Rm button at the end of the form when finished. TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: MARRIAGE OF PETITIONER: RESPONDENT: CASE NUMBER: APPLICATION AND ORDER FOR HEALTH INSURANCE COVERAGE APPLICATION , this court ordered obligor (name): 1. On (date): to provide health insurance coverage for the children named in the order below. 2. a. b. On.
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How to fill out the CA FL-470 online
The CA FL-470 form, known as the Application and Order for Health Insurance Coverage, is essential for ensuring that children receive the necessary health coverage following legal proceedings. This guide will walk you through the process of completing this form online, providing clear and detailed instructions to help you navigate each section effectively.
Follow the steps to fill out the CA FL-470 online
- Press the ‘Get Form’ button to access the CA FL-470 online form and open it in an editing tool.
- Begin by entering your name, address, and other required contact information in the 'Attorney or Party Without Attorney' section. This includes providing your telephone number, fax number (optional), and email address (optional). If you have an attorney, include their name.
- In the 'Superior Court of California, County of' section, fill out the street address, mailing address, city, and zip code along with the specific branch name.
- For the 'Marriage of' section, provide the last name and first name of both the petitioner and respondent, along with the corresponding case number.
- Move to the 'Application and Order for Health Insurance Coverage' section. Here, state the name of the court-ordered obligor and the date they were required to provide health insurance for the children.
- In point 2, indicate how you notified the obligor of your intent to seek this order. Choose whether it was by first-class mail, personal service, or if the obligor waived the requirement for notice.
- Point 3 requires you to request that the employer or other person providing health insurance maintain coverage for the children listed in this order.
- Below your declarations, provide your typed or printed name and your signature as the applicant along with the date.
- If applicable, fill out the 'Order for Health Insurance Coverage (Assignment)' section with the details of the employer providing health insurance. Ensure to provide the child's name, date of birth, and social security number (if known).
- Read through the employer's instructions carefully to ensure compliance and necessary actions are taken.
- Finally, review all your entries for accuracy. Once you are satisfied with the information provided, you can save changes, download, print, or share the completed form.
Start completing your CA FL-470 form online today!
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Filling out child support documents begins with obtaining the correct forms, such as the CA FL-470, and understanding the information each section requires. Gather all financial statements and relevant documents beforehand. Ensure that you check all sections carefully, provide complete information, and sign where necessary before submission.
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To initiate child support, you will need details such as both parents' financial records, the child's needs, and any existing custody arrangements. It's important to include specific income details and expenses, as outlined in the CA FL-470. Additionally, a formal request or application may need to be filed to the relevant court or agency.
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The amount of child support for one child in California typically varies based on both parents' income and other factors, including health care costs and child care expenses. Generally, calculations follow the guidelines set forth in the CA FL-470. For a precise estimate, it may be beneficial to use a child support calculator or consult legal resources.
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