El Dorado — Reserved Issues Judgment Checklist

Source: https://www.eldorado.courts.ca.gov/system/files/forms-and-filings/reserved-issues-judgment-checklist.pdf

Superior Court of California County of El Dorado

In the Marriage of: Case No.

Petitioner: Attorney/Mediator Pro-Per v. Family Law Judgment Respondent: Reserved Issues Checklist

Reserved Issues – completed after status only judgment to resolve all other issues or any issues that had been reserved in previous judgments.

1. Status Only Judgment filed (if applicable):

2. Appearance, Stipulations, & Waivers: FL-130 was filed submitted herewith

3. Declaration Regarding Service of Declaration of Disclosure: FL-141

   3a. Preliminary Disclosures: (mandatory for both parties) For Petitioner: was filed submitted herewith For Respondent: was filed submitted herewith

   3b. Final Disclosures: For Petitioner: was filed submitted herewith For Respondent: was filed submitted herewith

   OR

4. Stipulation and Waiver of Final Declaration of Disclosure: FL-144 was filed submitted herewith

5. Declaration for Default or Uncontested Dissolution or Legal Separation: FL-170 was filed submitted herewith OR Jurisdictional facts taken in open court

Reserved Issues Judgment Checklist Rev. 2/8/23 Local Form F-15 Optional Use

6. Judgment: FL-180

   6a. Child Custody & Visitation at page of the Judgment or FL-341 attached • If not using form FL-341 to address custody and visitation, FC Section 3048(a) must be addressed. You may use the wording on items 1-5 of form FL-341 to accomplish this.

   6b. Child Support at page of the Judgment or FL-342 attached

   6b(1)Guideline support: Dissomaster attached (you may obtain a guideline
   support printout by visiting www.childsup.ca.gov/calculator.)

   6b(2) Non-guideline support: If support is below the guideline amount then

   you must include the entire Family Code Section 4065 language

   6b(3) DCSS is a party to the case (if DCSS is collecting child support or you
   are receiving aid for the child through TANF, an attorney for DCSS must sign off

   on the judgment). Note – if DCSS is collecting support through a separate support case, you are only required to reference the case number and may proceed to item 5e.

   You may either attach your own signature page for the DCSS attorney to sign or you may attach one of the following:

   • Attachment 4M (4) regarding child support

   • Attachment 4M (4) regarding TANF

   In order to obtain a copy of the above mentioned form, please do one of the
   following:

   • Contact the family law facilitator at (530) 621-5098 to set up an
   appointment, or

   • Come to the courthouse on a Tuesday, or Friday to see the family law
   facilitator on a walk-in basis from 9am – 12pm

   6c. State who is to provide health insurance for the child(ren) at page of the Judgment or FL-342 attached

   6d. State how uncovered medical expenses for the child(ren) are to be divided at page of the Judgment or FL-342 attached

   6e. Spousal support at page of the Judgment or FL-343 attached

Reserved Issues Judgment Checklist Rev. 2/8/23 Local Form F-15 Optional Use

Both parties addressed - Please read below: • If your marriage was 10 years or more, and no support is being requested, then support must be reserved as to both parties unless a previous order was made to terminate jurisdiction.

6f. Community Property at page of the Judgment or FL-345 attached (this
must be addressed if it was mentioned under item 5b of the Petition.)

None, as stated in the Petition.

6g. Parties and Attorney’s signatures

7. Child Support Case Registry Form: FL-191 (this must be submitted even if no child support is requested at this time) was filed submitted herewith

8. Notice of Entry of Judgment: FL-190

9. Self- Addressed Stamped Envelopes: (for both parties)

Reserved Issues Judgment Checklist Rev. 2/8/23 Local Form F-15 Optional Use