The NHJB 2066 FS form, also known as the Uniform Support Order, is a legal document used in New Hampshire to outline the terms of child support and spousal support obligations. This form is essential for ensuring that both parties understand their responsibilities regarding financial support for children and, in some cases, a spouse. By filling out this form accurately, individuals can help facilitate a clear agreement that meets the needs of all parties involved.
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The NHJB 2066 FS form, known as the Uniform Support Order, serves as a critical legal document within the New Hampshire judicial system, addressing the financial responsibilities of individuals in cases of child and spousal support. This form outlines the obligations of the obligor, the person ordered to pay support, and the obligee, the individual receiving support. Key components include the identification of the parties involved, the specific amounts to be paid for child support, spousal support, and any arrearages. Furthermore, the form provides a framework for modifications based on substantial changes in circumstances, ensuring that the support obligations remain fair and relevant over time. It also incorporates provisions for medical support, detailing who is responsible for providing health insurance and how uninsured medical expenses will be shared. The NHJB 2066 FS form not only facilitates the enforcement of support orders but also reflects the state's commitment to the welfare of children and families, emphasizing the importance of timely and adequate financial support. As a legal instrument, it encompasses guidelines that must be adhered to, while allowing for necessary adjustments based on individual circumstances, thereby balancing the rights and responsibilities of all parties involved.
THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us
Court Name:
Case Name:
Case Number:
UNIFORM SUPPORT ORDER
Name, Residence and Mailing Address of Person
Name, Residence and Mailing Address of
Ordered to Pay Support (Obligor)
Person Receiving Support (Obligee)
D.O.B.Telephone
E-mail Address
Name of Employer:
Address of Employer:
Child(ren) to whom this order applies:
Full Name
Date of Birth
The following parties appeared: Other
Obligor
Obligee
Division of Child Support Services
NOTE: SECTIONS PRECEDED BY
1.This order is entered:
after hearing
ARE ONLY PART OF THIS ORDER IF MARKED.
2.This order is a:
temporary order
upon approval of agreement
upon default
final order
3.
This order modifies a final support obligation in accordance with:
a three-year review (RSA 458-C:7) OR
substantial change in circumstances, as
follows:
4.
Obligor is ORDERED to PAY THE FOLLOWING AMOUNTS (See Standing Orders 4A-4G):
4.1
CHILD SUPPORT: $
per
(week, month, etc.)
4.2
Arrearage of $
as of
,
payable $
NHJB-2066-FS (07/01/2013)
Page 1 of 6
4.3
Medical arrearage of $
4.4
SPOUSAL SUPPORT (ALIMONY): $
4.5
4.6
Alimony shall terminate
5. Payments on all ordered amounts shall begin on
. All ordered amounts
shall be payable to
Other
6.
This order complies with the child support guidelines. RSA 458-C.
This order, entered upon obligor’s default, is based on a reasonable estimate of obligor’s income. Compliance with the guidelines cannot be determined.
The following special circumstances warrant an adjustment from the guidelines (Enter applicable circumstances below. See Standing Order 6):
7. Support ordered is payable by immediate income assignment.
8. The Court finds that there is good cause to suspend the immediate income assignment because:
Obligor and obligee have agreed in writing.
Payments have been timely and it would be in the best interest of the minor child(ren) because:
9A.Obligor is unemployed and MUST REPORT EFFORTS TO SEEK EMPLOYMENT. (See Standing Order 9A).
9B. Upon employment the Obligor shall bring the matter forward for recalculation of support. Failure to do so may result in a recalculated support order effective the date of employment.
MEDICAL SUPPORT FINDINGS (Paragraphs 10 through 15)
10. OBLIGOR’S medical support reasonable cost obligation: $
(week,
month, etc.)
10A.
The medical support reasonable cost obligation is adjusted from the presumptive
amount because of the following special circumstances (Enter applicable circumstances
below. See Standing Order 6):
11.
Private health insurance coverage is not available is available to the OBLIGOR in an
amount equal to or less than the amount of the medical support reasonable cost
obligation ordered in paragraph 10.
12.
Private health insurance coverage available to the OBLIGOR is not accessible to the
child(ren).
13.
OBLIGEE’S medical support reasonable cost obligation:$
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13A. The medical support reasonable cost obligation is adjusted from the presumptive amount because of the following special circumstances (Enter applicable circumstances below. See Standing Order 6):
14. Private health insurance coverage is not available is available to the OBLIGEE in an amount equal to or less than the amount of the medical support reasonable cost obligation ordered in paragraph 13.
15. Private health insurance coverage available to the OBLIGEE is not accessible to the child(ren).
PRIVATE HEALTH INSURANCE COVERAGE(Paragraph 16A and/or 16B must be completed): 16A. Obligor Obligee is ordered to provide private health insurance coverage for the
child(ren) effective
16B.
Obligee is/are not ordered to provide private health insurance coverage at this
time but is/are ordered to immediately obtain private health insurance coverage when it becomes accessible and available at an amount equal to or less than the ordered medical support reasonable cost obligation.
UNINSURED MEDICAL EXPENSES
17.Uninsured medical expenses shall be paid in the following percentage amounts:
% Obligee
% Other:
18. Public assistance (TANF) or medical assistance (Medicaid) is or was provided for the children. Copies of pleadings related to medical coverage and child support were mailed to the Division of Child Support Services, Child Support Legal, 129 Pleasant Street, Concord, NH 03301.
19.
Obligee is adjudicated the father of the minor child(ren) named above. The clerk
of the city(ies) of
shall enter the name of the father on
the birth certificate(s) of the child(ren).
The father’s date of birth is
and
his state of birth is
.
20.The State of
has provided public assistance for the benefit
of the minor child(ren) between
for
weeks. Obligor is indebted for the assistance in the total amount of $
21.Variation to standing order (specify paragraph #), additional agreement or order of the Court:
Staff Attorney
Obligor’s Attorney/Witness
Obligee’s Attorney/Witness
Date
Page 3 of 6
All paragraphs of this order (except those that have a check box and have not been selected) and all paragraphs of the Standing Order, (except variations in paragraph 21) are part of this order and apply to all parties.
Recommended:
Signature of Marital Master/Hearing Officer
Printed Name of Marital Master/Hearing Officer
So Ordered:
I hereby certify that I have read the recommendation(s) and agree that, to the extent the marital master/judicial referee/hearing officer has made factual findings, she/he has applied the correct legal standard to the facts determined by the marital master/judicial referee/hearing officer.
Signature of Judge
Printed Name of Judge
UNIFORM SUPPORT ORDER — STANDING ORDER
NOTICE: This Standing Order (SO) is a part of all Uniform Support Orders (USO) and shall be given full effect as an order of the Court. Variations to paragraphs of the SO in a specific case must be entered in paragraph 21 of the USO and approved by the Court.
(Paragraph numbers in the SO correspond to related paragraph numbers in the USO. Variations entered in paragraph 21 should reference the related paragraph number.)
SUPPORT PAYMENT TERMS
SO-3A. All prior orders not inconsistent with this order remain in full force and effect.
SO-3B. In cases where the order of another jurisdiction is registered for modification, a tribunal of this state may not modify any aspect of a child support order that may not be modified under the law of the issuing jurisdiction. (See RSA 546-B:49,III.)
SO-3C. This order shall be subject to review and Court modification three years from its effective date upon the request of a party. Any party may petition the Court at any time for a modification of this support order if there is a substantial change in circumstances. The effective date of any modification shall be no earlier than the date of notice to the other party. “Notice” means either of the following: 1) service as specified in civil actions or 2) the respondent’s acceptance of a copy of the petition, as long as the petition is filed no later than 30 days following the respondent’s acceptance. See RSA 458-C:7.
NOTE: The July 1, 2013 change to the child support guidelines does not constitute a substantial change in circumstances. 2012, Chapter 248:5, “Applicability” states as follows (emphasis added):
“RSA 458-C:3,I as amended by this act shall apply to any child support order issued on or after July 1, 2013. RSA 458-C:3, I as amended by this act shall not apply to a valid child support order in effect on the effective date of this act until the next scheduled review hearing under RSA 458-C:7 or as otherwise agreed by the parties.
This act shall not constitute a substantial change in circumstances for purposes of RSA 458-C:7.”
SO-3D. No modification of a support order shall alter any arrearages due prior to the date of filing the pleading for modification. RSA 461-A:14, VIII.
SO-4A. The amount of a child support obligation shall remain as stated in the order until the dependent child for whom support is ordered completes his or her high school education or reaches the age of 18 years, whichever is later, or marries, or becomes a member of the armed services, at which time the child support obligation, including all educational support obligations, terminates without further legal action, except where duration of the support obligation has been previously determined by another jurisdiction, or is governed by the law of another jurisdiction, and may not be modified in accordance with statutory language referenced in SO-3B.
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SO-4B. In multiple child orders, the amount of child support may be recalculated according to the guidelines whenever there is a change in the number of children for whom support is ordered, upon petition of any party. In single child orders, the support obligation terminates automatically, without the need for further court action, upon the emancipation of the child. The obligor remains obligated for any and all arrearages of the support obligation that may exist at the time of emancipation.
SO-4C. If the order establishes a support obligation for more than one child, and if the court can determine that within the next 3 years support will terminate for one of the children, the amount of the new child support obligation for the remaining children may be stated in the order and shall take effect on the date or event specified without further legal action.
SO-4D. In cases payable through the New Hampshire Division of Child Support Services (DCSS), if there are arrearages
when support for a child is terminated, payments on the arrearages shall increase by the amount of any reduction of child support until the arrearages are paid in full.
SO-4E. Pursuant to RSA 161-C:22, III when an assignment of support rights has terminated and obligor and the recipient of public assistance reunite, obligor may request a suspension of the collection of support arrearage owed to the state under RSA 161-C:4. So long as the family remains reunited and provided that the adjusted gross income of the family as defined by RSA 458-C is equal to or less than 185% of the Federal poverty guidelines as set by the United States Department of Health and Human Services, DCSS shall not take any action to collect the support arrearage owed to the State.
SO-4F. If the collection of a support arrearage pursuant to RSA 161-C:4 is suspended, the obligor shall provide DCSS with a financial affidavit every six months evidencing the income of the reunited family and shall notify his or her child support worker in writing within ten days of any change in income or if the family is no longer reunited.
Failure to report changes in income or in the status of the family as reunited or to provide a financial affidavit shall cause the suspension of collection to terminate.
SO-4G. Each party shall inform the Court in writing of any change in address, within 15 days of the change, so long as this order is in effect. Service of notice of any proceeding related to this order shall be sufficient if made on a party at the last address on file with the Court. A party who fails to keep the Court informed of such a change in address, and who then fails to attend a hearing because of the lack of notice, may be subject to arrest.
SO-5A. If no date appears in paragraph 5 of the USO, the first support payment shall be due on the date this order is signed by the Judge.
SO-5B If support is payable through DCSS, a DCSS application for child support services must be submitted before DCSS can provide services in accordance with the order.
SO-5C. If support is payable through DCSS, DCSS is authorized and directed to collect all sums, including any arrearages, from the obligor and forward the sums collected to the obligee or person, department, or agency providing support to the children named in the USO. Any payment shall be applied first as payment towards the current child and medical support obligation due that month and second towards any arrearages.
SO-5D. If support is ordered payable directly to the obligee, it can only be made payable through DCSS at a later time if
(1)the children named in the USO receive assistance pursuant to RSA 161 or RSA 167; (2) a party applies for support enforcement services and certifies to DCSS that (a) an arrearage has accumulated to an amount equal to the support obligation for one month, or (b) a court has issued a protective order pursuant to RSA 173-B or RSA 461-A:10 which remains in full force and effect at the time of application; or (3) a court orders payment through DCSS upon motion of any party that it is in the best interest of the child, obligee, or obligor to do so. RSA 161-B:4.
SO-5E. Collection by DCSS on any arrearage may include intercepting the obligor’s federal tax refund, placing liens on the obligor’s personal and real property including qualifying financial accounts. Federal tax refund intercept and lien remedies shall be used to collect arrearages even if an obligor is complying with the child support orders.
Pursuant to 45 CFR 303.72 (h) any federal tax refund intercept shall be applied first as payment towards the past due support assigned to the State.
SO-5F. In all cases where child support is payable through DCSS, obligor and obligee shall inform DCSS in writing of any change of address or change of name and address of employer, within 15 days of the change.
SO-5G. In all cases where child support is payable through DCSS, obligor and obligee shall furnish their social security numbers to the New Hampshire Department of Health and Human Services (Department).
SO-6. Where the court determines that, in light of the best interests of the child, special circumstances exist that result in adjustments in the application of the guidelines for the child support obligation or the reasonable medical support obligation, the court shall make written findings relative to the applicability of one or more of the special circumstances described in RSA 458-C:5, I.
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INCOME ASSIGNMENT
SO-7A. Until such time as an income assignment goes into effect, payments shall be made as follows: (1) if the case is not payable through DCSS, directly to obligee, or (2) if support is payable through the DCSS by use of payment coupons available at the local DCSS office. An income assignment will not go into effect for self-employed obligors as long as they do not receive income as defined in RSA 458-B:1, paragraph IX. Future income will be subject to assignment if the case is payable through DCSS.
SO-7B. If a parent is ordered to provide health coverage for Medicaid-eligible child(ren), he or she must use payments received for health care services to reimburse the appropriate party, otherwise his or her income may be subject to income assignment by DCSS. RSA 161-H:2(V).
SO-7C. Increased income assignment for the purposes of payment on arrearages shall continue until such time as the arrearages are paid in full.
SO-8. Whenever an income assignment is suspended, it may be instituted if a Court finds obligor in violation or contempt of this order OR after notice and the opportunity to be heard (RSA 458:B-5 & 7), when the Department begins paying public assistance for the benefit of a child OR when an arrearage amounting to the support due for a one-month period has accrued.
REPORT CHANGES OF EMPLOYMENT
SO-9A. If support is payable through DCSS, obligor shall report in writing weekly, or as otherwise ordered by Court, to DCSS, and shall provide details of efforts made to find a job. Efforts to obtain employment shall include registering with New Hampshire Employment Security within two weeks of the date of this order. The obligor shall immediately report employment to DCSS in writing.
SO-9B. Immediately upon employment the obligor shall report to the obligee, in writing, details of employment, including name and address of employer, the starting date, number of weekly hours and the rate of pay.
MEDICAL SUPPORT PROVISIONS
SO-10-16B (1). In all cases where support is payable through DCSS, or where the Department is providing medical assistance for the child(ren) under RSA 167, the court shall include the medical support obligation in any child support order issued. RSA 461-A:14, IX(d).
SO-10-16B (2). The court shall establish and order a reasonable medical support obligation for each parent. The presumptive amount of a reasonable medical support obligation shall be 4 percent of the individual parent’s gross income, unless the court establishes and orders a different amount based on a written finding or a specific finding, made by the presiding officer on the record, that the presumptive amount would be unjust or inappropriate, using the criteria set forth in RSA 458-C:5.
SO-10-16B (3). The court shall determine whether private health insurance is available to either parent at a cost that is at or below the reasonable medical support obligation amount, as established and ordered pursuant to RSA 458-C:3, V, or is available by combining the reasonable medical support obligations of both parents, and, if so available, the court shall order the parent, or parents, to provide such insurance for the child.
SO-10-16B (4). The cost of providing private health insurance is the cost of adding the child to existing coverage, or the difference between individual and family coverage.
SO-12, 15. Accessible health insurance means the primary care services are located within 50 miles or one hour from the child(ren)’s primary residence. RSA 461-A:14, IX(b).
SO-16A-16BA party providing or ordered to provide health insurance for the child(ren) shall give the other party sufficient information and documentation to make sure insurance coverage is effective. If support is payable through DCSS, or if there has been an assignment of medical support rights to DCSS, the information and documentation shall be provided to DCSS. In addition, obligor shall inform DCSS in writing when health insurance is available, obtained or discontinued.
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What is the NHJB 2066 FS form?
The NHJB 2066 FS form is a Uniform Support Order used in New Hampshire to establish and modify child support obligations. It includes details about the parties involved, the amounts to be paid for child support, medical support, and any arrears. This form is essential for ensuring that support payments are legally recognized and enforced.
Who are the parties involved in the NHJB 2066 FS form?
The form involves two main parties: the Obligor, who is the person ordered to pay support, and the Obligee, who is the person receiving support. Additionally, it may involve children for whom the support is being ordered. Each party's name, address, and contact information are included in the form.
What information is required to complete the NHJB 2066 FS form?
To complete the form, you need to provide the names, addresses, and contact details of both the Obligor and Obligee, as well as the children involved. You must also include specific amounts for child support, medical support, and any arrears, along with the payment schedule for these amounts.
How does the court determine the amount of child support?
The court uses established guidelines to determine child support amounts, which are based on the income of the Obligor and the needs of the child. If there are special circumstances that warrant an adjustment, these must be documented in the form. The guidelines aim to ensure that support is fair and meets the child's needs.
What happens if the Obligor fails to make payments?
If the Obligor fails to make the required payments, several enforcement measures can be taken. These may include wage garnishment, interception of tax refunds, or placing liens on property. The Division of Child Support Services can assist in collecting overdue payments and ensuring compliance with the order.
Can the NHJB 2066 FS form be modified?
Yes, the NHJB 2066 FS form can be modified. Either party can petition the court for a modification if there is a substantial change in circumstances, such as a change in income or employment status. The request for modification must be made formally, and the court will review the case before making any changes to the support order.
What is the role of the Division of Child Support Services?
The Division of Child Support Services (DCSS) plays a crucial role in the enforcement and management of child support payments. They help collect payments, distribute funds to the Obligee, and ensure that both parties comply with the terms of the support order. If support is payable through DCSS, they are responsible for tracking payments and addressing any arrears.
Are there any penalties for not reporting changes in income or address?
Yes, failing to report changes in income or address can lead to penalties. For instance, if a party does not inform the court of a change in address, they may miss important notices about hearings, which could result in legal consequences, including potential arrest. Keeping the court informed is vital for both parties.
What should I do if I believe the support order is unfair?
If you believe the support order is unfair, you can seek a modification through the court. It is important to gather evidence supporting your claim, such as changes in financial circumstances or other relevant factors. Consulting with a legal professional can provide guidance on the best approach to take in seeking a modification.
Understanding the NHJB 2066 FS form can be challenging, and several misconceptions often arise. Here are five common misunderstandings:
This form is not limited to child support. It also addresses spousal support (alimony) and medical support obligations, making it applicable to various support-related situations.
In fact, support amounts can be modified. The court allows for adjustments based on substantial changes in circumstances or upon the request of either party, ensuring flexibility as situations evolve.
While the form establishes a legal obligation, actual payment depends on the obligor's financial situation. Failure to pay can lead to legal consequences, but it does not guarantee compliance.
Medical support must be specifically addressed in the NHJB 2066 FS form. The court will determine obligations for medical expenses separately, ensuring that both parties understand their responsibilities.
Both parties are required to inform the court of any changes in address, income, or employment status. Keeping the court updated is crucial for ensuring that the support order remains fair and enforceable.
The NHJB 2066 FS form, known as the Uniform Support Order, serves a critical role in family law by outlining the obligations of parents regarding child and spousal support. Several other documents share similarities with this form, primarily in their purpose of establishing, modifying, or enforcing support obligations. Below are five such documents, each with a brief explanation of how they relate to the NHJB 2066 FS form.
Nhjb 2936 De - It forms the backbone of legal representation for entities in court.
New Hampshire 2620 - Address information must be provided for both physical and mailing purposes.
When dealing with risk management in various activities, understanding the Hold Harmless Agreement for event planning is crucial. This form provides a legal safeguard by outlining the responsibilities and liabilities of all involved parties, ensuring protection against potential claims.
Revocable Trust Nh - Changes in beneficiaries’ details must be disclosed within the form, ensuring all parties are informed of recent developments.