ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

FL-334

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

                 TELEPHONE NO.:

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT/PARTY:

DECLARATION REGARDING ADDRESS VERIFICATION— 
POSTJUDGMENT REQUEST TO MODIFY A CHILD CUSTODY, 
VISITATION, OR CHILD SUPPORT ORDER

CASE NUMBER:

1.   I am the

attorney for

petitioner

respondent   

other parent   

other party      in this matter.

2.

3.  

The request is to modify a judgment or permanent order only for child support and a local child support agency is 
providing services in the case. Service of the request solely to modify child support will be made on other party by serving 
the local child support agency at least 30 days prior to the hearing as provided in Family Code sections 17404(e)(3) and 
17406(f).

The request is to modify a judgment or permanent orders for child custody, visitation, or child support. 
Note:  If you cannot verify the other party’s current residence or office address, mail service may not be used. The other party 
must be personally served. Proof of Personal Service (form FL-330) may be used for this purpose. 

a.

Before the request was served on the other party by mail, I verified in the previous 30 days that the other party’s current
current residence or office address is (specify):

b.

I  can confirm that the above address is the other party’s current residence or office address because (specify):

(1)

(2)

(3)

(4)

(5)

(6)

I contacted the other party directly within the past 30 days and he or she gave me the above address. 
I have been at that address in connection with a custody and visitation or other matter within the past 30 days.

It is the new address that the other party provided on Notice of Change of Address (form MC-040) or other
pleading and filed with the court on (specify date):

It is the office address that he or she last gave on a document filed with the court in this case  which was also 
served on me as a party in the case.

I sent the other party a letter by mail to the address in (2) with return receipt requested and the other party signed 
and accepted the letter at that address within the past 30 days.
 I confirmed by another method (specify):

  Continued in Attachment 3b(6).

I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct.
Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PERSON COMPLETING THIS FORM)

Form Approved for Optional Use 
Judicial Council of California 
FL-334 [New January 1, 2012]

DECLARATION REGARDING ADDRESS VERIFICATION— 
POSTJUDGMENT REQUEST TO MODIFY A CHILD CUSTODY, 
VISITATION, OR CHILD SUPPORT ORDER

Page 1 of 2

Code of Civil Procedure, §§ 1013, 1013a;  
 
Family Code, §§ 215, 17404, 17406 
www.courts.ca.gov

PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARTY:

CASE NUMBER:

FL-334

NOTICE AND SERVICE INFORMATION

If you want to change a judgment or permanent order for child custody, visitation, or child support, a person at least 18 
years of age or older must serve the request on the other party by (1) personal delivery or (2) first-class mail or airmail, 
postage prepaid. Requests to modify a judgment or permanent order for matters other than child custody, visitation, or 
child support must be served on the other party by personal service.

• If your request is to change a judgment or permanent orders only for child support and a local child support  
  agency is currently providing services, the other party may be served by mail at the office of the local child 
  support agency. Where service is made by mail on the local child support agency, the following apply:

   1.  The local child support agency must be served not less than 30 days before the hearing date.

   2.  Attach a copy of this completed form to the proof of service by mail; and 

   3.  File this original form at the court clerk’s office.

• If your request is to change a judgment or permanent order for child custody, visitation, or child support and 
  you have verified the other party’s current residence or office address, you must:

   1.  Complete this form to provide the other party’s current residence or business address and indicate how you obtained 
       the other party’s current residence or office address.

   2.  Attach a copy of this completed form to the proof of service by mail; and 

   3.  File this original form at the court clerk’s office.

• If you cannot verify the other party’s current residence or office address, mail service may not be used. The 
  other party must be personally served. Proof of Personal Service (form FL-330) may be used for this purpose.   

FL-334 [New January 1, 2012]

Page 2 of 2

DECLARATION REGARDING ADDRESS VERIFICATION— 
POSTJUDGMENT REQUEST TO MODIFY A CHILD CUSTODY, 
VISITATION, OR CHILD SUPPORT ORDER