Summons and Complaint or Supplemental Complaint Regarding Parental Obligations (Governmental)

This form is a legal notice from the local child support agency that starts a case asking the court to officially name parents, order one parent to pay child support, and order health insurance for the child. It informs the person receiving it about the proposed orders and what steps must be taken if they disagree.

The court describes it as: Tells you that the local child support agency opened up a case asking that you be named the parent, pay child support, and provide health insurance for the child listed.

Common questions

What does this form mean?

This form is a lawsuit filed by the local child support agency. It asks the court to make official orders about who the parents are and who must pay support.

Revision history

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

Related forms

• FL-200

  Petition to Determine Parental Relationship (Uniform Parentage)

  This form is used to start a court case asking the judge to make a legal order that identifies who the parents of a child are. It asks the court for determinations about parentage, custody, visitation, and support.

  OptionalFillable PDF1 translation

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  Eff. Sep 1, 2021

• FL-210

  Summons (Uniform Parentage—Petition for Custody and Support) (incl. Spanish)

  This form is a notice that a court case has started regarding parentage, custody, and support. It tells the person being sued that they have 30 days to file a response with the court.

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• FL-211

  Confidential Cover Sheet— Parentage Action Involving Assisted Reproduction

  This form is a confidential cover sheet used when filing a case to figure out a parent-child relationship that involved assisted reproduction. It tells the court that the documents filed must be kept private.

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• FL-260

  Petition for Custody and Support of Minor Children

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• FL-280

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  This form is used to ask the court for a hearing to try and cancel or void a voluntary declaration of parentage or paternity. A voluntary declaration is a form often signed at the hospital after a child is born.

  MandatoryFillable PDF1 translation

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  Eff. Jan 1, 2020

• FL-281

  Information Sheet for Completing Request for Hearing and Application to Cancel (Set Aside) Voluntary Declaration of Parentage or Paternity (Family Law - Governmental)

  This form explains how to fill out the Request for Hearing and Application to Cancel (Set Aside) Voluntary Declaration of Parentage or Paternity (form FL-280). It provides instructions for filing this request with the court.

  OptionalFillable PDF1 translation

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  Eff. Jan 1, 2020

• FL-470

  Application And Order For Health Insurance Coverage

  This form is used to ask a judge to order a parent's employer or another person who provides health insurance to include the children in the health insurance coverage. It also includes an order that tells the employer what they must do.

  MandatoryFillable PDF

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  Eff. Jan 1, 2007

• FL-490

  Application to Determine Arrears

  This form is used to ask a judge to decide how much past support money (arrears) is owed. It must be attached to a Request for Order form.

  MandatoryFillable PDF5 translations

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  Eff. Jan 1, 2024