional.

Filer omits ZIP.
Filer combines with street.

Father Dl Number

warning

Required for father-filer unless DV-protected.

Filer leaves blank when DL known.
Filer guesses.

Father Dl State

info

Required if father_dl_number is filled.

Filer leaves blank when DL number filled.
Filer spells out state.

Father Phone

warning

Required for father-filer.

Filer lists outdated phone.
Filer leaves blank.

Father Employment

warning

Required for father-filer.

Filer leaves blank.
Filer lists 'employed' without specifics.

Father Employer Name

warning

Required if father_employment == employed or self_employed.

Filer leaves blank when employed.
Filer lists job title instead of employer.

Father Employer Street

info

Required if employed.

Filer leaves blank when employed.
Filer lists employee's address instead.

Father Employer City Zip

info

Required if employed.

Filer omits ZIP.
Filer combines with street.

Father Employer Phone

none

Optional.

Filer leaves blank.
Filer lists employee's personal phone.

Mother Name

warning

Required for mother-filer.

Filer uses nickname.
Filer leaves blank.

Mother Dob

warning

Required for mother-filer.

Filer lists year only.
Filer guesses.

Mother Ssn

warning

Required for mother-filer.

Filer leaves blank when SSN known.
Filer guesses.

Mother Street

warning

Required for mother-filer unless DV-protected.

Filer leaves blank.
Filer uses outdated address.

Mother Street City Zip

warning

Required for mother-filer unless DV-protected.

Filer omits ZIP.
Filer combines with street.

Mother Mailing

none

Optional.

Filer fills when same as street.
Filer leaves blank when different.

Mother Mailing City Zip

none

Optional.

Filer omits ZIP.
Filer combines with street.

Mother Dl Number

warning

Required for mother-filer unless DV-protected.

Filer leaves blank when DL known.
Filer guesses.

Mother Dl State

info

Required if mother_dl_number is filled.

Filer leaves blank when DL filled.
Filer spells out state.

Mother Phone

warning

Required for mother-filer.

Filer lists outdated phone.
Filer leaves blank.

Mother Employment

warning

Required for mother-filer.

Filer leaves blank.
Filer lists 'employed' without specifics.

Mother Employer Name

warning

Required if employed.

Filer leaves blank when employed.
Filer lists job title.

Mother Employer Street

info

Required if employed.

Filer leaves blank when employed.
Filer lists employee's address.

Mother Employer City Zip

info

Required if employed.

Filer omits ZIP.
Filer combines with street.

Mother Employer Phone

none

Optional.

Filer leaves blank.
Filer lists personal phone.

Ro In Effect

none

Mark if a DV-based protective order between the parents is in effect. Triggers address suppression for the protected party.

Filer leaves blank when DV-RO exists.
Filer marks when no RO.

Ro Protects Father

warning

Required if ro_in_effect == true.

Filer leaves blank when ro_in_effect.
Filer fills when no RO.

Ro Protects Mother

warning

Required if ro_in_effect == true.

Filer leaves blank when ro_in_effect.
Filer fills when no RO.

Ro Protects Children

none

Optional.

Filer leaves blank when children protected.
Filer fills when not applicable.

Ro From Father

warning

Required if ro_in_effect == true.

Filer leaves blank when ro_in_effect.
Filer fills when no RO.

Ro From Mother

warning

Required if ro_in_effect == true.

Filer leaves blank when ro_in_effect.
Filer fills when no RO.

Ro Expiration Date

warning

Required if ro_in_effect == true.

Filer leaves blank.
Filer types 'permanent' (RO cannot be permanent).

Verification Date

blocker

Date the filer signs.

Filer post-dates.
Filer signs before completing.

Verification Print Name

blocker

Type or print full legal name. Sign with a pen on the line below after printing.

Filer prints nickname.
Filer leaves blank.

Sources

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