Free 4 11 Form in PDF

Free 4 11 Form in PDF

The Form 4-11 is designated for the modification of an existing support order within the New York Family Court system, specifically under the Family Court Act Articles 440, 442-447, 449, 451, 461, 466, 467, and Social Services Law § 111-g. It serves as a crucial document for individuals or assignee agencies seeking to change the terms of support due to a significant change in circumstances or other valid reasons outlined within the form. To ensure a proper legal process, individuals interested in modifying a support order are encouraged to complete and submit the Form 4-11.

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Navigating the complexities of modifying a child support order within the New York Family Court system can be an intricate process, requiring careful adherence to specific procedures and forms, namely the Form 4-11 (Support-Petition for Modification). Enshrined within the legal framework of the Family Court Act (sections 440, 442-447, 449, 451, 461, 466, 467) and the Social Services Law (section 111-g), this form serves as a vital tool for individuals seeking to adjust the terms of an existing support order due to changes in circumstances. The petition accommodates various scenarios, including changes to a party's income, the passage of time since the original order, or other substantial shifts in living conditions. It also outlines procedural aspects, such as the requirement to file a Personal Information Form in tandem, to ensure the protection of sensitive data. Furthermore, the form details the necessity for supporting documentation, articulates eligibility criteria for modification, and highlights the potential for the application of automatic cost-of-living adjustments. With provisions for addressing the needs of both individual petitioners and assignee agencies, Form 4-11 embodies the legal mechanisms in place to reassess and realign child support orders with the current realities of those they are designed to benefit.

Preview - 4 11 Form

 

 

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F.C.A. §§ 440, 442-447, 449, 451, 461

Form 4-11

466, 467, S.S.L. § 111-g

 

(Support-Petition for

[NOTE: Personal Information Form 4-5/5-1d,

Modification)

containing social security numbers of parties and

10/2016

dependents, must be filed with this Petition]

 

FAMILY COURT OF THE STATE OF NEW YORK

 

COUNTY OF

 

 

....................................................................................

 

In the Matter of a Proceeding for Support

 

Under Article 4 of the Family Court Act

Docket No.

(Commissioner of Social Services, Assignee,

 

on behalf of

, Assignor)

PETITION FOR

 

 

MODIFICATION OF AN ORDER

 

 

OF SUPPORT MADE BY

 

Petitioner,

FAMILY COURT

 

 

ANOTHER COURT

(Assignor)

-against-

Respondent.

.......................................................................................

TO THE FAMILY COURT:

The undersigned Petitioner respectfully shows that:

1.a. I am [check box]: □ an individual and am related to the child(ren) as follows [specify]:

and I reside at [specify]:1

□ assignee agency, which has its place of business at [specify]:

b. Respondent resides at [specify]:2

.

2.a. I was the □ petitioner □ respondent in an action instituted in the

□ Supreme Court of the State of New York, [specify county]:

County

□ Other Court [specify other court]:

Court of

 

b. The action was named [specify]:

,

Index/Docket No. [specify]:

Respondent was □ petitioner □ respondent in the action.

1Unless the Court has ordered the address to be confidential on the ground that disclosure would pose an

unreasonable health or safety risk. SEE Family Court Act §154-b; Form 21 (available at www.nycourts.gov).

2 Unless the Court has ordered the address to be confidential on the ground that disclosure would pose an unreasonable health or safety risk. SEE Family Court Act §154-b; Form 21 (available at www.nycourts.gov).

 

Page 2

3. a. A judgment order, dated

, was entered in the action directing the

□ Respondent □ Petitioner to [specify terms]:

.

A true copy of the □ judgment □ order is attached and made a part of this Petition.

b. An order of support dated

, was entered directing the □ Respondent

Petitioner to [specify terms]:

.

A true copy of the □ judgment order is attached and made a part of this Petition.

4. The names, addresses and dates of birth of all children affected by this order are:

CHILD’S NAME

ADDRESS3

DATE OF BIRTH

5. a. Under the terms of the □ judgment □ order, the □ Supreme Court □ Other Court

[specify]:has not retained exclusive jurisdiction to modify the □ judgment □ order. b. [Check if applicable]: □ The other Court is a court of competent jurisdiction outside the

State of New York.

6.(Upon information and belief) I have standing to seek a modification of child support because, since the entry of the □ judgment □ order,

[check applicable box]:

□ there has been a substantial change of circumstances in that [specify]:4

3Unless the Court has ordered the address to be confidential on the ground that disclosure would pose an

unreasonable health or safety risk. SEE Family Court Act §154-b; Form 21 (available at www.nycourts.gov).

4 If incarceration is the basis for alleging substantial change in circumstances, so state and indicate whether or not the incarceration resulted from a charge and/or conviction for nonpayment of child support or an offense against the custodial parent or child who is the subject of the child support order. SEE Family Court Act §451(2)(a); Domestic Relations Law §236B(9)(b)(2)(i).

Page 3

Unless the parties have specifically agreed otherwise in a validly executed agreement or stipulation, three years have passed since the order was entered, last modified or adjusted. [NOTE: This ground only applies to original or modified support orders entered on or after October 13, 2010].

Unless the parties have specifically agreed otherwise in a validly executed agreement or stipulation, there has been a change in either party’s gross income by fifteen percent or more since the order was entered, last modified or adjusted. [NOTE: This ground only applies to original or modified support orders entered on or after October 13,

2010]. The basis for this allegation is as follows [specify]:

7.The □ judgment order should be modified as follows [specify]:

.

8.[Delete if inapplicable]: I did not make an application earlier for relief from the judgment

□order directing payment prior to the accrual of arrears because (s)[specify reason(s)]:

9.[Applicable to individual petitioners; if agency, skip to ¶10]: check a box only if applicable]: I am hereby applying for child support services from the Support Collection Unit (the IV-D

program pursuant to Title 6-A of the Social Services Law) through the filing of this Petition, unless:

□ I have already applied for child support services from the Support Collection Unit (the IV-D

program pursuant to Title 6-A of the Social Services Law)

□ I do not need to apply now because I have continued to receive child support services after

the public assistance or care case, or foster care case, for my family has closed.

I do not wish to apply for child support services.

I am not eligible to apply for child support services because I am petitioning for spousal

support only.

10.No previous application has been made to any judge or court, including a Native American tribunal, or is presently pending before any judge or court, for the relief requested in this petition (except

WHEREFORE, I respectfully request that the □judgment □ order of the □ Supreme

Court □ Other Court [specify]:

, dated

, be modified as set forth above

and for such other relief as the Court may deem just and proper.

 

NOTE: (1) COURT ORDER OF SUPPORT RESULTING FROM A PROCEEDING COMMENCED BY THIS APPLICATION (PETITION) SHALL BE ADJUSTED BY THE APPLICATION OF A COST OF LIVING ADJUSTMENT AT THE DIRECTION OF THE SUPPORT COLLECTION UNIT NO EARLIER THAN TWENTY-FOUR MONTHS AFTER SUCH ORDER IS ISSUED, LAST MODIFIED OR LAST ADJUSTED, UPON THE REQUEST OF ANY PARTY TO THE ORDER OR PURSUANT TO PARAGRAPH (2) BELOW. SUCH COST OF

Page 4

LIVING ADJUSTMENT SHALL BE ON NOTICE TO BOTH PARTIES WHO, IF THEY OBJECT TO THE COST OF LIVING ADJUSTMENT, SHALL HAVE THE RIGHT TO BE HEARD BY THE COURT AND TO PRESENT EVIDENCE WHICH THE COURT WILL CONSIDER IN ADJUSTING THE CHILD SUPPORT ORDER IN ACCORDANCE WITH SECTION FOUR HUNDRED THIRTEEN OF THE FAMILY COURT ACT, KNOWN AS THE CHILD SUPPORT STANDARDS ACT.

(2)A PARTY SEEKING SUPPORT FOR ANY CHILD(REN) RECEIVING FAMILY ASSISTANCE SHALL HAVE A CHILD SUPPORT ORDER REVIEWED AND ADJUSTED AT THE DIRECTION OF THE SUPPORT COLLECTION UNIT NO EARLIER THAN TWENTY-FOUR MONTHS AFTER SUCH ORDER IS ISSUED, LAST MODIFIED OR LAST ADJUSTED BY THE SUPPORT COLLECTION UNIT, WITHOUT FURTHER APPLICATION BY ANY PARTY. ALL PARTIES WILL RECEIVE A COPY OF THE ADJUSTED ORDER.

(3)WHERE ANY PARTY FAILS TO PROVIDE, AND UPDATE UPON ANY

CHANGE, THE SUPPORT COLLECTION UNIT WITH A CURRENT ADDRESS, AS REQUIRED BY SECTION FOUR HUNDRED FORTY-THREE OF THE FAMILY COURT ACT, TO WHICH AN ADJUSTED ORDER CAN BE SENT, THE SUPPORT OBLIGATION AMOUNT CONTAINED THEREIN SHALL BECOME DUE AND OWING ON THE DATE THE FIRST PAYMENT IS DUE UNDER THE TERMS OF THE ORDER OF SUPPORT WHICH WAS REVIEWED AND ADJUSTED OCCURRING ON OR AFTER THE EFFECTIVE DATE OF THE ADJUSTED ORDER, REGARDLESS OF WHETHER OR NOT THE PARTY HAS RECEIVED A COPY OF THE ADJUSTED ORDER.

___________________________________

Dated:Petitioner

___________________________________

Print or type name

___________________________________

Signature of Attorney, if any

___________________________________

Attorney’s Name (Print or Type)

___________________________________

___________________________________

Attorney’s Address and Telephone Number

Document Specs

Fact Name Description
Governing Laws The Form 4-11 references several sections of the Family Court Act (F.C.A. §§ 440, 442-447, 449, 451, 461, 466, 467) and the Social Services Law (S.S.L. § 111-g), which govern its procedures and requirements.
Purpose of the Form Form 4-11 is used in the State of New York to petition for modification of an existing support order, addressing circumstances that necessitate changes to support obligations.
Modification Criteria Petitioners can seek modification based on a substantial change in circumstances, a change in either party's gross income by fifteen percent or more, or three years passing since the order was last modified or entered (specific conditions apply to orders entered on or after October 13, 2010).
Submission Requirements Alongside Form 4-11, petitioners must submit the Personal Information Form 4-5/5-1d, which contains social security numbers of the parties and dependents, to ensure all pertinent information is filed with the petition for support modification.

Instructions on Writing 4 11

When it comes to legal matters, especially those involving family dynamics and support, the documentation can appear overwhelming at first glance. It's crucial, therefore, to approach the preparation of any form with a clear understanding of each step that must be taken. The Form 4-11, specifically designed for requesting a modification of an existing support order, requires careful attention to detail as you outline the changes sought and the rationale behind them. Understanding the sequence of information and how it's presented can simplify this process, making it less daunting for those involved.

  1. Start by identifying the county in which the modification is being sought, inputting this information at the very top of the form where it reads "COUNTY OF."
  2. Indicate the relationship to or the representation of the party in the proceeding (an individual related to the child(ren) or an assignee agency), and provide the required identification and residency details.
  3. Detail any previous actions or court decisions relevant to the current petition for modification, including the other party’s role and the specifics of the court order previously issued, ensuring to attach a copy of the said order.
  4. Provide the names, addresses, and dates of birth of all children affected by the order being sought to modify.
  5. Confirm the court's jurisdiction over the modification of the judgment or order, specifying if another court outside of New York State has competent jurisdiction.
  6. Clarify the standing for seeking a modification based on substantial change in circumstances, a passage of three years since the last modification, or a significant change in either party’s gross income by fifteen percent or more, and specify the allegation’s basis.
  7. Specify how the judgment or order should be modified, detailing the desired changes.
  8. If applicable, explain why an application for relief from the judgment or order was not made earlier.
  9. For individual petitioners, indicate whether you are applying for child support services from the Support Collection Unit (the IV-D program); check the applicable box that describes your status or intention concerning applying for these services.
  10. State that no previous application for the relief requested is pending before any judge or court, confirming the originality of the present request.
  11. In the concluding section, formally request the modification of the judgment or order as detailed in the form, with the date and your signature at the bottom, alongside your name printed or typed. If represented by an attorney, include the attorney’s name, address, and telephone number.

By meticulously following these steps and providing accurate, detailed information, the form becomes a structured request for the court’s consideration. The clear presentation of changes sought and the rationale behind them is paramount for the court's understanding and subsequent decision on the modification request.

Understanding 4 11

What is Form 4-11 and when is it used?

Form 4-11 is a legal document used in the Family Court of the State of New York. Its primary purpose is to petition for the modification of an existing order of support. This means if someone wants to change the terms of child or spousal support previously decided by the court, they can use this form to request the change. Support orders can be modified due to various reasons, such as changes in income, living situations, or the needs of the child(ren).

Who can file a Form 4-11?

Individuals who have a duly recognized interest in the support order, such as one of the parties to the original support order (either the person paying support or the recipient), or an assignee agency acting on behalf of an assignor (typically in circumstances where public assistance is involved), can file Form 4-11. It’s necessary that the individual filing has standing, meaning they must be affected by the support order and have a valid reason for requesting its modification.

What constitutes a "substantial change in circumstances" for the purpose of modifying a support order?

A "substantial change in circumstances" could include a significant increase or decrease in the income of either party involved, the incarceration of the paying party (under specific conditions), changes in the needs of the child(ren), or other major life events that alter the financial landscape of the parties involved. Additionally, a modification can be pursued if it’s been three years or more since the last order was entered, modified, or adjusted, or if there has been a change in either party’s gross income by fifteen percent or more.

What steps need to be taken after filling out Form 4-11?

After properly completing Form 4-11, it must be filed with the Family Court in the county where one of the parties lives. Along with this form, the petitioner should also file the Personal Information Form 4-5/5-1d, which contains social security numbers of the parties and dependents involved, ensuring the court has all necessary information to process the modification request. It’s important that a true copy of the existing support order, which the petitioner seeks to modify, is attached to the petition. Following submission, the court will review the petition and schedule a hearing to determine if the modification is warranted.

Can I apply for child support services through filing Form 4-11?

Yes, individual petitioners can apply for child support services from the Support Collection Unit (SCU) – the IV-D program under Title 6-A of the Social Services Law – through the filing of Form 4-11. However, this is optional, and boxes on the form allow the petitioner to indicate whether they have already applied for child support services, wish to apply now, do not need to apply because they already receive services, do not wish to apply, or are not eligible because they are seeking spousal support only.

Common mistakes

Filling out the Form 4-11, a Petition for Modification of an Order of Support, requires attention to detail and accuracy. One common mistake is incomplete information. Petitioners often leave sections blank or provide insufficient details about themselves, the respondent, or the circumstances leading to the request for a modification. This lack of information can delay the processing of the form or lead to a denial of the petition.

Another mistake is incorrect or outdated personal information. It’s crucial to double-check all personal details, including addresses and dates of birth, before submitting the form. Any discrepancy between the information provided and official records can cause complications. For example, if addresses are not up to date, important notices from the court might not reach the involved parties.

A third pitfall is failing to attach required documentation. The form asks for attachments, such as a true copy of the judgment or order that is being petitioned for modification. Neglecting to include these documents can render your petition incomplete. It’s essential to review the checklist of required documents and ensure everything is attached.

Not specifying the change in circumstances that warrants the modification is another common error. The court needs to understand the reasons behind the request for modification, whether it’s a significant change in income, incarceration, or another valid reason. A vague or unspecified claim might not meet the legal standards for a modification.

Lastly, overlooking the need to apply for child support services can also be a critical mistake for individual petitioners. This section of the form can be confusing. Whether you’re continuing to receive support after a public assistance case has closed or applying for child support services for the first time, correctly indicating your status is important for ensuring the right support structure is in place.

Documents used along the form

When dealing with a Form 4-11, a Petition for Modification of an Order of Support, there are several other forms and documents that often play a crucial role in the process. These documents help provide additional information, ensure compliance with legal requirements, and support the petition or response to it. Understanding these documents can make navigating the modification process smoother.

  • Personal Information Form (Form 4-5/5-1d): Accompanies the main petition and contains sensitive information such as social security numbers of parties and dependents. It's essential for processing and must be filed with the petition.
  • Order of Support: The original order that sets forth the financial responsibilities of the respondent. It is crucial for establishing the baseline from which modifications are requested.
  • Income and Expense Affidavit: Provides detailed financial information from both parties, allowing for an assessment of the modification request based on changes in financial circumstances.
  • Proof of Change in Circumstances: Documentation showing the change in circumstances that is the basis for the modification request. This could include evidence of a significant change in income, a medical condition, or a change in custody arrangements.
  • Child Support Standards Act (CSSA) Worksheet: Used to calculate child support obligations based on the parties' income and the needs of the child, in accordance with New York's CSSA guidelines.
  • Health Insurance Information Form: Details about the health insurance coverage available for the child(ren) involved. This information is necessary for determining how health care costs will be covered and divided.
  • Existing Support Orders/Documents: Any current support orders for either party's other children must be disclosed. These will affect the calculation of any new support orders.
  • Findings of Fact and Conclusion of Law: A document that the court may require detailing the factual findings and legal conclusions that support the petition for modification.
  • Confidentiality Form (Form 21): Used when requesting that certain personal information (addresses, contact details) be kept confidential by the court to protect the health or safety of the parties or the child(ren).

Understanding and correctly utilizing these documents in conjunction with the Form 4-11 is crucial for anyone seeking to modify a child support order. Each document serves a specific purpose, whether it's providing the court with necessary personal information, detailing financial circumstances, or establishing the legal justification for the requested modification. Being thorough and accurate with these forms can significantly impact the outcomes of modification proceedings.

Similar forms

The Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit is one document with notable similarities to the Form 4-11, primarily in its focus on family-related legal proceedings. Both documents play crucial roles in matters that impact family dynamics, with the UCCJEA Affidavit being pivotal in custody disputes that cross state lines, ensuring that the child's home state has jurisdiction. This is similar to the Form 4-11's role in seeking modifications to support orders, emphasizing the legal framework necessary for addressing changes in family circumstances.

The Financial Affidavit is another document with parallels to the Form 4-11, as both require detailed personal and financial information from the parties involved. The Financial Affidavit is often used in divorce and child support cases to provide a comprehensive picture of one's financial standing. This mirrors the Form 4-11's collection of information to justify the need for a modification of a support order, with both documents ensuring that decisions are made based on accurate, current financial data.

A Marital Settlement Agreement (MSA), though more encompassing, shares similarities with the Form 4-11 by addressing changes in family legal arrangements. An MSA outlines the terms of a divorce, including child support, which can later be modified via a document like the Form 4-11 if circumstances change. The connection lies in their mutual objective to formalize arrangements concerning family support obligations and modifications thereto.

The Child Support Modification form, directly analogous to the Form 4-11, is utilized to request changes to an existing child support order. Both documents are employed when there have been significant changes in circumstances that warrant a reassessment of support obligations. Whether it's a change in income, employment status, or living arrangements, these forms are critical for ensuring that child support orders remain fair and reflective of current conditions.

Lastly, the Domestic Relations Order (DRO) shares a conceptual link with the Form 4-11. DROs are legal orders that relate to the division of retirement or pension plans in the context of marital dissolution proceedings. Similar to how the Form 4-11 seeks to modify support orders based on new evidence or circumstances, a DRO adjusts the distribution of marital assets in response to finalized divorces. Both documents are integral in the recalibration of financial responsibilities following significant life changes.

Dos and Don'ts

When filling out the Form 4-11 for a Petition for Modification of an Order of Support, it is crucial to provide accurate and comprehensive information to ensure the process proceeds smoothly. Here are some guidelines to follow:

Things You Should Do:

  • Verify all personal information: Double-check that all personal information, including social security numbers for both the parties and dependents, is correct and matches the records. Remember, the Personal Information Form 4-5/5-1d must be filed alongside this petition.
  • Attach supporting documents: If you refer to existing judgments or orders, always attach a true copy of these documents to your petition. This evidence is crucial for the court to understand the basis of your request for modification.
  • Explain the change in circumstances: Clearly specify the reasons you believe a modification of the support order is warranted. Whether it’s a substantial change in circumstances, such as a financial shift, or it has been three years or more since the last modification, providing a detailed explanation helps the court make an informed decision.
  • Update on previous applications: If you have previously applied for a modification or have a pending application with any court, including Native American tribunals, disclose this information. Transparency regarding past and present requests prevents legal complications.

Things You Shouldn't Do:

  • Omit required attachments: Failing to attach required documents, such as copies of previous orders or judgments, can lead to unnecessary delays. Ensure all pertinent paperwork is included with your petition.
  • Ignore the guidelines for confidentiality: The form mentions specific conditions under which addresses can be kept confidential for safety reasons. Ignoring these instructions could risk the safety of the participants or lead to the rejection of the form.
  • Forget to detail the need for modification: Merely stating that you want a change without providing a solid reason or evidence to back up your claim can weaken your petition. Detailed explanations are necessary to justify the request for a modification.
  • Overlook the signing and dating: A common mistake is to fill out the form but forget to sign and date it at the bottom. An unsigned or undated document can be deemed incomplete and may not be processed.

Misconceptions

Many people find legal forms daunting, and the Form 4-11, used for modifying an order of support in the New York Family Court, is no exception. Misunderstandings about this form can deter individuals from pursuing necessary support adjustments. Let's clear up some common misconceptions.

  • It's only for reducing the amount of support. This is a common misconception. Form 4-11 can be used to either decrease or increase the amount of child or spousal support. Changes in circumstances, such as an increase in the cost of living or a change in the financial situation of either party, can justify this.
  • The form is only for use by the original petitioner. Actually, either party in a support order - the person receiving support or the one providing it - can use Form 4-11 to request a modification based on changed circumstances.
  • Form 4-11 is complicated and requires a lawyer. While legal advice can be helpful, especially in complex cases, the form is designed to be filled out without a lawyer. Instructions are provided to guide individuals through the process.
  • You can only file for a modification if you agree with the other party. You do not need the other party's agreement to seek a modification of a support order. The court will consider the request based on the evidence and circumstances presented, regardless of the other party's position.
  • Any small change in circumstances warrants a modification. The court looks for substantial changes in circumstances when considering modifications. This might include significant changes in income, employment status, or the needs of the child or recipient.
  • Modifications can be made retroactively. While it's true that modifications reflect current circumstances, they generally take effect from the date the petition was filed, not before.
  • Form 4-11 is only for child support modifications. This form can also be used to request modifications to spousal support, not just child support. However, the focus is on ensuring that any support provided meets the current needs and circumstances of the parties involved.

Understanding these key points can demystify the process of requesting a support modification, making it less intimidating for individuals to pursue adjustments that reflect their current situation.

Key takeaways

Filling out and utilizing the Form 4-11, a Support-Petition for Modification, is a significant procedure in the Family Court of New York State. Here are key takeaways to remember:

  • The Form 4-11 is designed to modify an existing support order, which can include child or spousal support.
  • It's crucial to accurately complete all sections, providing detailed information about the parties involved, the original order, and the reasons for seeking a modification.
  • Proof of a significant change in circumstances, such as a change in income or family situation, must be presented to justify the modification request.
  • Both physical and mailing addresses for the petitioner and respondent should be included unless confidentiality is legally required to protect health or safety.
  • The form allows for specifying jurisdiction issues, noting whether another court retains exclusive rights to modify the existing order.
  • Attachments, such as a copy of the original judgment or order, are necessary to provide complete context for the request.
  • If a substantial change in circumstances is based on incarceration, it must be noted, especially if the incarceration resulted from nonpayment of support or offenses against the custodial parent or child.
  • Applicants can also seek support services through the Support Collection Unit by indicating their preference on the form.
  • The form requires disclosure of any prior or pending applications for the same relief sought, promoting judicial efficiency and preventing duplicate proceedings.
  • Upon modifying an order, it may be subject to automatic cost of living adjustments, enhancing fairness over time.
  • Updating personal information, especially addresses with the Support Collection Unit, is essential to ensure receipt of adjusted orders or notices.

By carefully following these guidelines and providing thorough, accurate information, petitioners can effectively navigate the process of seeking a modification to a support order in New York Family Court.

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