The DC-628 form serves as a legal document in the Commonwealth of Virginia, used by courts to issue orders regarding support obligations. These obligations can include child support, spousal support, and support for a parent under certain circumstances, distinguishing between temporary and final orders. Whether it's issued by the Juvenile and Domestic Relations District Court or Circuit Court, this form plays a crucial role in ensuring financial responsibilities are met. Click the button below to start filling out your form with the necessary information.
The DC 628 form plays a crucial role in the realm of civil support orders within the Commonwealth of Virginia, encapsulating various elements pivotal to the establishment, modification, or enforcement of support obligations. Crafted to address an array of scenarios, it meticulously delineates orders for child, spousal, and combined unitary support, besides provisions for arrearages and specifics on payment modalities. Whether issued as a temporary or final mandate, its comprehensive sections also encompass health care provisions, the imposition of income withholding, and the potential implications of non-compliance. Additionally, it reflects a nuanced understanding of varied custodial arrangements and considers deviations from standard guidelines, ensuring justice and appropriateness in support determinations. In facilitating changes in circumstances or enforcement measures like license suspension, the document underscores a dynamic legal tool responsive to the evolving needs of families in Virginia. Essential for both petitioners and respondents, the DC 628 form embodies a structured yet flexible approach to securing the welfare of dependents amidst a gamut of legal and practical considerations.
ORDER OF SUPPORT (CIVIL)
This Court’s Case No
Commonwealth of Virginia
DCSE ID No
[ ] TEMPORARY ORDER
[ ] FINAL ORDER
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] Juvenile and Domestic Relations District Court [ ] Circuit Court
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
STREET ADDRESS OF COURT
Petitioner:
v.
Respondent:
[ ] Identifying information not provided for good cause shown
Residential Address:
Residential Telephone No.:
Mailing Address if Different:
Social Security No. (last 4 digits only):
Driver’s Lic. No. & State:
Date of Birth:
Employer:
Address:
Telephone No.:
[] This case is DISMISSED without prejudice because the Respondent could not be located for service of process.
[] Upon hearing the evidence, the Court finds for the Respondent and ORDERS that the case be DISMISSED.
PRESENT: [ ] Petitioner
[ ] Attorney/ Guardian Ad Litem for Petitioner [ ] DCSE Representative
[
] Attorney for DCSE
[ ] Respondent
[ ] Attorney/ Guardian Ad Litem for Respondent [ ] Guardian Ad Litem for child(ren) [
] Other
[] Upon hearing the evidence, the Court finds that [ ] this (these) dependents [ ] a parent of the Respondent in necessitous circumstances:
NAME
SOC. SEC. # (last 4 digits only)
SEX
DATE OF BIRTH
RELATIONSHIP TO RESPONDENT
is (are) entitled to support from the Respondent, and that the Respondent is chargeable with support as alleged in the petition. Therefore, the Court ORDERS the Respondent to pay:
] $
. . . . . . per month CURRENT CHILD SUPPORT effective
for all children listed above; OR
divided among the above-listed
children as follows:
$
. . . . . . . . . . . . . for
for
. . . . . per month CURRENT SPOUSAL SUPPORT effective
. . .
. . . . . per month COMBINED CHILD-SPOUSAL (UNITARY) SUPPORT effective
. . . . . per month SUPPORT FOR A PARENT effective
. . . . . per month PAYMENT TOWARDS ARREARAGES OF $
. . . . . . . . . . .
TOTAL $
per month payable, first payment due on the 1st day of ……………………., and each subsequent payment
is due on the 1st day of each month thereafter. Payments may be made in intervals of ………………….., per ……………….., beginning
on ………………………
.PAYMENT AMOUNT
INTERVAL
DATE
All support paid shall be credited to current support first and the remainder shall be credited to arrearages.
Child support shall terminate on a child’s eighteenth birthday; however, support shall continue for any child who is over the age of eighteen and (i) a full-time high school student, (ii) not self-supporting and (iii) living in the home of the parent receiving child support, until the child reaches the age of nineteen or graduates from high school, whichever occurs first; and if any arrearages for child support, including interest or fees, exist at the time the youngest child emancipates, payments shall continue in the total amount due until all arrearages are paid. If the above current child support is not divided per child, the ordered amount cannot be changed except by a court.
[ ] Continuing support for
, a child whom the court has determined (i) is severely and permanently mentally
Name of Child
or physically disabled, (ii)
is unable to live independently and support himself and (iii) resides in the home of the parent seeking support.
FORM DC-628 (PAGE ONE OF THREE) 07/10
Case No
ARREARAGES:
[ ] No arrearages exist as of . . . . . . . . . . . . . . . . . .
[ ] $ . . . . . . . . . . . . . . . . . child support arrearage owed by Respondent. [ ] $ . . . . . . . . . . . . . . . . . spousal support arrearage owed by Respondent.
[ ] $ . . . . . . . . . . . . . . . . . unitary (child/spousal) support arrearage owed by Respondent.
[ ] $
total SUPPORT arrears owed by Respondent [ ] with interest included [ ] without interest included
[] arrears include an assessment from the effective date of this order to the first payment due date.
[ ] This total includes TANF debt or other public funds paid prior to the effective date of this order of $ . . . . . . . . . . . . . . . . .
for . . . . . . . . . . . . months.
These arrearages are calculated as of the date of this Order including support owed for the current month. This amount does not include
payments made after ____/____/____, and respondent shall be credited for any payments made thereafter. Interest shall continue to accrue
on unpaid arrearages at the judgment rate unless the petitioner, in a writing submitted to the court, waives the collection of interest.
PAYMENT:
Payment shall be made payable to:
[] Petitioner at the address shown in the beginning of the Order.
The parties shall give the court at least 30 days written notice, in advance, of any proposed change of residential and, if different, mailing address and of any change of telephone number within 30 days of the change. The Respondent is required to keep the court informed of the name, address, and telephone number of his/her current employer.
[] Treasurer of Virginia and sent to Virginia Department of Social Services, Division of Child Support Enforcement, P.O. Box 570, Richmond, Virginia 23218-0570 unless otherwise instructed by that agency or this Court and shall contain the following:
1.Check or money order made payable to the Treasurer of Virginia.
2.Print on the check or money order:
Your name and social security number
Petitioner’s name as shown on the first page of this order
The DCSE ID No. shown on the first page of this order. If no such number is shown, use this Court’s name and case number as shown on the front page of this order until that number is sent to you; then start using the DCSE ID No.
The parties shall give to the Virginia Department of Social Services and the court, at least 30 days written notice, in advance, of any proposed change of residential and, if different, mailing address and of any change of telephone number within 30 days of the change. The Respondent is required to keep the Virginia Department of Social Services and the court informed of the name, address and telephone number of his/her current employer.
[] The parties shall also give each other at least 30 days written notice, in advance of any change of residential and, if different, mailing address and of any change in telephone number within 30 days after the change.
WARNING: Failure to pay in accordance with this order is a violation of this order and may be punished by a jail sentence or a fine or both. In addition, you may not receive credit for payments made contrary to the payment instructions provided in this order. Whenever income withholding is authorized, it is your responsibility to make the payment to DCSE until the income withholding becomes effective. You are responsible for keeping records of payments you make.
HEALTH CARE PROVISIONS:
[] Respondent [ ] Petitioner shall provide health care coverage for the [ ] child(ren) [ ] spouse and shall deliver the document necessary for the use of such coverage by the dependents
[] Respondent [ ] Petitioner shall provide dental care coverage for the [ ] child(ren) [ ] spouse and shall deliver the document necessary for the use of such coverage by the dependents
[] Respondent [ ] Petitioner presently has health care coverage and is ordered to maintain it or comparable coverage.
Health Insurance Company
Policy name
Name of Policy Holder
Policy number
In the event of any change in health insurance, the responsible party is required to notify the opposing party of the change. The responsible party shall inform the Virginia Department of Social Services, if support payments are ordered to be paid through the Virginia Department of Social Services, or the opposing party, if support payments are ordered to be paid directly to the opposing party, of any changes in the availability of the health care coverage for the minor child or children.
[] The Court finds that “health care coverage” as defined by the statute is not available at “reasonable cost” as defined by statute, and therefore, the Court does not order either the Respondent or the Petitioner to provide health care coverage.
[] Any reasonable and necessary unreimbursed medical and dental expenses for each child covered by this order shall be paid in the
following manner: . . . . . . . . . . . . . . % Respondent . . . . . . . . . . . . . % Petitioner.
FORM DC-628 (PAGE TWO OF THREE) 07/14
ORDER OF SUPPORT (CIVIL) Case No. .............................................
[ ] Respondent [ ] Petitioner is ordered to execute the appropriate tax forms or waivers to grant the other party the right to take the
income tax dependency exemption for tax years . . . . . . . . . . . . . . . . . . . . . for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CHILD OR CHILDREN
for federal and state income tax purposes.
[] The Court finds that a license, certificate, registration or other authorization to engage in a profession, business, trade, occupation, or
recreational activity issued by the Commonwealth of Virginia is held by
TYPE OF LICENSE
AGENCY GRANTING LICENSE
LICENSE NUMBER
Respondent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Petitioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Upon a delinquency of a support payment for a period of 90 days or more, or in an amount of $5,000 or more, a petition may be filed for suspension of any license, certificate, registration or other authorization to engage in a profession, trade, business, occupation, or recreational activity issued by the Commonwealth. Virginia Code § 20-60.3.
[ ] Withholding from income is ordered payable through the Virginia Department of Social Services by [ ] court income deduction order or [ ] administrative order for income withholding.
[] Immediate withholding from income is not ordered, pursuant to a written agreement between the parties or for good cause shown. It is further ORDERED that:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
] This Order was determined based on [
] sole [ ] shared [ ] split custody guidelines.
] A child support award of $
. . . . . . . . . . . . by application of the guidelines provided in Virginia Code § 20-108.2 would be
unjust or inappropriate in this case as determined by the relevant evidence pertaining to the factors set forth in the attached supplement
which is incorporated herein by reference, the ability of each party to provide child support, and the best interest of the child.
[] Entered in accordance with the parties’ written stipulation or agreement.
] The Respondent is also required to post with the Clerk a recognizance pursuant to § 20-114 of $
with/without surety
] The Respondent shall also pay: $
reimbursement of costs to the Petitioner due . .
. . . . . . . . .
attorneys’ fees to the Petitioner’s attorney due
. . . . . . . . . . . . . . . . . .
If arrearage amount equals or exceeds 3 months owed, reasonable attorneys’ fees must be ordered pursuant to Virginia Code § 16.1-278.18, and may be ordered pursuant to § 20-78.2.
NOTICE: Support payments may be withheld as they become due from income without further amendment of this order or having to file an application for services with the Virginia Department of Social Services. Such order shall only be entered upon motion after proper notice sent by the clerk or counsel. Support payments may be withheld without further amendment of this order upon application for services with the Virginia Department of Social Services. In determining a support obligation, the support obligation as it becomes due and unpaid creates a judgment by operation of law. Failure to make payments when due means that interest will accrue according to Virginia Code § 6.1- 330.54.
The Virginia Department of Social Services may initiate a review of the amount of support ordered by any court. If a change in circumstances, as defined in the State Board of Social Services’ regulations, has occurred, the Department shall report its findings and a proposed modified order to the court which entered the order. Notice shall be served on both parties. Either party may request a hearing on the proposed modified order by filing a request with such court within 30 days of receipt of notice by the requesting party. Unless a hearing is requested with the time limits, no hearing shall be required and the modified order shall be effective 30 days after the notice is received and shall amend any prior court order. Virginia Code § 20-60.3.
In cases enforced by the Virginia Department of Social Services, the Department of Motor Vehicles may suspend or refuse to renew the driver’s license of any person upon receipt of notice from the Virginia Department of Social Services that the person is delinquent in the payment of child support by 90 days or in an amount of $5,000 or more, or the person has failed to comply with a subpoena, summons, or warrant relating to paternity or child support proceedings.
If the order being reviewed by the Department deviates from the guidelines, based on one or more factors set out in Virginia Code § 20-108.1, a hearing shall be scheduled with the court which entered the order.
THIS ORDER SHALL REMAIN IN FULL FORCE AND EFFECT UNTIL AMENDED OR ANNULLED BY THIS COURT OR A COURT OF COMPETENT JURISDICTION TO WHICH AN APPEAL MAY BE TAKEN.
. . . . . . . . . . . . . . . . . . . . . . . . . . .
__________________________________________________________
JUDGE
SEEN AND AGREED AS TO NO PROVISION FOR INCOME WITHHOLDING.
PETITIONER:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RESPONDENT:
FORM DC-628 (PAGE THREE OF THREE) 07/09
Filling out the DC 628 form, officially termed as the "Order of Support (Civil)," is a crucial step in ensuring that support orders in Virginia are appropriately documented and enforced. This form is utilized in both Temporary and Final Orders relating to child, spousal, parent, and arrearage support matters. Correctly completing this document ensures clarity for all parties involved and assists in the efficient processing and enforcement of support orders. Here are the step-by-step instructions to accurately fill out the form:
Once the DC 628 form is thoroughly completed and signed where necessary, it is vital to make copies for your records before submitting it to the intended court or agency. Adequately filled forms help facilitate a smoother process for all parties involved in support orders, contributing to the timely and fair enforcement of these orders.
What is the purpose of the DC 628 form in Virginia?
The DC 628 form, known as the Order of Support (Civil), serves a crucial role in articulating support arrangements mandated by a court within Virginia, including child support, spousal support, or a combination of both. This legal document outlines the specific payment amounts due, the frequency of payments, and other significant details like health care provisions for dependents. The order aims to ensure that support payments are made regularly to assist the dependent parties, describing the obligations of the respondent (the person required to pay support) in clear terms.
Who decides the amount of support listed on the DC 628 form?
The amount of support listed on the DC 628 form is determined by a judge or magistrate in a Virginia court, following a detailed evaluation of evidence and information presented during a hearing process. This determination is guided by Virginia's child and spousal support guidelines, which consider various factors, including but not limited to, each party's income, the needs of the child or children, and the living arrangements. The court may adjust the guideline amount based on the specific circumstances of the case to ensure a fair and appropriate support order.
Can the support amount or conditions listed on the DC 628 form be modified?
Yes, the support amount or conditions can be modified, but such changes must be approved by a court. Either party can request a modification by filing a petition in court, demonstrating a significant change in circumstances that would justify altering the support order. Examples of such changes include a significant increase or decrease in the income of either party, a change in custody arrangements, or a change in the needs of the children. The court will review the request and, if deemed appropriate, will issue a new support order that amends the previous arrangement.
What happens if the respondent fails to pay the support as ordered on the DC 628 form?
If the respondent fails to comply with the support order detailed in the DC 628 form, several enforcement actions can be taken. These may include income withholding, where support payments are directly deducted from the respondent's wages, the interception of tax refunds, revocation of licenses (including driver’s and professional licenses), and even contempt of court proceedings, which could lead to penalties such as fines or jail time. It's vital for the respondent to make payments as ordered to avoid these serious consequences.
How are payments made according to the DC 628 Order of Support?
Payments under the DC 628 form can be made directly to the petitioner, to the Treasurer of Virginia, or through the Virginia Department of Social Services, Division of Child Support Enforcement (DCSE), as stipulated in the order. The method will depend on the specific instructions outlined in the order, which may include making payments via check, money order, or through designated electronic payment systems. If payments are managed by the DCSE, it's important for the respondent to include identifying information like their name, social security number, the petitioner’s name, and the DCSE ID or case number to ensure proper credit for the payments made.
One common mistake seen when individuals fill out the DC 628 form, or the Order of Support (Civil), is failing to provide complete identifying information for both the petitioner and respondent, including the last four digits of the Social Security number, driver's license number, and state. The form stipulates spaces for these crucial pieces of information for a reason—to ensure clear identification of the parties involved, which is essential for the enforcement of the order.
Another frequent error is not being precise with income and employer details for both parties. This oversight can lead to inaccuracies in calculating the support obligations, ultimately affecting the fairness and efficacy of the support order. The form requires current employment information, including employers' names and contact details because this data directly impacts the execution of the support order.
Incorrectly listing the details of the child or children to whom the support order applies is also a common mistake. The form mandates specifics such as names, Social Security numbers (last four digits only), dates of birth, and the relationship to the respondent. These details are critical for ensuring that the support is correctly distributed and attributed to the right beneficiaries.
Many individuals also neglect to specify the type of support order accurately—be it temporary or final—and whether it pertains to the Juvenile and Domestic Relations District Court or Circuit Court. Understanding and marking the appropriate selections are crucial for the legal processing and enforcement of the order.
Another oversight involves the payment details section. The form inquires about the amount payable, the commencement date, the frequency of payments, and the method of payment. These elements are paramount to establishing a clear, enforceable mandate for support payments. Failure to thoroughly complete this section can result in delayed support payments and legal complications.
Failing to address health care provisions is yet another common mistake. Whether the respondent, petitioner, or both are required to provide health care or dental care coverage for the child, children, or spouse must be explicitly stated. This part of the form covers the provision of necessary health insurance information and any changes in coverage, essential for the well-being of the dependent(s).
Lastly, an error often seen is the omission of signatures and dates at the end of the form. The petitioner and respondent’s acknowledgment through their signatures, along with the date, is a fundamental requirement for the form’s validity and enforceability. This final step confirms the accuracy of the provided information and the parties' compliance with the support order.
When dealing with forms like the DC-628, "Order of Support (Civil)," certain auxiliary documents typically accompany or follow it. These documents ensure that all aspects of support orders, such as child support or spousal support, are comprehensively addressed, compliant with legal requirements, and enforceable. It's essential for individuals navigating these processes to be aware of and understand these documents.
Understanding each of these documents and their role in support cases is critical for both parties involved in a support order. The legal system’s complexity can be overwhelming, but knowing the purpose and necessity of each form can help navigate the process more effectively. Ensuring the accurate and timely completion of these documents is key to achieving a fair and compliant outcome in support cases.
The Child Support Order is closely akin to the Uniform Interstate Family Support Act (UIFSA) Order. UIFSA orders are specifically proposed to ensure that families receive support when parties live in different states. Like the DC 628 form, UIFSA orders set out the obligations regarding child or spousal support but have the added complexity of managing these across state lines. They detail the amount of support, the duration, and how payments are to be made, ensuring that the respondent meets their obligations regardless of jurisdiction.
Another document similar to the DC 628 form is the Income Withholding Order (IWO) for Support. An IWO is a legal document sent to an individual’s employer directing them to withhold a specified amount from the employee's earnings for child support, spousal support, or both. Just like the DC 628 form, it is used to enforce support orders, ensuring that the designated funds are automatically deducted from the respondent's paycheck and sent to the appropriate state child support enforcement agency or directly to the custodial parent, thereby streamlining compliance with the order.
The Marital Settlement Agreement (MSA) also shares similarities with the DC 628 form, particularly in the context of divorce proceedings. An MSA is a comprehensive written document that outlines the terms of the divorce agreed upon by both parties, including provisions for the division of assets, debt responsibility, and very importantly, child and spousal support. While the DC 628 form is a court order that mandates child or spousal support, the support terms within an MSA are agreed upon by both parties but must also be approved by a judge.
Lastly, the Qualified Domestic Relations Order (QDRO) is another document that bears resemblance to the DC 628 form concerning the aspect of financial support obligations. A QDRO is a special court order granting one party the right to receive a portion of the other party’s retirement plan or pension benefits. This can include provisions for child support or alimony payments directly from these benefits. Unlike the DC 628 form, which involves direct payments primarily from income, a QDRO taps into retirement assets to ensure support obligations are met.
When filling out the DC 628 form, an "Order of Support (Civil)" from the Commonwealth of Virginia, accuracy and attention to detail are paramount to ensure the legal document accurately reflects the support arrangements ordered by the court. Listed below are several crucial dos and don'ts to guide you through the process:
Following these guidelines will help ensure that the DC 628 form is completed correctly and efficiently, facilitating a smoother legal process for all parties involved.
There are several misconceptions about the DC 628 form, an Order of Support (Civil) used in the Commonwealth of Virginia. Clarifying these misunderstandings can help parties involved better navigate their responsibilities and rights concerning support orders.
This form is not exclusively for child support; it can also be used for spousal support, support for a parent, and combined child-spousal (unitary) support. Understanding the form's applicability to various support scenarios is crucial.
While direct payments are an option, the order may require payments to be sent to the Treasurer of Virginia, specifically the Division of Child Support Enforcement (DCSE), unless otherwise directed. This ensures a formal record of payments.
The amount specified in the order can indeed be modified under certain circumstances. If a party's financial situation significantly changes, they may petition the court for a modification of the support amount.
Child support may continue beyond the age of 18 if the child is a full-time high school student, not self-supporting, and living in the home of the parent receiving child support, until the child reaches 19 years of age or graduates, whichever occurs first.
The form mandates that the respondent or petitioner must provide health (and possibly dental) care coverage for the child, spouse, or both. The responsible party must also inform the other of any changes in the coverage.
Failure to comply with support orders can lead to the suspension or refusal to renew professional licenses, certificates, or registrations, demonstrating the order's legal impact beyond direct payments.
The form may contain provisions that require one party to allow the other party the right to claim the income tax dependency exemption for the child or children, ensuring fair tax treatment.
Unpaid support amounts can accrue interest according to Virginia Code, underlining the importance of making timely payments.
The Virginia Department of Social Services can initiate a review if there's a change in circumstances, and either party may petition the court for modification based on changes in circumstances or other valid reasons.
Understanding these aspects of the DC 628 form is crucial for anyone involved in a support case within the Commonwealth of Virginia. It ensures parties are well-informed about their rights and obligations under the law.
Filling out and using the DC 628 form, known as the Order of Support (Civil), plays a crucial role in the enforcement and establishment of support orders in the Commonwealth of Virginia. This document is fundamental in ensuring that dependent children and spouses receive the financial support they need. Here are key takeaways to guide you through the process:
Effectively navigating the DC 628 form and understanding its implications is pivotal for both petitioners and respondents in support cases, ensuring the welfare and financial security of those affected by the court's decision.
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