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Here is the text we could read:

GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406): OR  
ATTORNEY OR PARTY WITHOUT ATTORNEY  (Name, state bar number, and address):

FOR COURT USE ONLY

FL-687

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (Name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

1.

2.

3.

ORDER AFTER HEARING

CASE NUMBER:

Uncontested

By stipulation

Contested

Judicial officer:
Attorney present (name):
Attorney present (name):
Attorney present (name):

Date:

This matter proceeded as follows: 
a.
b.
c.
d.
e.

Petitioner/plaintiff present 
Respondent/defendant present 
Other parent/party present

Dept.:

f.

Other (specify):

Local child support agency attorney (Family Code, §§ 17400, 17406) by (name):

g.

The parent ordered to pay support is the

petitioner/plaintiff

respondent/defendant

other parent/party.

Attached is a computer printout showing the parents’ income and percentage of time each parent spends with the children. 
The printout, which shows the calculation of child support payable, will become the court’s findings.
This order is based on the attached documents (specify):

THE COURT ORDERS
4.  a.
b.

All orders previously made in this action remain in full force and effect except as specifically modified below.
The parent ordered to pay support is the parent of and must pay current child support for the following children:
Name of child

Monthly support amount

Date of birth

(1)

Mandatory additional child support.

(a)

The parent ordered to pay support must pay additional monthly support for reasonable child-care costs, as follows: 

One-half or

% or 

(specify amount): $

per month of the costs

Payments must be made to the 
The parent ordered to pay support must pay reasonable uninsured health-care costs for the children, as follows: 

State Disbursement Unit

child-care provider.

other parent

(b)

One-half or

Payments must be made to the 

State Disbursement Unit

% or 
other parent

(specify amount): $

per month of the costs
health-care provider.

NOTICE: Any party required to pay child support must pay interest on overdue amounts at the legal rate, which is  currently 
10 percent per year.

Form Adopted for Alternative Mandatory Use 
Judicial Council of California 
FL-687 [Rev.January 1, 2020]

ORDER AFTER HEARING 
(Governmental)

Page 1 of 3

Family Code, §§ 17402, 
17404,17400 
www.courts.ca.gov

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT/PARTY:

4.

b.

(2)

Other (specify):

CASE NUMBER:

FL-687

(3)

(4)

For a total of: $
beginning (date):
The low-income adjustment applies.

payable on the:

day of each month

The low-income adjustment does not apply because (specific reasons): 

c. 

d. 

e. 

f.

g. 

h.

(5)

Any support ordered will continue until further order of court, unless terminated by operation of law.

The parent receiving support     must (1) provide and maintain health insurance

The parent ordered to pay support
coverage for the children if available at no or reasonable cost, and keep the local child support agency informed of the  
availability of the coverage (the cost is presumed to be reasonable if it does not exceed 5 percent of gross income to add a 
child); (2) if health insurance is not available, provide coverage when it becomes available; (3) within 20 days of the local 
child support agency’s request, complete and return a health insurance form; (4) provide to the local child support agency 
all information and forms necessary to obtain health-care services for the children; (5) present any claim to secure payment 
or reimbursement to the other parent or caretaker who incurs costs for health-care services for the children; and (6) assign  
any rights to reimbursement to the other parent or caretaker who incurs costs for health-care services for the children. The  
parent ordered to provide health insurance must seek continuation of coverage for the child after the child attains the age  
when the child is no longer considered eligible for coverage as a dependent under the insurance contract, if the child is  
incapable of self-sustaining employment because of a physically or mentally disabling injury, illness, or condition and is  
chiefly dependent upon the parent providing health insurance for support and maintenance.

The parent ordered to pay support owes support arrears as follows, as of (date):
(1)

Spousal support: $

Child support: $

Family support: $

(2)

(3)

(4)

Interest is not included and is not waived.

Payable: $
beginning (date):

on the:

day of each month

Interest accrues on the entire principal balance owing and not on each installment as it becomes due.

No provision of this order may operate to limit any right to collect the principal (total amount of unpaid support) or to charge and  
collect interest and penalties as allowed by law. All payments ordered are subject to modification.

All payments, unless specified in item 4b(1) above, must be made to the State Disbursement Unit at the address listed below  
(specify address):  

An earnings assignment order is issued.

In the event that there is a contract between a party receiving support and a private child support collector, the party ordered to  
pay support must pay the fee charged by the private child support collector. This fee must not exceed 33 1/3 percent of the total  
amount of past due support nor may it exceed 50 percent of any fee charged by the private child support collector. The money  
judgment created by this provision is in favor of the private child support collector and the party receiving support, jointly.    

FL-687 [Rev. January 1, 2020]

Page 2 of 3

ORDER AFTER HEARING 
(Governmental)

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT/PARTY:

CASE NUMBER:

FL-687

4.

i.

If "The parent ordered to pay support" box is checked in item 4c, a health insurance coverage assignment must issue. 

The parents must notify the local child support agency in writing within 10 days of any change in residence or employment.

The form Notice of Rights and Responsibilities (Health-Care Costs and Reimbursement Procedures) and Information Sheet on  
Changing a Child Support Order (form FL-192) is attached.

The following person (the "other parent/party") is added as a party to this action (name):

The court further orders (specify):

j. 

k. 

l.

m. 

Date:

Number of pages attached:

Approved as conforming to court order.
Date:

JUDICIAL OFFICER

SIGNATURE FOLLOWS LAST ATTACHMENT

(SIGNATURE OF ATTORNEY FOR THE PARENT ORDERED TO PAY SUPPORT)

FL-687 [Rev. January 1, 2020]

Page 3 of 3

ORDER AFTER HEARING 
(Governmental)

Order After Hearing (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): 3
Fields(s): 109
Average fields per page: 36
Reading Level: Grade 8
LIST Grouping(s): MO-00-00-00-00, FA-00-00-00-00.

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_page_p_fill_text_specify__1 was FL-687[0].Page1[0].P1Caption[0].FillText\.03\.g\.specify[0] (0.60 conf)
f_page_p_fill_text_specify__2 was FL-687[0].Page1[0].P1Caption[0].FillText\.03\.g\.specify[1] (0.40 conf)
f_l_page_p_fill_e__1 was FL-687[0].Page1[0].P1Caption[0].FillText\.03\.e\.1\.a\.percent[0] (0.40 conf)
f_l_page_p_fill_e__2 was FL-687[0].Page1[0].P1Caption[0].FillText\.03\.e\.1\.a\.percent[1] (0.40 conf)
f_l_page_p_party_info__1 was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyBarNo[0] (0.44 conf)
f_page_p_party_info_address__1 was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Address2[0] (0.41 conf)
f_page_p_party_info_address__2 was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Address3[0] (0.41 conf)
f_page_p_party_info_address__3 was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Address4[0] (0.41 conf)
f_page_p_party_info_phone was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Phone[0] (0.41 conf)
f_l_page_p_party_info__2 was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Fax[0] (0.41 conf)
f_page_p_party_info_email was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Email[0] (0.41 conf)
f_l_page_p_party_info__3 was FL-687[0].Page1[0].P1Caption[0].AttyPartyInfo[0].AttyFor[0] (0.44 conf)
f_l_page_p_info_county was FL-687[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCounty[0] (0.39 conf)
f_l_page_p_info_street was FL-687[0].Page1[0].P1Caption[0].CourtInfo[0].CrtStreet[0] (0.39 conf)
f_l_page_p_caption_info was FL-687[0].Page1[0].P1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.43 conf)
f_l_page_p_caption_court_info_crt_city_zip was FL-687[0].Page1[0].P1Caption[0].CourtInfo[0].CrtCityZip[0] (0.40 conf)
f_l_page_p_court_branch was FL-687[0].Page1[0].P1Caption[0].CourtInfo[0].CrtBranch[0] (0.39 conf)
f_page_p_title_party_name__1 was FL-687[0].Page1[0].P1Caption[0].TitlePartyName[0].Party1[0] (0.37 conf)
f_page_p_title_party_name__2 was FL-687[0].Page1[0].P1Caption[0].TitlePartyName[0].Party2[0] (0.37 conf)
f_page_p_title_party_name__3 was FL-687[0].Page1[0].P1Caption[0].TitlePartyName[0].Party3[0] (0.37 conf)
f_l_page_p_case_number was FL-687[0].Page1[0].P1Caption[0].CaseNumber[0].CaseNumber[0] (0.39 conf)
f_l_page_p_caption_fill_text__1 was FL-687[0].Page1[0].P1Caption[0].FillText53[0] (0.40 conf)
f_l_page_p_caption_fill_text__2 was FL-687[0].Page1[0].P1Caption[0].FillText54[0] (0.40 conf)
f_l_page_p_caption_fill_text__3 was FL-687[0].Page1[0].P1Caption[0].FillText55[0] (0.40 conf)
f_l_page_p_caption_fill_text__4 was FL-687[0].Page1[0].P1Caption[0].FillText56[0] (0.40 conf)
f_l_page_p_caption_fill_text__5 was FL-687[0].Page1[0].P1Caption[0].FillText57[0] (0.40 conf)
f_l_page_p_caption_fill_text__6 was FL-687[0].Page1[0].P1Caption[0].FillText58[0] (0.40 conf)
f_l_page_p_caption_fill_text__7 was FL-687[0].Page1[0].P1Caption[0].FillText59[0] (0.40 conf)
f_l_page_p_caption_fill_text__8 was FL-687[0].Page1[0].P1Caption[0].FillText62[0] (0.40 conf)
f_l_page_p_caption_fill_text__9 was FL-687[0].Page1[0].P1Caption[0].FillText67[0] (0.40 conf)
f_l_page_p_caption_fill_text__10 was FL-687[0].Page1[0].P1Caption[0].FillText72[0] (0.40 conf)
f_l_page_p_caption_fill_text__11 was FL-687[0].Page1[0].P1Caption[0].FillText63[0] (0.40 conf)
f_l_page_p_caption_fill_text__12 was FL-687[0].Page1[0].P1Caption[0].FillText68[0] (0.40 conf)
f_l_page_p_caption_fill_text__13 was FL-687[0].Page1[0].P1Caption[0].FillText73[0] (0.40 conf)
f_l_page_p_caption_fill_text__14 was FL-687[0].Page1[0].P1Caption[0].FillText64[0] (0.40 conf)
f_l_page_p_caption_fill_text__15 was FL-687[0].Page1[0].P1Caption[0].FillText69[0] (0.40 conf)
f_l_page_p_caption_fill_text__16 was FL-687[0].Page1[0].P1Caption[0].FillText74[0] (0.40 conf)
f_l_page_p_caption_fill_text__17 was FL-687[0].Page1[0].P1Caption[0].FillText65[0] (0.40 conf)
f_l_page_p_caption_fill_text__18 was FL-687[0].Page1[0].P1Caption[0].FillText70[0] (0.40 conf)
f_l_page_p_caption_fill_text__19 was FL-687[0].Page1[0].P1Caption[0].FillText75[0] (0.40 conf)
f_l_page_p_caption_fill_text__20 was FL-687[0].Page1[0].P1Caption[0].FillText66\.0[0] (0.40 conf)
f_l_page_p_caption_fill_text__21 was FL-687[0].Page1[0].P1Caption[0].FillText66\.1[0] (0.40 conf)
f_l_page_p_caption_fill_text__22 was FL-687[0].Page1[0].P1Caption[0].FillText66\.2[0] (0.40 conf)
f_l_page_p_caption_fill_text__23 was FL-687[0].Page1[0].P1Caption[0].FillText71\.0[0] (0.40 conf)
f_l_page_p_caption_fill_text__24 was FL-687[0].Page1[0].P1Caption[0].FillText71\.1[0] (0.40 conf)
f_l_page_p_caption_fill_text__25 was FL-687[0].Page1[0].P1Caption[0].FillText71\.2[0] (0.40 conf)
f_l_page_p_caption_fill_text__26 was FL-687[0].Page1[0].P1Caption[0].FillText76\.0[0] (0.40 conf)
f_l_page_p_caption_fill_text__27 was FL-687[0].Page1[0].P1Caption[0].FillText76\.1[0] (0.40 conf)
f_l_page_p_caption_fill_text__28 was FL-687[0].Page1[0].P1Caption[0].FillText76\.2[0] (0.40 conf)
f_page_p_area_check_box__1 was FL-687[0].Page1[0].P1Caption[0].#area[0].CheckBox61[0] (0.43 conf)
f_page_p_area_check_box__2 was FL-687[0].Page1[0].P1Caption[0].#area[1].CheckBox61[1] (0.43 conf)
f_page_p_area_check_box__3 was FL-687[0].Page1[0].P1Caption[0].#area[2].CheckBox61[2] (0.43 conf)
f_page_p_area_check_box__4 was FL-687[0].Page1[0].P1Caption[0].#area[3].CheckBox61[3] (0.43 conf)
f_page_p_area_check_box__5 was FL-687[0].Page1[0].P1Caption[0].#area[4].CheckBox61[4] (0.43 conf)
f_page_p_area_check_box__6 was FL-687[0].Page1[0].P1Caption[0].#area[5].CheckBox61[5] (0.43 conf)
f_page_p_area_check_box__7 was FL-687[0].Page1[0].P1Caption[0].#area[6].CheckBox61[6] (0.43 conf)
f_page_p_area_check_box__8 was FL-687[0].Page1[0].P1Caption[0].#area[7].CheckBox61[7] (0.43 conf)
f_page_p_area_check_box__9 was FL-687[0].Page1[0].P1Caption[0].#area[8].CheckBox61[8] (0.43 conf)
f_page_p_area_check_box__10 was FL-687[0].Page1[0].P1Caption[0].#area[9].CheckBox61[9] (0.43 conf)
f_l_page_p_caption_checkbox__1 was FL-687[0].Page1[0].P1Caption[0].Checkbox[0] (0.40 conf)
f_l_page_p_caption_checkbox__2 was FL-687[0].Page1[0].P1Caption[0].Checkbox[1] (0.40 conf)
f_l_page_p_caption_checkbox__3 was FL-687[0].Page1[0].P1Caption[0].Checkbox[2] (0.40 conf)
f_l_page_p_caption_checkbox__4 was FL-687[0].Page1[0].P1Caption[0].Checkbox[3] (0.40 conf)
f_l_page_p_caption_checkbox__5 was FL-687[0].Page1[0].P1Caption[0].Checkbox[4] (0.40 conf)
f_l_page_p_caption_checkbox__6 was FL-687[0].Page1[0].P1Caption[0].Checkbox[5] (0.40 conf)
f_l_page_p_caption_checkbox__7 was FL-687[0].Page1[0].P1Caption[0].Checkbox[6] (0.40 conf)
f_page_p_area_check_box__11 was FL-687[0].Page1[0].P1Caption[0].#area[10].CheckBox61[10] (0.43 conf)
f_page_p_area_check_box__12 was FL-687[0].Page1[0].P1Caption[0].#area[11].CheckBox61[11] (0.43 conf)
f_l_page_p_caption_date__1 was FL-687[0].Page1[0].P1Caption[0].on_date[0] (0.34 conf)
f_l_page_p_caption_date__2 was FL-687[0].Page1[0].P1Caption[0].on_date[1] (0.34 conf)
f_page_set_last_case_number__1 was FL-687[0].#pageSet[0].LastPage[0].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.34 conf)
f_page_set_last_caption_party__1 was FL-687[0].#pageSet[0].LastPage[0].PxCaption[0].Party1[0] (0.37 conf)
f_page_set_last_caption_party__2 was FL-687[0].#pageSet[0].LastPage[0].PxCaption[0].Party2[0] (0.37 conf)
f_page_set_last_caption_party__3 was FL-687[0].#pageSet[0].LastPage[0].PxCaption[0].Party3[0] (0.37 conf)
f_l_page_fill_text_g_specify__1 was FL-687[0].Page2[0].FillText\.03\.g\.specify[0] (0.42 conf)
f_l_page_fill_text_g_specify__2 was FL-687[0].Page2[0].FillText\.03\.g\.specify[1] (0.42 conf)
f_l_page_fill_text_b_amount was FL-687[0].Page2[0].FillText\.04\.b\.3\.amount[0] (0.42 conf)
f_page_fill_text_b_day_month was FL-687[0].Page2[0].FillText\.04\.b\.3\.day\.of\.month[0] (0.42 conf)
f_page_fill_text_b_date was FL-687[0].Page2[0].FillText\.04\.b\.3\.beginning\.date[0] (0.42 conf)
f_l_page_fill_text__1 was FL-687[0].Page2[0].FillText90[0] (0.42 conf)
f_l_page_fill_text__2 was FL-687[0].Page2[0].FillText91[0] (0.42 conf)
f_l_page_fill_text__3 was FL-687[0].Page2[0].FillText92[0] (0.42 conf)
f_l_page_fill_text__4 was FL-687[0].Page2[0].FillText93[0] (0.42 conf)
f_l_page_fill_text__5 was FL-687[0].Page2[0].FillText94[0] (0.42 conf)
f_l_page_fill_text__6 was FL-687[0].Page2[0].FillText95[0] (0.42 conf)
f_l_page_fill_text__7 was FL-687[0].Page2[0].FillText96[0] (0.42 conf)
f_l_page_area_check_box__1 was FL-687[0].Page2[0].#area[0].CheckBox61[0] (0.41 conf)
f_l_page_area_check_box__2 was FL-687[0].Page2[0].#area[1].CheckBox61[1] (0.41 conf)
f_l_page_area_check_box__3 was FL-687[0].Page2[0].#area[2].CheckBox61[2] (0.41 conf)
f_l_page_area_check_box__4 was FL-687[0].Page2[0].#area[3].CheckBox61[3] (0.41 conf)
f_l_page_area_check_box__5 was FL-687[0].Page2[0].#area[4].CheckBox61[4] (0.41 conf)
f_l_page_area_check_box__6 was FL-687[0].Page2[0].#area[5].CheckBox61[5] (0.41 conf)
f_l_page_area_check_box__7 was FL-687[0].Page2[0].#area[6].CheckBox61[6] (0.41 conf)
f_l_page_area_check_box__8 was FL-687[0].Page2[0].#area[7].CheckBox61[7] (0.41 conf)
f_l_page_area_check_box__9 was FL-687[0].Page2[0].#area[8].CheckBox61[8] (0.41 conf)
f_l_page_area_check_box__10 was FL-687[0].Page2[0].#area[9].CheckBox61[9] (0.41 conf)
f_l_page_date_ff was FL-687[0].Page2[0].on_date_ff[0] (0.36 conf)
f_l_page_area_check_box__11 was FL-687[0].Page2[0].#area[10].CheckBox61[10] (0.41 conf)
f_page_set_last_case_number__2 was FL-687[0].#pageSet[0].LastPage[1].PxCaption[0].CaseNumber[0].CaseNumber[0] (0.34 conf)
f_page_set_last_caption_party__4 was FL-687[0].#pageSet[0].LastPage[1].PxCaption[0].Party1[0] (0.37 conf)
f_page_set_last_caption_party__5 was FL-687[0].#pageSet[0].LastPage[1].PxCaption[0].Party2[0] (0.37 conf)
f_page_set_last_caption_party__6 was FL-687[0].#pageSet[0].LastPage[1].PxCaption[0].Party3[0] (0.37 conf)
f_l_fill_text_g_specify was FL-687[0].#subform[2].FillText\.03\.g\.specify[0] (0.40 conf)
f_l_subform_fill_text__1 was FL-687[0].#subform[2].FillText107[0] (0.40 conf)
f_l_subform_fill_text__2 was FL-687[0].#subform[2].FillText103[0] (0.40 conf)
f_l_subform_fill_text__3 was FL-687[0].#subform[2].FillText83[0] (0.40 conf)
f_l_subform_fill_text__4 was FL-687[0].#subform[2].FillText105[0] (0.40 conf)
f_l_subform_area_check_box__1 was FL-687[0].#subform[2].#area[0].CheckBox61[0] (0.34 conf)
f_l_subform_area_check_box__2 was FL-687[0].#subform[2].#area[1].CheckBox61[1] (0.34 conf)
f_l_subform_area_check_box__3 was FL-687[0].#subform[2].#area[2].CheckBox61[2] (0.34 conf)

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

Suggested Screen 0:

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f_page_p_fill_text_specify__2
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f_l_page_p_party_info__2
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f_l_page_p_info_county
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