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Here is the text we could read:

GOVERNMENTAL AGENCY (under Family Code, §§ 17400 and 17406):

FOR COURT USE ONLY

FL-620

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

TELEPHONE NO.:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

REQUEST TO ENTER DEFAULT JUDGMENT

CASE NUMBER:

1.  More than 30 days have passed since service of the summons, complaint, and copy of the proposed judgment.

2.  To my knowledge no answer or other responsive pleading has been filed.

3. Declaration of nonmilitary status (required for a judgment). 

The respondent/defendant is not in the military service of the United States as defined by either the Servicemembers Civil Relief Act 
(see 50 U.S.C. § 3911(2)) or California Military and Veterans Code sections 400 and 402(f).

I know that respondent/defendant is not in the U.S. military service because (specify below): 

the military status of the respondent/defendant was checked online at 

.

the Child Support Enforcement System has no evidence of active military duty status for the respondent/defendant.

(a)

(b)

(c)

other (specify):

.

•   U.S. military status can be checked online at 
•   If the respondent/defendant is in the military service, or their military status is unknown, the respondent/defendant  
is entitled certain rights and protections under federal and state law before a default judgment can be entered. 

.

•   For more information, see 

.

Note 

4.  The local child support agency requests that default and judgment be entered under Family Code section 17430.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)   

FOR COURT 
USE ONLY

(1)

(2)

Default entered as requested on (date):

Default not entered as requested. (State reason):

Form Adopted for Mandatory Use 
Judicial Council of California 
FL-620 [Rev. January 1, 2023]

REQUEST TO ENTER DEFAULT JUDGMENT 
(Governmental)

By:

Page 1 of 1

Family Code, §§ 17400, 17402, 
17404, 17430

Request to Enter Default Judgment (Governmental)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 23
Average fields per page: 23
Reading Level: Grade 8
LIST Grouping(s): CO-00-00-00-00, CO-07-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

f_l_page_header_atty_party_info_gov_agency was FL-620[0].Page1[0].Header[0].AttyPartyInfo[0].GovAgency[0] (0.59 conf)
l_page_header_party_info_phone was FL-620[0].Page1[0].Header[0].AttyPartyInfo[0].Phone[0] (0.42 conf)
l_page_header_party_info_fax was FL-620[0].Page1[0].Header[0].AttyPartyInfo[0].Fax[0] (0.42 conf)
f_l_page_header_party_info was FL-620[0].Page1[0].Header[0].AttyPartyInfo[0].AttyFor[0] (0.44 conf)
l_page_header_court_info_county was FL-620[0].Page1[0].Header[0].CourtInfo[0].CrtCounty[0] (0.41 conf)
l_page_header_court_info_street was FL-620[0].Page1[0].Header[0].CourtInfo[0].CrtStreet[0] (0.41 conf)
l_page_header_court_info_mailing was FL-620[0].Page1[0].Header[0].CourtInfo[0].CrtMailingAdd[0] (0.40 conf)
f_l_page_header_info_city was FL-620[0].Page1[0].Header[0].CourtInfo[0].CrtCityZip[0] (0.36 conf)
l_page_header_court_info_branch was FL-620[0].Page1[0].Header[0].CourtInfo[0].CrtBranch[0] (0.41 conf)
l_page_header_title_party_name__1 was FL-620[0].Page1[0].Header[0].TitlePartyName[0].Party1[0] (0.35 conf)
l_page_header_title_party_name__2 was FL-620[0].Page1[0].Header[0].TitlePartyName[0].Party2[0] (0.35 conf)
l_page_header_title_party_name__3 was FL-620[0].Page1[0].Header[0].TitlePartyName[0].Party3[0] (0.35 conf)
f_l_page_header_case_number was FL-620[0].Page1[0].Header[0].CaseNumber[0].CaseNumber[0] (0.39 conf)
f_l_page_list_li_check_box was FL-620[0].Page1[0].List3[0].LiA[0].CheckBox1[0] (0.42 conf)
f_l_page_list_b_check_box was FL-620[0].Page1[0].List3[0].LiB[0].CheckBox1[0] (0.42 conf)
f_l_page_list_c_check_box was FL-620[0].Page1[0].List3[0].LiC[0].CheckBox1[0] (0.42 conf)
f_l_page_list_c_text_field was FL-620[0].Page1[0].List3[0].LiC[0].TextField3c[0] (0.40 conf)
f_l_page_sign_sig_date was FL-620[0].Page1[0].Sign[0].SigDate[0] (0.36 conf)
f_l_page_sign_sig_name was FL-620[0].Page1[0].Sign[0].SigName[0] (0.36 conf)
f_l_page_court_use_check_box__1 was FL-620[0].Page1[0].CourtUse[0].Li1[0].T1\.1[0].CheckBox2[0] (0.40 conf)
f_l_page_court_use_li_date was FL-620[0].Page1[0].CourtUse[0].Li1[0].Date[0] (0.38 conf)
f_l_page_court_use_check_box__2 was FL-620[0].Page1[0].CourtUse[0].Li2[0].T2\.1[0].CheckBox2[0] (0.40 conf)
f_l_page_court_use_text_field was FL-620[0].Page1[0].CourtUse[0].Li2[0].TextField6[0] (0.43 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Request to Enter Default Judgment (Governmental)

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02