State of Alabama 
Unified Judicial System 
CS-16R  Rev. 7/2019 
Page 1 of 2 

FINDINGS / RECOMMENDATIONS/ ORDER 
ESTABLISHING PATERNITY 
AND SETTING AMOUNT OF CHILD SUPPORT 

IN THE ___________      COURT OF ______________      COUNTY, ALABAMA 
STATE OF ALABAMA,  ex rel. 
Plaintiff 

v. Defendant 

      

     

Address 

 

Address 

Court Case Number 

FINDINGS: 

This case having been heard on the  ____    day of  _______    , ____    , this Referee finds that the Court has jurisdiction over the 
parties and the subject matter. This Referee further finds that the Defendant was properly served with a summons and petition by: 

 personal service; 

 certified mail. 

The following persons were present: 

 Plaintiff: 
 Defendant: 
 State’s Attorney _________________   

 Plaintiff’s Attorney 
 Pro se         
 Pro se         
 Defendant’s Attorney  
 Other ___________________________________ 

This case being submitted 
the Referee finds that the Defendant is the father of the minor child(ren) and is obligated to pay child support for the minor child(ren) 
named herein. 

 upon the pleadings and upon the evidence presented or 

 upon the agreement reached by the parties, 

 The Referee finds that health care coverage is unavailable, unavailable at reasonable cost, or is not accessible. 

IT IS THEREFORE RECOMMENDED BY THE REFEREE AS FOLLOWS: 

1. The Defendant is adjudicated to be the father of child(ren) named below:

NAME OF CHILD 

BORN TO (MOTHER) 

DATE OF 
BIRTH 

2. The Defendant shall pay the sum of $_____      per ____      commencing on ______      for the support and maintenance of

the minor child(ren) named above.

 That the award of child support made herein was determined by application of the Child Support Guidelines established by 
Rule 32, Alabama Rules of Judicial Administration.  The Child Support Guidelines (CS-42) and the Child Support Obligation 
Income Statement/Affidavit (CS-41) forms have been filed herein and are made a part of the record in this case. 

 The Referee finds that deviation is appropriate based on the Child Support Guidelines established by Rule 32, Alabama 
Rules of Judicial Administration.  The findings are noted in the Child Support Guidelines Notice of Compliance (CS-43). 

3. The child support payments shall continue until discharged as provided by law.

4. The child support payments shall be made payable to: Alabama Child Support Payment Center at P.O. Box 244015,

Montgomery, Al  36124-4015.

5.

 the Plaintiff, wherever employed, shall include the child(ren) named above on any health care

The Defendant OR 
coverage policy at his or her place of employment and shall provide proof of the coverage within thirty (30) days of the date
of the Judge’s signature on this form to the other party in non-Title IV-D cases OR to the _____________      County
Department of Human Resources in Title IV-D cases.

The Defendant OR 
 the Plaintiff shall include the child(ren) named above on any health care coverage policy which he or
she shall purchase and shall provide proof of the coverage within thirty (30) days of the date of the Judge’s signature on this
form to the other party in non-Title IV-D cases OR to the ____________      County Department of Human Resources in Title
IV-D cases.

COURT RECORD 

ATTORNEY 

DEFENDANT 

State of Alabama 
Unified Judicial System 
CS-16R  Rev. 7/2019 
Page 2 of 2 

FINDINGS / RECOMMENDATIONS/ ORDER 
ESTABLISHING PATERNITY 
AND SETTING AMOUNT OF CHILD SUPPORT 

Court Case Number 

      

 The Defendant shall pay __    % and the Plaintiff shall pay __    % of all unreimbursed health expenses.  The parties must 
submit within 30 days any unreimbursed health expenses to the other party and payment of the expenses must be made 
within 30 days of this submission 
 The Defendant shall pay the sum of $_____      per  ____     commencing on ______      for the medical support of the 
minor child(ren) named above, as health care coverage is not accessible, not available, or is not available at a reasonable 
cost. 
 Other arrangements regarding health care coverage:  __________________________    . 

6.  The Defendant shall notify __________      County Department of Human Resources as to any change of address, employment, 

or lapse or change in health care coverage. 

7.  The Defendant shall pay the following:   

 $____      representing retroactive child support to be paid at the rate of $ _____     per ___      commencing on _______     . 
 $ ____     representing the cost of genetic testing to be paid at the rate of $______      per _____    commencing on ___     , 
or repaid as follows: ________________________________________________     . 
 $_____      representing previous medical expenses to be paid at the rate of $____      per  _____   commencing on  ___    . 

These sums are hereby reduced to a judgment for which let execution issue.  Interest will continue to accrue on this judgment 
until it has been satisfied in full as provided in Ala.Code 1975, Section 8-8-10.   
If necessary, an amended certificate(s) of birth, consistent with the findings of this Court, shall be issued pursuant to the 
provisions of the Ala.Code 1975, Section 26-17-636(f). 

8. 

9.  Costs of these proceedings are taxed as follows: 

 against Plaintiff, for which let execution issue; 

 against Defendant, for which let execution issue; 

 waived. 

10.  Reference is hereby made in this Findings / Recommendations / Order Establishing Paternity and Setting Amount of Child 

Support to a separate income withholding order, the entry of which is required of this Court by law, and it is recommended that it 
be specifically incorporated herein as a part of this Court’s Order in this case. 

11.  In cases where payments are ordered paid directly to the Clerk of the Court, there shall be paid an additional $1.00 administrative 

fee as provided in Ala.Code 1975, Section 12-19-26, with each periodic payment. 

12.  Other:   _______________________________________     . 

NOTICE 
Pursuant  to  Ala.Code  1975,  Section  12-15-106  and  Section  12-15-330,  as  amended  by  Act  2019-163,  the  findings  and 
recommendations of the Referee do not constitute an order until they are ratified by the original signature of the Judge.  Within fourteen 
(14)  days  of  the  Referee’s  findings  and  recommendations being filed  in  the  Clerk’s  Office,  any  party  may  file  with  the  Clerk  a  written 
request for a rehearing before the Judge. 

Recommended this the __     day of ____________     , ____    . 

The findings and recommendations of the Referee are hereby ratified and shall constitute a final order in this case. 

 
Signature of Referee  

 

Date 

 

 
Signature of Judge  

 

 

 
 

 

COURT RECORD 
 
 

ATTORNEY 
 
 

DEFENDANT