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

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Here is the text we could read:

PARTY WITHOUT ATTORNEY OR ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

FL-165

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER:

RESPONDENT:

(a)

(b)

(c)

(d)

(e)

(f)

(a)

(b)

Date:

Date:

REQUEST TO ENTER DEFAULT

CASE NUMBER:

1.  To the clerk: Please enter the default of the respondent who has failed to respond to the petition.

2.  A completed Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) (form FL-155)

is attached

is not attached.

A completed Property Declaration (form FL-160)
because (check at least one of the following):

there have been no changes since the previous filing.

is attached

is not attached

the issues subject to disposition by the court in this proceeding are the subject of a written agreement.

there are no issues of child, spousal, or partner support or attorney fees and costs subject to determination by the court.

the petition does not request money, property, costs, or attorney fees. (Family Code section 2330.5.)

there are no issues of division of community property.

this is an action to establish parental relationship.

3.  Declaration

(TYPE OR PRINT NAME)

(SIGNATURE OF [ATTORNEY FOR] PETITIONER)

No mailing is required because service was by publication or posting and the address of the respondent remains unknown.

A copy of this Request to Enter Default, including any attachments and an envelope with sufficient postage, was 
provided to the court clerk, with the envelope addressed as follows (address of the respondent’s attorney or, if none,
the respondent’s last known address):

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

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

FOR COURT USE ONLY

Request to Enter Default mailed to the respondent or the respondent’s attorney on (date):

Default entered as requested on (date):

.

Default not entered. Reason:

.

.

Clerk, by ________________________________ , Deputy

Form Adopted for Mandatory Use 
Judicial Council of California 
FL-165 [Rev. January 1, 2023]

REQUEST TO ENTER DEFAULT  
(Family Law—Uniform Parentage)

Page 1 of 2

Code of Civil Procedure, §§ 585, 587; 
Family Code, § 2335.5 

TOTAL

c. 

I am the attorney, agent, or party who claims these costs. To the best of my knowledge and belief, the foregoing items of 
cost are correct and have been necessarily incurred in this cause or proceeding.

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

$

$

$ $ $ $

$

PETITIONER:

RESPONDENT:

CASE NUMBER:

4. Memorandum of costs

a.

Costs and disbursements are waived.

b.  Costs and disbursements are listed as follows:

(1)

(2)

(3)

Clerk’s fees 

Process server’s fees 

Other (specify):

Date:

(a)

(b)

(c)

(d)

(e)

(f)

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

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

The respondent 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 the respondent is not in the U.S. military service because (check all that apply): 

the search results that I received from 

 say the respondent is not in the U.S. military service.

I am in regular communication with the respondent and know that they are not in the U.S. military service.

I recently contacted the respondent, and they told me that they are not in the U.S. military service.

I know that the respondent was discharged from U.S. military service on or about (date):

.

the respondent is not eligible to serve in the U.S. military because they are incarcerated (in jail or prison).

other (specify):

.

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

.

.

Note 

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

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

FL-165 [Rev. January 1, 2023]

Page 2 of 2

REQUEST TO ENTER DEFAULT 
(Family Law—Uniform Parentage)

Request to Enter Default (Uniform Parentage)

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): 2
Fields(s): 75
Average fields per page: 37
Reading Level: Grade 8
LIST Grouping(s): Unknown

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_page_p_party_info_bar was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].AttyBarNo[0] (0.53 conf)
f_page_p_party_info_name was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].Name[0] (0.42 conf)
f_page_p_party_info_firm was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].AttyFirm[0] (0.41 conf)
f_page_p_party_info_street was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].Street[0] (0.42 conf)
f_page_p_party_info_city was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].City[0] (0.42 conf)
f_page_p_party_info_state was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].State[0] (0.42 conf)
f_l_page_p_caption_wrap_atty_party_info_zip was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].Zip[0] (0.42 conf)
f_page_p_party_info_phone was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].Phone[0] (0.42 conf)
f_l_page_p_party_info__1 was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].Fax[0] (0.42 conf)
f_page_p_party_info_email was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].Email[0] (0.42 conf)
f_l_page_p_party_info__2 was FL-165[0].Page1[0].P1Caption[0].Wrap1[0].AttyPartyInfo[0].AttyFor[0] (0.41 conf)
f_l_page_p_info_county was FL-165[0].Page1[0].P1Caption[0].Wrap2[0].CourtInfo[0].CrtCounty[0] (0.44 conf)
f_l_page_p_caption_street was FL-165[0].Page1[0].P1Caption[0].Wrap2[0].CourtInfo[0].CrtStreet[0] (0.44 conf)
f_page_p_wrap_info_add was FL-165[0].Page1[0].P1Caption[0].Wrap2[0].CourtInfo[0].CrtMailingAdd[0] (0.44 conf)
f_l_page_p_info_city was FL-165[0].Page1[0].P1Caption[0].Wrap2[0].CourtInfo[0].CrtCityZip[0] (0.38 conf)
f_l_page_p_court_branch was FL-165[0].Page1[0].P1Caption[0].Wrap2[0].CourtInfo[0].CrtBranch[0] (0.44 conf)
f_page_p_title_party_name__1 was FL-165[0].Page1[0].P1Caption[0].Wrap3[0].TitlePartyName[0].Party1[0] (0.40 conf)
f_page_p_title_party_name__2 was FL-165[0].Page1[0].P1Caption[0].Wrap3[0].TitlePartyName[0].Party2[0] (0.40 conf)
f_page_p_wrap_case_number was FL-165[0].Page1[0].P1Caption[0].Wrap6[0].CaseNumber[0].CaseNumber[0] (0.41 conf)
f_l_page_list_attached__1 was FL-165[0].Page1[0].List2[0].Attached1[0] (0.35 conf)
f_l_page_list_attached__2 was FL-165[0].Page1[0].List2[0].Attached1[1] (0.35 conf)
f_l_page_list_attached__3 was FL-165[0].Page1[0].List2[0].Attached2[0] (0.35 conf)
f_l_page_list_attached__4 was FL-165[0].Page1[0].List2[0].Attached2[1] (0.35 conf)
f_l_page_list_check_box__1 was FL-165[0].Page1[0].List2[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__2 was FL-165[0].Page1[0].List2[0].LI2[0].CheckBox2[0] (0.37 conf)
f_l_page_list_check_box__3 was FL-165[0].Page1[0].List2[0].LI3[0].CheckBox3[0] (0.37 conf)
f_l_page_list_check_box__4 was FL-165[0].Page1[0].List2[0].LI4[0].CheckBox4[0] (0.37 conf)
f_l_page_list_check_box__5 was FL-165[0].Page1[0].List2[0].LI5[0].CheckBox5[0] (0.37 conf)
f_l_page_list_check_box__6 was FL-165[0].Page1[0].List2[0].LI6[0].CheckBox6[0] (0.37 conf)
f_l_page_list_sign_sig_date__1 was FL-165[0].Page1[0].List2[0].SignSub1[0].SigDate[0] (0.37 conf)
f_l_page_list_sign_sig_name__1 was FL-165[0].Page1[0].List2[0].SignSub1[0].SigName[0] (0.37 conf)
f_l_page_list_check_box__7 was FL-165[0].Page1[0].List3[0].LI1[0].CheckBox7[0] (0.37 conf)
f_l_page_list_check_box__8 was FL-165[0].Page1[0].List3[0].LI2[0].CheckBox7[0] (0.37 conf)
f_l_page_list_fill_text__1 was FL-165[0].Page1[0].List3[0].LI2[0].FillText1[0] (0.41 conf)
f_l_page_sign_sub_sig_date was FL-165[0].Page1[0].SignSub2[0].SigDate2[0] (0.37 conf)
f_l_page_sign_sub_sig_name was FL-165[0].Page1[0].SignSub2[0].SigName2[0] (0.37 conf)
f_page_use_c_b_check_box__1 was FL-165[0].Page1[0].CourtUse[0].CB1[0].CheckBox8[0] (0.41 conf)
f_l_page_use_c_b_date__1 was FL-165[0].Page1[0].CourtUse[0].CB1[0].SigDate5[0] (0.39 conf)
f_page_use_c_b_check_box__2 was FL-165[0].Page1[0].CourtUse[0].CB2[0].CheckBox8[0] (0.41 conf)
f_l_page_use_c_b_date__2 was FL-165[0].Page1[0].CourtUse[0].CB2[0].SigDate6[0] (0.39 conf)
f_page_use_c_b_check_box__3 was FL-165[0].Page1[0].CourtUse[0].CB3[0].CheckBox8[0] (0.41 conf)
f_l_page_use_c_b_reason was FL-165[0].Page1[0].CourtUse[0].CB3[0].Reason[0] (0.39 conf)
f_page_caption_title_party_name__1 was FL-165[0].Page2[0].PxCaption[0].TitlePartyName[0].Party1[0] (0.36 conf)
f_page_caption_title_party_name__2 was FL-165[0].Page2[0].PxCaption[0].TitlePartyName[0].Party2[0] (0.36 conf)
f_l_page_px_case_number was FL-165[0].Page2[0].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.35 conf)
f_l_page_list_check_box__9 was FL-165[0].Page2[0].List4[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__10 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.1[0].CheckBox2[0] (0.38 conf)
f_l_page_list_text_field__1 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.1[0].TextField7[0] (0.35 conf)
f_l_page_list_fill_text__2 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.1[0].FillText1[0] (0.41 conf)
f_l_page_list_check_box__11 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.2[0].CheckBox3[0] (0.38 conf)
f_l_page_list_text_field__2 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.2[0].TextField7[0] (0.35 conf)
f_l_page_list_fill_text__3 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.2[0].FillText2[0] (0.41 conf)
f_l_page_list_check_box__12 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].CheckBox4[0] (0.38 conf)
f_l_page_list__1 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].Other1[0] (0.35 conf)
f_l_page_list_fill_text__4 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].FillText3[0] (0.41 conf)
f_l_page_list__2 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].Other2[0] (0.35 conf)
f_l_page_list_fill_text__5 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].FillText4[0] (0.41 conf)
f_l_page_list__3 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].Other3[0] (0.35 conf)
f_l_page_list_fill_text__6 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].FillText5[0] (0.41 conf)
f_l_page_list__4 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].Other4[0] (0.35 conf)
f_l_page_list_fill_text__7 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].FillText6[0] (0.41 conf)
f_l_page_list_fill_text__8 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].FillText7[0] (0.41 conf)
f_l_page_list_text_field__3 was FL-165[0].Page2[0].List4[0].LI2[0].LI2\.3[0].TextField7[0] (0.35 conf)
f_l_page_list_sign_sig_date__2 was FL-165[0].Page2[0].List4[0].SignSub3[0].SigDate5[0] (0.37 conf)
f_l_page_list_sign_sig_name__2 was FL-165[0].Page2[0].List4[0].SignSub3[0].SigName1[0] (0.37 conf)
f_l_page_list_check_box__13 was FL-165[0].Page2[0].List5[0].LI1[0].CheckBox1[0] (0.37 conf)
f_l_page_list_check_box__14 was FL-165[0].Page2[0].List5[0].LI2[0].CheckBox2[0] (0.37 conf)
f_l_page_list_check_box__15 was FL-165[0].Page2[0].List5[0].LI3[0].CheckBox3[0] (0.37 conf)
f_l_page_list_check_box__16 was FL-165[0].Page2[0].List5[0].LI4[0].CheckBox4[0] (0.37 conf)
f_l_page_list_sig_date was FL-165[0].Page2[0].List5[0].LI4[0].SigDate5[0] (0.38 conf)
f_l_page_list_check_box__17 was FL-165[0].Page2[0].List5[0].LI5[0].CheckBox5[0] (0.37 conf)
f_l_page_list_check_box__18 was FL-165[0].Page2[0].List5[0].LI6[0].CheckBox6[0] (0.37 conf)
f_l_page_list_text_field__4 was FL-165[0].Page2[0].List5[0].LI6[0].TextField6[0] (0.33 conf)
f_l_page_sign_date_sig was FL-165[0].Page2[0].SignDate[0].SigDate6[0] (0.37 conf)
f_l_page_sign_date_sig_name was FL-165[0].Page2[0].SignDate[0].SigName[0] (0.37 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

f_page_p_party_info_bar
f_page_p_party_info_name
f_page_p_party_info_firm
f_page_p_party_info_street
f_page_p_party_info_city
f_page_p_party_info_state
f_l_page_p_caption_wrap_atty_party_info_zip
f_page_p_party_info_phone
f_l_page_p_party_info__1
f_page_p_party_info_email
f_l_page_p_party_info__2
f_l_page_p_info_county
f_l_page_p_caption_street
f_page_p_wrap_info_add
f_l_page_p_info_city
f_l_page_p_court_branch
f_page_p_title_party_name__1
f_page_p_title_party_name__2
f_page_p_wrap_case_number
f_l_page_list_attached__1
f_l_page_list_attached__2
f_l_page_list_attached__3
f_l_page_list_attached__4
f_l_page_list_check_box__1
f_l_page_list_check_box__2
f_l_page_list_check_box__3
f_l_page_list_check_box__4
f_l_page_list_check_box__5
f_l_page_list_check_box__6
f_l_page_list_sign_sig_date__1
f_l_page_list_sign_sig_name__1
f_l_page_list_check_box__7
f_l_page_list_check_box__8
f_l_page_list_fill_text__1
f_l_page_sign_sub_sig_date
f_l_page_sign_sub_sig_name
f_page_use_c_b_check_box__1
f_l_page_use_c_b_date__1
f_page_use_c_b_check_box__2
f_l_page_use_c_b_date__2
f_page_use_c_b_check_box__3
f_l_page_use_c_b_reason
f_page_caption_title_party_name__1
f_page_caption_title_party_name__2
f_l_page_px_case_number
f_l_page_list_check_box__9
f_l_page_list_check_box__10
f_l_page_list_text_field__1
f_l_page_list_fill_text__2
f_l_page_list_check_box__11
f_l_page_list_text_field__2
f_l_page_list_fill_text__3
f_l_page_list_check_box__12
f_l_page_list__1
f_l_page_list_fill_text__4
f_l_page_list__2
f_l_page_list_fill_text__5
f_l_page_list__3
f_l_page_list_fill_text__6
f_l_page_list__4
f_l_page_list_fill_text__7
f_l_page_list_fill_text__8
f_l_page_list_text_field__3
f_l_page_list_sign_sig_date__2
f_l_page_list_sign_sig_name__2
f_l_page_list_check_box__13
f_l_page_list_check_box__14
f_l_page_list_check_box__15
f_l_page_list_check_box__16
f_l_page_list_sig_date
f_l_page_list_check_box__17
f_l_page_list_check_box__18
f_l_page_list_text_field__4
f_l_page_sign_date_sig
f_l_page_sign_date_sig_name

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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 (Uniform Parentage)

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Identified Data Fields:

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