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

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 

FINDINGS: 

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

 personal service; 

 certified mail. 

The following persons were present: 

 Plaintiff: 
 State’s Attorney ___________     _ 

   Pro se 
 Other __________________________________. 

 Plaintiff’s Attorney ___________________________________ 

This case has been presented on the affidavit of the Plaintiff or otherwise for a default judgment pursuant to Rule 55(b)(2) of the 
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 the Court having considered the evidence presented to 
it, the Court finds that the Defendant is obligated to pay child support for the minor child(ren) named as follows:  _______________     . 

 This Court 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 ORDERED BY THE COURT AS FOLLOWS: 
1. The Defendant is ORDERED to 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 Court 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 this order
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 this order 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 is ordered to pay     % and the Plaintiff is ordered to 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 is ordered to 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: _____________________________________________     .

COURT RECORD 

ATTORNEY 

DEFENDANT 

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

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 is ordered to 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 is ordered to pay the sum of $____      per _____      commencing on  ____________     for the
support and maintenance of spouse/former spouse which 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 Default Judgment Setting Amount of Support to a separate income withholding order, the entry
of which is required of this Court by law, and which is 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:   ________________________     .

Ordered this the _____     day of ________     , ___    . 

Signature of Judge 

COURT RECORD 

ATTORNEY 

DEFENDANT