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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NO.:

CONFIDENTIAL

JV-132

FOR COURT USE ONLY

STATE:

FAX NO.:

ZIP CODE:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CHILDREN'S NAMES:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

FINANCIAL DECLARATION—JUVENILE DEPENDENCY

CASE NUMBER:

Social Security Number:

1. Personal Information:

Name:

Other names used:

Street or Mailing Address:

City:

Marital Status:

Name of Spouse/Partner:

Names and ages of dependents:

I.D. or Driver's License Number:

Date of Birth:

Age:

Relationship to Child:

Parent

Other Responsible Person (specify):

State:

Zip:

Phone:

Alternate Phone:

Married

Single

Domestic partner

Separated

Divorced

Widowed

Number of dependents living with you:

I receive (check all that apply):

Medi-Cal

SNAP (food stamps)

SSI

SSP

County Relief/General Assistance

CalWORKS or Tribal TANF (Temporary Assistance for Needy Families)

IHSS (In-Home Supportive Services)

CAPI (Cash Assistance Program for Aged, Blind, and Disabled)

My gross monthly household income (before deductions for taxes) is less than the amount listed below:

Family Size
1
2

Family Income
$1,415.63
$1,907.30

Family Size
3
4

Family Income
$2,398.96
$2,890.63

Family Size
5
6

Family Income
$3,382.30
$3,873.96

If more than 6 people at
home, add $491.67 for
each extra person.

I have been reunified with my child(ren) under a court order (attached).

I am receiving court-ordered reunification services.

Form Approved for Optional Use
Judicial Council of California
JV-132 [Rev. March 14, 2022]

FINANCIAL DECLARATION—JUVENILE DEPENDENCY

Page 1 of 3

Welfare and Institutions Code, §§ 903.1,
903.45(b), 903.47

CONFIDENTIAL

CASE NUMBER:

JV-132

CHILDREN'S NAMES:

RESPONSIBLE PERSON'S NAME:

6. Employment:

Employer:

Address:

Your Employment

Your Spouse/Partner's Employment

Employer:

Address:

City and Zip Code:

Phone:

City and Zip Code:

Phone:

Type of Job:

How long
employed:

Working
now?

Monthly salary:

Take home pay:

Monthly salary:

Take home pay:

How long
employed:

Working
now?

If not now employed, who was your last employer?
(Name, Address, City, and Zip Code):

If not now employed, who was this person's last employer?
(Name, Address, City, and Zip Code):

Phone number of last employer:

7. Other Monthly Income and Assets:

Other Income

Assets: What Do You Own?

Unemployment ............................................... $

Cash ............................................................ $

Disability ........................................................ $

Real Property/Equity .................................... $

Social Security ............................................... $

Cars and Other Vehicles .............................. $

Workers' Compensation ................................ $

Life Insurance .............................................. $

Child Support Payments ................................ $

Bank Accounts (list below)............................. $

Foster Care Payments ................................... $

Stocks and Bonds ........................................ $

Other Income ................................................. $

Business Interest ......................................... $

Total $

Other Assets ................................................ $

Total $

Name and branch of bank:

Account numbers:

JV-132 [Rev. March 14, 2022]

FINANCIAL DECLARATION—JUVENILE DEPENDENCY

Page 2 of 3

CHILDREN'S NAMES:

RESPONSIBLE PERSON'S NAME:

8. Expenses:

CONFIDENTIAL

CASE NUMBER:

JV-132

Monthly Household Expenses

Reunification Plan: Monthly Cost of Required Services

Rent or Mortgage Payment ........................... $

Parenting Classes ......................................... $

Car Payment ................................................. $

Substance Abuse Treatment ........................ $

Gas and Car Insurance ................................. $

Therapy/Counseling ...................................... $

Public Transportation .................................... $

Medical Care/Medications ............................. $

Utilities (Gas, Electric, Phone, Water, etc.).... $

Domestic Violence Counseling ..................... $

Food .............................................................. $

Batterers' Intervention ................................... $

Clothing and Laundry .................................... $

Victim Support .............................................. $

Child Care ..................................................... $

Regional Center Programs ........................... $

Child Support Payments ............................... $

Transportation ............................................... $

Medical Payments ......................................... $

In-Home Services ......................................... $

Other Necessary Monthly Expenses .............

Other ............................................................. $

Total $

9. Loan/Expense Payments (other than mortgage or car loan):

Name of lender and type of loan/expense

Monthly payment

Balance owed

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

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF DECLARANT)

FOR FINANCIAL EVALUATION OFFICER USE ONLY

TOTAL INCOME

TOTAL EXPENSES

NET DISPOSABLE INCOME $

COST OF LEGAL SERVICES $

MONTHLY PAYMENT

TOTAL COST ASSESSED

The above-named responsible person is presumed unable to pay reimbursement for the cost of legal services in this proceeding and
is eligible for a waiver of liability because

he or she receives qualifying public benefits

his or her household income falls below 125% of the current federal poverty guidelines

he or she has been reunified with the child(ren) under a court order and payment of reimbursement would harm his or her
ability to support the child(ren).

(TYPE OR PRINT NAME)

(SIGNATURE OF FINANCIAL EVALUATION OFFICER)

JV-132 [Rev. March 14, 2022]

FINANCIAL DECLARATION—JUVENILE DEPENDENCY

Page 3 of 3

Financial Declaration—Juvenile Dependency

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): 148
Average fields per page: 49
Reading Level: Grade 10
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.

subform_caption_sf_atty_dc was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyBarNo_dc[0] (0.54 conf)
topmost_subform_page_caption_sf_atty_info_name_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyName_ft[0] (0.40 conf)
topmost_subform_page_caption_sf_atty_info_firm_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyFirm_ft[0] (0.42 conf)
topmost_subform_page_caption_sf_atty_info_street_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyStreet_ft[0] (0.37 conf)
topmost_subform_page_caption_sf_atty_info_city_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyCity_ft[0] (0.40 conf)
topmost_subform_page_caption_sf_atty_info_state_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyState_ft[0] (0.43 conf)
topmost_subform_page_caption_sf_atty_info_zip_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyZip_ft[0] (0.36 conf)
topmost_subform_page_caption_sf_atty_info_phone_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Phone_ft[0] (0.39 conf)
topmost_subform_page_caption_sf_atty_info_fax_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Fax_ft[0] (0.41 conf)
topmost_subform_page_caption_sf_atty_info_email_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].Email_ft[0] (0.45 conf)
topmost_subform_page_caption_sf_atty_info_ft was topmostSubform[0].Page1[0].Caption_sf[0].AttyInfo[0].AttyFor_ft[0] (0.38 conf)
page_caption_sf_court_county was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].CrtCounty_ft[0] (0.36 conf)
topmost_subform_page_caption_sf_court_info_street_ft was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].Street_ft[0] (0.39 conf)
page_caption_court_info_mailing was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].MailingAdd_ft[0] (0.42 conf)
page_caption_court_info_city was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].CityZip_ft[0] (0.37 conf)
topmost_subform_page_caption_sf_court_info_branch_ft was topmostSubform[0].Page1[0].Caption_sf[0].CourtInfo[0].Branch_ft[0] (0.39 conf)
page_title_party_name_child was topmostSubform[0].Page1[0].Caption_sf[0].TitlePartyName[0].ChildName_ft[0] (0.33 conf)
topmost_subform_page_caption_sf_case_number_ft was topmostSubform[0].Page1[0].Caption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.42 conf)
topmost_subform_page_list_li_petitioner_name_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerName_ft[0] (0.40 conf)
topmost_subform_page_list_li_petitioner_ss_n_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerSSN_ft[0] (0.38 conf)
topmost_subform_page_list_li_petitioner_oth_names_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerOthNames_ft[0] (0.44 conf)
topmost_subform_page_list_li_petitioner_iddl_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerIDDLNo_ft[0] (0.40 conf)
topmost_subform_page_list_li_petitioner_b_dt was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerDOB_dt[0] (0.38 conf)
topmost_subform_page_list_li_petitioner_age_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerAge_ft[0] (0.34 conf)
topmost_subform_page_list_li_relation_cb__1 was topmostSubform[0].Page1[0].List1[0].Li1[0].Relation_cb[0] (0.40 conf)
topmost_subform_page_list_li_relation_cb__2 was topmostSubform[0].Page1[0].List1[0].Li1[0].Relation_cb[1] (0.40 conf)
topmost_subform_page_list_li_petitioner_oth_resp_person_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerOthRespPerson_ft[0] (0.42 conf)
topmost_subform_page_list_li_petitioner_str_add_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerStrAdd_ft[0] (0.43 conf)
topmost_subform_page_list_li_petitioner_city_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerCity_ft[0] (0.39 conf)
topmost_subform_page_list_li_petitioner_state_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerState_ft[0] (0.38 conf)
topmost_subform_page_list_li_petitioner_zip_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerZip_ft[0] (0.38 conf)
topmost_subform_page_list_li_petitioner_tel_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerTel_ft[0] (0.37 conf)
topmost_subform_page_list_li_petitioner_alt_tel_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerAltTel_ft[0] (0.35 conf)
topmost_subform_page_list_li_married_single_rb__1 was topmostSubform[0].Page1[0].List1[0].Li1[0].MarriedSingle_rb[0] (0.40 conf)
topmost_subform_page_list_li_married_single_rb__2 was topmostSubform[0].Page1[0].List1[0].Li1[0].MarriedSingle_rb[1] (0.40 conf)
topmost_subform_page_list_li_dom_partner_rb was topmostSubform[0].Page1[0].List1[0].Li1[0].DomPartner_rb[0] (0.38 conf)
topmost_subform_page_list_li_separated_rb was topmostSubform[0].Page1[0].List1[0].Li1[0].Separated_rb[0] (0.40 conf)
topmost_subform_page_list_li_divorced_rb was topmostSubform[0].Page1[0].List1[0].Li1[0].Divorced_rb[0] (0.36 conf)
topmost_subform_page_list_li_widowed_rb was topmostSubform[0].Page1[0].List1[0].Li1[0].Widowed_rb[0] (0.38 conf)
list_petitioner_spouse_name_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerSpouseName_ft[0] (0.39 conf)
topmost_subform_page_list_li_petitioner_dependents_household_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].PetitionerDependentsInHousehold_ft[0] (0.36 conf)
topmost_subform_page_list_li_dependents_name_age_ft was topmostSubform[0].Page1[0].List1[0].Li1[0].DependentsNameAge_ft[0] (0.40 conf)
topmost_subform_page_list_li_public_benefit_medi_cal_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitMediCal_cb[0] (0.43 conf)
topmost_subform_page_list_li_public_benefit_sna_p_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitSNAP_cb[0] (0.43 conf)
topmost_subform_page_list_li_public_benefit_ss_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitSSI_cb[0] (0.38 conf)
topmost_subform_page_list_li_public_benefit_sp_p_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitSPP_cb[0] (0.42 conf)
topmost_subform_page_list_li_public_benefit_cty_g_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitCtyGA_cb[0] (0.38 conf)
topmost_subform_page_list_li_public_benefit_cal_workstan_f_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitCalWORKSTANF_cb[0] (0.37 conf)
topmost_subform_page_list_li_public_benefit_ihs_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitIHSS_cb[0] (0.35 conf)
topmost_subform_page_list_li_public_benefit_cap_cb was topmostSubform[0].Page1[0].List2[0].Li1[0].PublicBenefitCAPI_cb[0] (0.39 conf)
topmost_subform_page_set_list_li_gross_month_income_less_cb was topmostSubform[0].Page1[0].SubformSet[0].List3[0].Li1[0].GrossMonthIncomeLess_cb[0] (0.33 conf)
topmost_subform_page_list_li_reunified_court_order_cb__1 was topmostSubform[0].Page1[0].List4[0].Li1[0].ReunifiedCourtOrder_cb[0] (0.38 conf)
topmost_subform_page_list_li_reunified_court_order_cb__2 was topmostSubform[0].Page1[0].List5[0].Li1[0].ReunifiedCourtOrder_cb[0] (0.38 conf)
page_p_sf_case_name_child__1 was topmostSubform[0].Page2[0].pXCaption_sf[0].CaseName[0].ChildName_ft[0] (0.35 conf)
page_sf_case_name_petitioner__1 was topmostSubform[0].Page2[0].pXCaption_sf[0].CaseName[0].PetitionerName_ft[0] (0.39 conf)
topmost_subform_page_p_x_caption_sf_case_number_ft__1 was topmostSubform[0].Page2[0].pXCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.37 conf)
topmost_subform_page_list_li_petitioner_employer_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerEmployer_ft[0] (0.37 conf)
topmost_list_employer_str_add was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerEmployerStrAdd_ft[0] (0.36 conf)
topmost_subform_page_list_li_petitioner_employer_city_zip_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerEmployerCityZip_ft[0] (0.39 conf)
topmost_subform_page_list_li_petitioner_employer_tel_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerEmployerTel_ft[0] (0.35 conf)
topmost_subform_page_list_li_petitioner_job_type_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerJobType_ft[0] (0.37 conf)
topmost_subform_page_list_li_petitioner_employment_length_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerEmploymentLength_ft[0] (0.39 conf)
topmost_subform_page_list_li_petitioner_employed_currently_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerEmployedCurrently_ft[0] (0.40 conf)
topmost_list_monthly_salary was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerMonthlySalary_dc[0] (0.37 conf)
li_takehome_pay_dc was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerTakehomePay_dc[0] (0.42 conf)
topmost_list_last_employer_name__1 was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerLastEmployerNameAdd_ft[0] (0.41 conf)
topmost_subform_page_list_li_petitioner_last_employer_tel_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].PetitionerLastEmployerTel_ft[0] (0.40 conf)
topmost_subform_page_list_li_spouse_employer_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseEmployer_ft[0] (0.36 conf)
topmost_subform_page_list_li_spouse_employer_address_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseEmployerAddress_ft[0] (0.40 conf)
topmost_list_spouse_employer_city was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseEmployerCityZip_ft[0] (0.37 conf)
topmost_subform_page_list_li_spouse_employer_tel_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseEmployerTel_ft[0] (0.36 conf)
topmost_subform_page_list_li_spouse_job_type_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseJobType_ft[0] (0.37 conf)
topmost_subform_page_list_li_spouse_employment_length_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseEmploymentLength_ft[0] (0.36 conf)
topmost_subform_page_list_li_spouse_employed_currently_ft was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseEmployedCurrently_ft[0] (0.35 conf)
topmost_subform_page_list_li_spouse_monthly_salary_dc was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseMonthlySalary_dc[0] (0.36 conf)
topmost_list_take_home_pay was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseTakeHomePay_dc[0] (0.40 conf)
topmost_list_last_employer_name__2 was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseLastEmployerNameAdd_ft[0] (0.39 conf)
topmost_list_spouse_last_employer was topmostSubform[0].Page2[0].List6[0].Li1[0].SpouseLastEmployerTel_ft[0] (0.40 conf)
topmost_subform_page_list_li_oth_income_unemployment_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeUnemployment_dc[0] (0.37 conf)
topmost_subform_page_list_li_oth_income_disability_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeDisability_dc[0] (0.40 conf)
topmost_subform_page_list_li_oth_income_soc_security_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeSocSecurity_dc[0] (0.45 conf)
topmost_subform_page_list_li_oth_income_workers_comp_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeWorkersComp_dc[0] (0.42 conf)
topmost_subform_page_list_li_oth_income_child_support_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeChildSupport_dc[0] (0.45 conf)
topmost_subform_page_list_li_oth_income_foster_care_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeFosterCare_dc[0] (0.41 conf)
topmost_subform_page_list_li_oth_income_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeOther_dc[0] (0.39 conf)
topmost_subform_page_list_li_oth_income_total_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].OthIncomeTotal_dc[0] (0.40 conf)
topmost_list_asset_cash_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetCash_dc[0] (0.41 conf)
topmost_list_asset_real_estate was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetRealEstate_dc[0] (0.41 conf)
topmost_page_list_asset_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetVehicles_dc[0] (0.37 conf)
topmost_subform_page_list_li_asset_life_insurance_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetLifeInsurance_dc[0] (0.40 conf)
topmost_subform_page_list_li_asset_bank_account_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetBankAccount_dc[0] (0.42 conf)
topmost_asset_stock_bond_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetStockBond_dc[0] (0.39 conf)
topmost_subform_page_list_li_asset_business_interest_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetBusinessInterest_dc[0] (0.41 conf)
topmost_subform_page_list_li_asset_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetOther_dc[0] (0.38 conf)
topmost_subform_page_list_li_asset_total_dc was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetTotal_dc[0] (0.40 conf)
list_asset_bank_name_branch was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetBankNameBranch_ft[0] (0.44 conf)
topmost_subform_page_list_li_asset_bank_account_nos_ft was topmostSubform[0].Page2[0].List7[0].Li1[0].AssetBankAccountNos_ft[0] (0.43 conf)
page_p_sf_case_name_child__2 was topmostSubform[0].Page3[0].pXCaption_sf[0].CaseName[0].ChildName_ft[0] (0.35 conf)
page_sf_case_name_petitioner__2 was topmostSubform[0].Page3[0].pXCaption_sf[0].CaseName[0].PetitionerName_ft[0] (0.39 conf)
topmost_subform_page_p_x_caption_sf_case_number_ft__2 was topmostSubform[0].Page3[0].pXCaption_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.37 conf)
topmost_page_list_expense_housing was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseHousing_dc[0] (0.41 conf)
topmost_list_expense_car_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseCar_dc[0] (0.42 conf)
topmost_subform_page_list_li_expense_gas_insurance_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseGasInsurance_dc[0] (0.41 conf)
topmost_subform_page_list_li_expense_public_transport_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpensePublicTransport_dc[0] (0.42 conf)
topmost_subform_page_list_li_expense_utilites_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseUtilites_dc[0] (0.40 conf)
topmost_subform_page_list_li_expense_food_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseFood_dc[0] (0.43 conf)
topmost_subform_page_list_li_expense_clothing_laundry_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseClothingLaundry_dc[0] (0.44 conf)
topmost_subform_page_list_li_expense_child_care_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseChildCare_dc[0] (0.33 conf)
topmost_subform_page_list_li_expense_child_support_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseChildSupport_dc[0] (0.41 conf)
topmost_subform_page_list_li_expense_medical_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseMedical_dc[0] (0.41 conf)
topmost_subform_page_list_li_expense_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseOther_dc[0] (0.40 conf)
topmost_subform_page_list_li_expense_total_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].ExpenseTotal_dc[0] (0.43 conf)
topmost_subform_page_list_li_plan_cost_parenting_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostParenting_dc[0] (0.38 conf)
topmost_subform_page_list_li_plan_cost_subst_abuse_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostSubstAbuse_dc[0] (0.37 conf)
topmost_subform_page_list_li_plan_cost_therapy_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostTherapy_dc[0] (0.43 conf)
li_plan_cost_medical_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostMedical_dc[0] (0.41 conf)
topmost_page_list_plan_cost_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostDV_dc[0] (0.34 conf)
plan_cost_intervention_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostBattererIntervention_dc[0] (0.42 conf)
topmost_subform_page_list_li_plan_cost_victim_support_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostVictimSupport_dc[0] (0.41 conf)
topmost_subform_page_list_li_paln_cost_regional_ctr_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PalnCostRegionalCtr_dc[0] (0.34 conf)
topmost_subform_page_list_li_plan_cost_transportation_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostTransportation_dc[0] (0.43 conf)
topmost_subform_page_list_li_plan_cost_home_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostInHome_dc[0] (0.41 conf)
topmost_subform_page_list_li_plan_cost_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostOther_dc[0] (0.42 conf)
topmost_subform_page_list_li_plan_cost_total_dc was topmostSubform[0].Page3[0].List8[0].Li1[0].PlanCostTotal_dc[0] (0.44 conf)
list_lender_name_loan_type__1 was topmostSubform[0].Page3[0].List9[0].Li1[0].LenderNameLoanType1_ft[0] (0.40 conf)
topmost_loan_monthly_payment_dc__1 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanMonthlyPayment1_dc[0] (0.37 conf)
topmost_subform_page_list_li_loan_balance_ft was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanBalance1_ft[0] (0.40 conf)
list_lender_name_loan_type__2 was topmostSubform[0].Page3[0].List9[0].Li1[0].LenderNameLoanType2_ft[0] (0.47 conf)
topmost_loan_monthly_payment_dc__2 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanMonthlyPayment2_dc[0] (0.37 conf)
topmost_subform_page_list_li_loan_balance_dc__1 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanBalance_dc[0] (0.40 conf)
list_lender_name_loan_type__3 was topmostSubform[0].Page3[0].List9[0].Li1[0].LenderNameLoanType3_ft[0] (0.44 conf)
topmost_loan_monthly_payment_dc__3 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanMonthlyPayment3_dc[0] (0.37 conf)
topmost_subform_page_list_li_loan_balance_dc__2 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanBalance3_dc[0] (0.40 conf)
list_lender_name_loan_type__4 was topmostSubform[0].Page3[0].List9[0].Li1[0].LenderNameLoanType4_ft[0] (0.44 conf)
topmost_loan_monthly_payment_dc__4 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanMonthlyPayment4_dc[0] (0.37 conf)
topmost_subform_page_list_li_loan_balance_dc__3 was topmostSubform[0].Page3[0].List9[0].Li1[0].LoanBalance4_dc[0] (0.40 conf)
topmost_page_sign_sig_date was topmostSubform[0].Page3[0].SignSub[0].SigDate[0] (0.34 conf)
page_sign_petitioner_name_ft was topmostSubform[0].Page3[0].SignSub[0].PetitionerName_ft[0] (0.38 conf)
topmost_eva_total_income_dc was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrTotalIncome_dc[0] (0.42 conf)
topmost_subform_page_finan_eva_sub_ofcr_legal_services_cost_dc was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrLegalServicesCost_dc[0] (0.43 conf)
topmost_subform_page_finan_eva_sub_ofcr_total_expenses_dc was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrTotalExpenses_dc[0] (0.43 conf)
topmost_subform_page_finan_eva_sub_ofcr_monthly_payment_dc was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrMonthlyPayment_dc[0] (0.46 conf)
topmost_subform_page_finan_eva_sub_ofcr_net_disposable_dc was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrNetDisposable_dc[0] (0.49 conf)
topmost_subform_page_finan_eva_sub_ofcr_total_costs_dc was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrTotalCosts_dc[0] (0.43 conf)
topmost_subform_page_finan_eva_sub_ofcr_receives_benefits_cb was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrReceivesBenefits_cb[0] (0.47 conf)
topmost_subform_page_finan_eva_sub_ofcr_income_less_cb was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrIncomeLess_cb[0] (0.42 conf)
topmost_subform_page_finan_eva_sub_ofcr_reunification_cb was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrReunification_cb[0] (0.46 conf)
topmost_subform_page_finan_eva_sub_sig_date was topmostSubform[0].Page3[0].FinanEvaSub[0].SigDate[0] (0.42 conf)
page_eva_sub_name_ft was topmostSubform[0].Page3[0].FinanEvaSub[0].OfcrName_ft[0] (0.46 conf)

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

Suggested Screen 0:

subform_caption_sf_atty_dc

Suggested Screen 1:

topmost_subform_page_caption_sf_atty_info_name_ft
topmost_subform_page_caption_sf_atty_info_firm_ft
topmost_subform_page_caption_sf_atty_info_street_ft
topmost_subform_page_caption_sf_atty_info_city_ft
topmost_subform_page_caption_sf_atty_info_state_ft
topmost_subform_page_caption_sf_atty_info_zip_ft
topmost_subform_page_caption_sf_atty_info_phone_ft
topmost_subform_page_caption_sf_atty_info_fax_ft
topmost_subform_page_caption_sf_atty_info_email_ft
topmost_subform_page_caption_sf_atty_info_ft
topmost_subform_page_caption_sf_court_info_street_ft
topmost_subform_page_caption_sf_court_info_branch_ft

Suggested Screen 2:

page_caption_sf_court_county

Suggested Screen 3:

page_caption_court_info_mailing
page_caption_court_info_city
page_title_party_name_child

Suggested Screen 4:

topmost_subform_page_list_li_petitioner_name_ft
topmost_subform_page_list_li_petitioner_ss_n_ft
topmost_subform_page_list_li_petitioner_oth_names_ft
topmost_subform_page_list_li_petitioner_iddl_ft
topmost_subform_page_list_li_petitioner_b_dt
topmost_subform_page_list_li_petitioner_age_ft
topmost_subform_page_list_li_petitioner_oth_resp_person_ft
topmost_subform_page_list_li_petitioner_str_add_ft
topmost_subform_page_list_li_petitioner_city_ft
topmost_subform_page_list_li_petitioner_zip_ft
topmost_subform_page_list_li_petitioner_tel_ft
topmost_subform_page_list_li_petitioner_alt_tel_ft
topmost_subform_page_list_li_dependents_name_age_ft
topmost_subform_page_list_li_petitioner_employed_currently_ft
topmost_subform_page_list_li_spouse_employed_currently_ft

Suggested Screen 5:

topmost_subform_page_list_li_married_single_rb__1
topmost_subform_page_list_li_married_single_rb__2
topmost_subform_page_list_li_dom_partner_rb
topmost_subform_page_list_li_separated_rb
topmost_subform_page_list_li_divorced_rb
topmost_subform_page_list_li_widowed_rb

Suggested Screen 6:

topmost_subform_page_list_li_relation_cb__1
topmost_subform_page_list_li_relation_cb__2
topmost_subform_page_list_li_public_benefit_medi_cal_cb
topmost_subform_page_list_li_public_benefit_sna_p_cb
topmost_subform_page_list_li_public_benefit_ss_cb
topmost_subform_page_list_li_public_benefit_sp_p_cb
topmost_subform_page_list_li_public_benefit_cty_g_cb
topmost_subform_page_list_li_public_benefit_cal_workstan_f_cb
topmost_subform_page_list_li_public_benefit_ihs_cb
topmost_subform_page_list_li_public_benefit_cap_cb
topmost_subform_page_list_li_reunified_court_order_cb__1
topmost_subform_page_list_li_reunified_court_order_cb__2

Suggested Screen 7:

list_petitioner_spouse_name_ft
page_p_sf_case_name_child__1
page_sf_case_name_petitioner__1
page_p_sf_case_name_child__2
page_sf_case_name_petitioner__2
page_sign_petitioner_name_ft

Suggested Screen 8:

topmost_subform_page_caption_sf_case_number_ft
topmost_subform_page_p_x_caption_sf_case_number_ft__1
topmost_subform_page_p_x_caption_sf_case_number_ft__2

Suggested Screen 9:

topmost_subform_page_list_li_petitioner_state_ft
topmost_subform_page_list_li_petitioner_dependents_household_ft
topmost_subform_page_list_li_petitioner_employer_ft
topmost_subform_page_list_li_petitioner_employer_city_zip_ft
topmost_subform_page_list_li_petitioner_employer_tel_ft
topmost_subform_page_list_li_petitioner_job_type_ft
topmost_subform_page_list_li_petitioner_employment_length_ft
topmost_subform_page_list_li_petitioner_last_employer_tel_ft
topmost_subform_page_list_li_spouse_employer_ft
topmost_subform_page_list_li_spouse_employer_address_ft
topmost_subform_page_list_li_spouse_employer_tel_ft
topmost_subform_page_list_li_spouse_job_type_ft
topmost_subform_page_list_li_spouse_employment_length_ft

Suggested Screen 10:

topmost_list_monthly_salary

Suggested Screen 11:

li_takehome_pay_dc

Suggested Screen 12:

topmost_list_employer_str_add
topmost_list_last_employer_name__1
topmost_list_spouse_employer_city
topmost_list_last_employer_name__2
topmost_list_spouse_last_employer
topmost_page_list_expense_housing

Suggested Screen 13:

topmost_subform_page_list_li_oth_income_unemployment_dc
topmost_subform_page_list_li_oth_income_disability_dc
topmost_subform_page_list_li_oth_income_soc_security_dc
topmost_subform_page_list_li_oth_income_workers_comp_dc
topmost_subform_page_list_li_oth_income_child_support_dc
topmost_subform_page_list_li_oth_income_foster_care_dc
topmost_subform_page_list_li_oth_income_dc
topmost_subform_page_list_li_oth_income_total_dc

Suggested Screen 14:

topmost_list_take_home_pay
topmost_list_asset_cash_dc
topmost_list_asset_real_estate
topmost_page_list_asset_dc
topmost_asset_stock_bond_dc
topmost_list_expense_car_dc
topmost_eva_total_income_dc

Suggested Screen 15:

list_asset_bank_name_branch

Suggested Screen 16:

topmost_subform_page_list_li_spouse_monthly_salary_dc
topmost_subform_page_list_li_asset_life_insurance_dc
topmost_subform_page_list_li_asset_dc
topmost_subform_page_list_li_asset_total_dc
topmost_subform_page_list_li_expense_gas_insurance_dc
topmost_subform_page_list_li_expense_public_transport_dc
topmost_subform_page_list_li_expense_utilites_dc
topmost_subform_page_list_li_expense_food_dc
topmost_subform_page_list_li_expense_clothing_laundry_dc
topmost_subform_page_list_li_expense_child_care_dc
topmost_subform_page_list_li_expense_child_support_dc
topmost_subform_page_list_li_expense_medical_dc
topmost_subform_page_list_li_expense_dc
topmost_subform_page_list_li_expense_total_dc
topmost_subform_page_list_li_paln_cost_regional_ctr_dc

Suggested Screen 17:

li_plan_cost_medical_dc
plan_cost_intervention_dc

Suggested Screen 18:

topmost_subform_page_list_li_plan_cost_parenting_dc
topmost_subform_page_list_li_plan_cost_subst_abuse_dc
topmost_subform_page_list_li_plan_cost_therapy_dc
topmost_page_list_plan_cost_dc
topmost_subform_page_list_li_plan_cost_victim_support_dc
topmost_subform_page_list_li_plan_cost_transportation_dc
topmost_subform_page_list_li_plan_cost_home_dc
topmost_subform_page_list_li_plan_cost_dc
topmost_subform_page_list_li_plan_cost_total_dc

Suggested Screen 19:

list_lender_name_loan_type__1
list_lender_name_loan_type__2
list_lender_name_loan_type__3
list_lender_name_loan_type__4

Suggested Screen 20:

topmost_loan_monthly_payment_dc__1
topmost_loan_monthly_payment_dc__2
topmost_loan_monthly_payment_dc__3
topmost_loan_monthly_payment_dc__4
topmost_page_sign_sig_date

Suggested Screen 21:

topmost_subform_page_set_list_li_gross_month_income_less_cb
topmost_subform_page_list_li_asset_bank_account_dc
topmost_subform_page_list_li_asset_business_interest_dc
topmost_subform_page_list_li_asset_bank_account_nos_ft
topmost_subform_page_list_li_loan_balance_ft
topmost_subform_page_list_li_loan_balance_dc__1
topmost_subform_page_list_li_loan_balance_dc__2
topmost_subform_page_list_li_loan_balance_dc__3

Suggested Screen 22:

topmost_subform_page_finan_eva_sub_ofcr_legal_services_cost_dc
topmost_subform_page_finan_eva_sub_ofcr_total_expenses_dc
topmost_subform_page_finan_eva_sub_ofcr_monthly_payment_dc
topmost_subform_page_finan_eva_sub_ofcr_net_disposable_dc
topmost_subform_page_finan_eva_sub_ofcr_total_costs_dc
topmost_subform_page_finan_eva_sub_ofcr_receives_benefits_cb
topmost_subform_page_finan_eva_sub_ofcr_income_less_cb
topmost_subform_page_finan_eva_sub_ofcr_reunification_cb
topmost_subform_page_finan_eva_sub_sig_date

Suggested Screen 23:

page_eva_sub_name_ft

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

Financial Declaration—Juvenile Dependency

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