State of Alabama 
Unified Judicial System 
CS-5AR  Rev.  7/2019 
Page 1 of 2

FINDINGS / RECOMMENDATIONS / DEFAULT 
JUDGMENT SETTING AMOUNT OF SUPPORT 

Court Case Number 

IN THE ____________      COURT OF _____________      COUNTY, ALABAMA 
STATE OF ALABAMA,  ex rel. 
Plaintiff 

v. Defendant 

      

     

Address 

 

Address 

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: 

FINDINGS: 

 personal service; 

 certified mail. 

The following persons were present: 

 Plaintiff: 
 State’s Attorney ___________________     

 Pro se 

 Plaintiff’s Attorney_________________________  
 Other ____________________       

This case has been presented 
Alabama Rules of Civil Procedure and the Defendant is not an infant or unrepresented incompetent person and has failed to plead or 
otherwise defend.  With the Defendant’s default having been duly entered and having considered the evidence presented.  The 
Referee finds that the Defendant is obligated to pay support for the minor child(ren) named as follows:  _____________________     . 

 otherwise for a default judgment pursuant to Rule 55(b)(2) of the 

 on the affidavit of the Plaintiff or 

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

(If applicable):  The Defendant is also obligated to pay support for  ________________    , spouse/former spouse. 

IT IS THEREFORE RECOMMENDED BY THE REFEREE AS FOLLOWS: 
1. 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). 

2. The child support payments shall continue until discharged as provided by law.
3. The child support payments shall be made payable to:  Alabama Child Support Payment Center at P.O. Box 244015, Montgomery,

AL  36124-4015.

4.

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

The Defendant OR 
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.
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 recommended arrangements regarding health care coverage: ______________________________________     .

COURT RECORD 

ATTORNEY 

DEFENDANT 

State of Alabama 
Unified Judicial System 
CS-5AR Rev.  7/2019 
Page 2 of 2 

FINDINGS / RECOMMENDATIONS / DEFAULT 
JUDGMENT SETTING AMOUNT OF SUPPORT 

Court Case Number 

      

5.  The Defendant shall notify ___________      County Department of Human Resources as to any change of address, 

employment, or lapse or change in health care coverage. 

6.  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.   

7. 

8. 

(If applicable)  The Defendant shall pay the sum of $ ___     per  _____     commencing on ________      for the support and 
maintenance of spouse/former spouse which support shall continue until further Order of the Court. 

(If applicable)  The spousal support payments shall be made payable to:  Alabama Child Support Payment Center at P.O. Box 
244015, Montgomery, AL  36124-4015. 

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 / Default Judgment Setting Amount of Support to a separate 
income withholding order, the entry of which is required of this Court by law, and 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, an additional $1.00 administrative fee shall be paid 
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