Form 4-7a - Order (After Filing Objections) (Page 8 of 10) in pdf

Form 4-7a - Order (After Filing Objections) Page 8

Form 4-7a Page 8

G ORDERED that

, the non-custodial parent

as Q his Qher proportionate share of reasonable child care

herein, pay the sum of $

expenses, to be paid as follows:

; and it is further

G ORDERED that

, the non-custodial parent herein, pay the sum of $

as educational expenses by G direct payment to the educational provider

G other [specify]:

; and it is further

G ORDERED that [specify party or parties; check applicable box(es):

purchase and maintain  life and/or  accident insurance in the

amount of [specify]:

(and/or)

maintain the following existing  life and/or  accident insurance in the

amount of [specify]:

(and/or)

assign the following as (beneficiary)(beneficiaries) [specify]:

to the following existing (life)(and/or)(accident)insurance policy or policies

[specify policy or policies and amount(s)]:

In the case of life insurance, the following shall be designated as irrevocable beneficiaries

[specify]:

during the following time period [specify]:

In the case of accident insurance, the insured party shall be designated as irrevocable

beneficiary during the following time period [specify]:

The obligation to provide such insurance shall cease upon the termination of the duty of

[specify party]:

to provide support for each child;. and it is further

[IV-D Cases]: G ORDERED that when the person or family to whom family assistance is

being paid no longer receives family assistance, support payments shall continue to be made to the

Support Collection Unit, unless such person or family requests otherwise; and it is further

G ORDERED that the support obligor, the non-custodial parent, is directed to:

G seek employment

G participate in job training, employment counseling, or other programs designed to lead to

employment [specify program]:

[JUDICIAL ORDERS ONLY] G ORDERED that Respondent shall have the following

rights of visitation with respect to the child(ren)[specify]:

Inapplicable where support obligor is receiving SSI or social security disability benefits. See FCA §437-a.

Form 4-7a - Order (After Filing Objections) Page 8