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FL-155Optional

Financial Statement (Simplified)

California · Judicial Council of California · Effective January 1, 2004

This form asks for detailed financial information about income and expenses for both parents. It is used to give the court and the other parent financial details that the court will look at when making child support orders.

The court describes it as: Give your financial information to the court and to your spouse or domestic partner. This also explains when to use either this form or form FL-150. The court considers the information before making child support orders.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Motions

Stage: Motions

This form is used when providing financial information to the court and the other parent, especially when the court needs to consider the information before setting child support orders.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who should fill out this form?
The form can be completed by either the Petitioner/Plaintiff or the Respondent/Defendant.
What must I attach when I file this form?
You must attach copies of pay stubs from the last two months and your most recent federal income tax return.
Can I use this form instead of another form?
If you are eligible to use this form, you do not need to complete the Income and Expense Declaration (form FL-150), but you may still choose to use form FL-150 instead.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2004.

Related forms

  • FL-150

    Income and Expense Declaration

    This form asks for detailed financial information about income, expenses, and assets for both parties involved in a case. The court uses this information to help make orders regarding support payments and other costs.

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    This form is a notice that tells an employer that a court has ordered payments for support, such as child support or spousal support. It tells the employer exactly how much money to take out of the employee's paycheck and how often to send it.

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    Income Withholding for Support—Instructions

    This form provides instructions for using the Income Withholding for Support form (FL-195). It explains who fills out the form, what information is needed, and how the form is used to tell an employer to take money out of someone's paycheck for support payments.

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