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4 11 Template

The Form 4-11, set within the framework of the Family Court Act sections 440, 442-447, 449, 451, 461, 466, 467, and Social Services Law § 111-g, is designed to facilitate a petition for the modification of an existing support order. This legal document, crucial for addressing changes in circumstances or errors in the initial support order, requires detailed personal and financial information to guide the court's decision-making process. To smoothly navigate the complexities of modifying a support order, consider the importance of completing this form accurately by clicking the button below.

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Table of Contents

For individuals and families navigating the complexities of support modifications, the Form 4-11 under the Family Court Act serves as a critical resource for those seeking adjustments to existing orders of support. This petition, applicable within the jurisdiction of the New York Family Court, provides a structured approach for petitioners to request modifications due to significant changes in circumstances. Whether these changes stem from financial shifts, changes in custody, or other substantial adjustments in the living or income conditions of either party, Form 4-11 outlines the necessary components for a properly submitted modification request. It incorporates essential personal details, the specifics of the existing order, the grounds for seeking a modification, and any previous attempts to seek relief from the current order's terms. Additionally, the form serves as a gateway for individuals to apply or re-affirm their connection with child support services, further emphasizing its role in ensuring the welfare and best interests of affected children. This document also sets the stage for systematic adjustments to support orders through mechanisms like cost-of-living adjustments, ensuring that support obligations remain fair and in line with current economic standards. Understanding and properly engaging with this form can significantly impact the lives of families and children, offering a path towards equitable support arrangements that reflect their current needs and circumstances.

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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).

 

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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).

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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

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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

Form Breakdown

Fact Number Fact Detail
1 The form is used for petitioning for a modification of an order of support.
2 It applies to cases under Article 4 of the Family Court Act.
3 Sections F.C.A. §§ 440, 442-447, 449, 451, 461, 466, 467, and S.S.L. § 111-g govern the form's contents.
4 A personal information form containing social security numbers of parties and dependents must be filed with this petition.
5 The form is specific to New York State family court procedures.
6 It requests modification of an order made by either the Family Court itself or another court.
7 Address confidentiality is ensured for safety and health risks under Family Court Act §154-b.
8 Standing to seek a modification can stem from substantial changes in circumstances or a change in either party's gross income by fifteen percent or more.
9 It also allows petitioners to apply or reiterate their need for child support services from the Support Collection Unit (IV-D program).
10 Includes provisions for cost of living adjustments and requires updating the Support Collection Unit with current addresses.

Guidelines on Filling in 4 11

Filling out the Form 4-11, a Support-Petition for Modification, is an essential step in requesting changes to an existing support order in New York Family Court. This document enables individuals to outline significant changes in circumstances that necessitate a modification of child or spousal support orders. To ensure this form is completed accurately and increases the possibility of a favorable outcome, follow these meticulous steps:

  1. Determine your relationship to the child or agency status and fill in the appropriate box in Section 1.a, then specify your relationship to the child(ren) and provide your address.
  2. In 1.b, provide the respondent’s address.
  3. Indicate whether you were the petitioner or respondent in the original action and the specific court (including county and court name) where it was initiated in Section 2.a-b.
  4. Detail the existing order, including the date it was entered and the specific terms that were ordered, in Section 3.a-b. Attach a true copy of the order to your petition.
  5. List the names, addresses, and dates of birth of all children affected by the order in Section 4.
  6. Check the appropriate box in Section 5.a regarding the court’s jurisdiction and note if the order is from a court outside New York in Section 5.b.
  7. In Section 6, check the applicable box to indicate your standing for seeking a modification and specify the substantial change in circumstances or the percentage change in either party’s gross income, if relevant.
  8. Specify how the order should be modified in Section 7.
  9. If applicable, explain why you did not seek modification earlier to prevent the accrual of arrears in Section 8.
  10. For individual petitioners, check the applicable box in Section 9 regarding your application for child support services from the Support Collection Unit.
  11. Confirm that no previous application for the relief requested is pending before any judge or court in Section 10.
  12. End by respectfully requesting the modification of the order as set forth in your petition and sign and date the bottom of the form. Include your attorney’s contact information, if applicable.

After completing and reviewing the form for accuracy, submit it to the Family Court in the county where the original order was issued. This action initiates the process for reviewing and potentially modifying the support order based on the information and changes documented in your petition.

Learn More on 4 11

What is a Form 4-11?

Form 4-11, known as the Support-Petition for Modification, is a document used in Family Court in the State of New York for individuals looking to change an existing order of support. This could be due to changes in financial circumstances, change in custody, or any other significant change that would necessitate a modification of the original support order. Alongside Form 4-11, a Personal Information Form (Form 4-5/5-1d), which includes social security numbers of the parties and dependents, must also be filed.

Who can use Form 4-11?

Two main types of individuals may use Form 4-11:

  • An individual related to the child(ren) seeking modification, such as a parent or legal guardian.
  • An assignee agency acting on behalf of an individual, typically involving public assistance or child welfare cases.
It's crucial that the person filing the petition either resides in New York State or has a case that falls under the jurisdiction of New York Family Courts.

When should you file Form 4-11?

Filing for a modification through Form 4-11 is appropriate under several circumstances, including:

  1. A substantial change in circumstances since the last order was issued or modified.
  2. Three years have passed since the order was entered, last modified, or adjusted, providing an automatic ground for review.
  3. 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.
These grounds cater to ensuring that support orders remain fair and reflective of current circumstances.

What happens after you file Form 4-11?

After Form 4-11 is filed:

  • The case will reviewed by the Family Court of the State of New York.
  • Both parties will receive notice of the petition and will have the opportunity to respond and present evidence.
  • A hearing may be scheduled to allow the court to gather more information and make a determination.
  • If the petition for modification is granted, the court will issue a new order of support reflecting the adjustments.
It's important for individuals to understand that the process may take some time and cooperation from both parties can expedite the proceedings.

Common mistakes

  1. One common mistake people make when filling out the Form 4-11 is neglecting to attach a true copy of the judgment or order they wish modified. This document is crucial for the court to understand the original terms and grounds for the requested modification.

  2. Individuals often fill in incomplete or inaccurate personal information. Every detail, including full addresses (unless confidentiality is protected by court order) and the correct relationship to the child or children involved, must be accurately provided to avoid delays or complications in the modification process.

  3. Another error is the failure to specify the basis for alleging a substantial change of circumstances, which is necessary for requesting the modification of child support. Clear, detailed explanations provide the court with the information needed to understand the petitioner's situation and the rationale behind the modification request.

  4. Forgetting to apply for child support services through the Support Collection Unit, if applicable, is a mistake that can lead to lost benefits. Checking the appropriate box to apply for or acknowledge the continuation of these services is a crucial step for those eligible.

  5. Omitting previous or pending applications for the same relief sought in the Form 4-11 can lead to complications in the proceedings. Full disclosure ensures that the court has all necessary information to make an informed decision regarding the modification request.

By paying careful attention to these details, petitioners can enhance the clarity and efficacy of their modification requests, helping the court to process their petitions more swiftly and efficiently.

Documents used along the form

When managing family law matters, particularly support modifications, a variety of forms and documents often accompany the Form 4-11 (Support Petition for Modification). Understanding these documents is crucial for effectively navigating the legal process. The purpose of each form varies from verifying personal information to officially requesting judicial changes to support orders.

  • Form 4-5/5-1d (Personal Information Form): This form is necessary for providing the court with sensitive information, such as social security numbers for all parties involved, including any children. Its primary use is to ensure that the court can accurately identify individuals in its decisions.
  • Form 21 (Request for Confidentiality): With this form, parties can request that their addresses be kept confidential within the court records. This is particularly important in situations where disclosing an address could pose safety or health risks.
  • Income and Expense Declaration: This document is utilized to outline an individual's financial situation comprehensively. It is crucial for the court to understand the financial status of both parties to make an informed decision regarding support modifications.
  • Proof of Income: Attached alongside the Income and Expense Declaration, proof of income (such as recent pay stubs, tax returns, or employer statements) is required to verify the financial information provided by each party.
  • Current Support Order: A copy of the current order of support provides a baseline for the court. It helps in identifying the terms that need modification based on the evidence and arguments presented.
  • Stipulation Agreement (if applicable): When both parties agree on the changes to the support order outside of court, their agreement is formalized in this document. The court then reviews the stipulation to ensure it's in the best interest of any children involved before making the modification official.
  • Proof of Change in Circumstances: This can include various documents, such as medical bills, layoff notices, or proof of increased childcare expenses, which substantiate the claim of a significant change in circumstances warranting a modification of the support order.

Understanding each of these documents and their proper use is essential for anyone seeking to modify a support order through the Family Court. By clearly presenting all relevant information and adhering to the required procedures, parties can ensure a smoother legal process, ultimately facilitating a fair and timely resolution to their case.

Similar forms

  • The Order of Protection Form is similar to the Form 4-11, as both are used in family court proceedings. While the Order of Protection is aimed at preventing harassment or abuse, the Form 4-11 focuses on modifying support orders. Both forms, however, necessitate detailed personal information and circumstances that justify the requested legal action.

  • The Petition for Custody shares similarities with Form 4-11 in that both are utilized in family court to alter existing legal arrangements concerning children. The Petition for Custody seeks to establish or change legal custody rights, while Form 4-11 seeks to modify support orders. Both require the petitioner to present a change in circumstances.

  • The Child Support Downward Modification Petition is closely related to Form 4-11. Both are applications in family court to adjust support obligations, predicated on changes in circumstances like income fluctuations or changes in child custody. Each form necessitates evidence of these changing circumstances to support the modification request.

  • In tandem with Form 4-11, the Spousal Support Modification Petition is employed to modify existing court orders, focusing on the adjustment of spousal support. Both documents require the petitioner to demonstrate significant changes in circumstances since the original order or last modification.

  • The Name Change Petition, while serving a different primary purpose, involves similar legal processes as Form 4-11. It's submitted to a court to legally change a person’s name, requiring detailed personal information and justification for the request, akin to modifications in support orders that necessitate a demonstration of changed circumstances.

  • The Voluntary Acknowledgment of Paternity Form is akin to Form 4-11 in its function within family law, facilitating recognition of paternal rights and responsibilities. Although its main purpose diverges—establishing paternity versus modifying support—it similarly impacts financial obligations and child support arrangements.

  • Similarly, the Child Support Enforcement Petition is utilized to ensure compliance with existing child support orders, akin to how Form 4-11 may seek adjustments based on financial shifts or the needs of the child. Both forms play crucial roles in the provision and adjustment of child support.

  • The Emancipation Petition directly impacts child support obligations, similar to Form 4-11's purpose. Filing for emancipation can alter or terminate child support arrangements, requiring detailed reasoning and circumstances, paralleling the need in Form 4-11 for demonstrating substantial changes justifying support order modifications.

  • Lastly, the Application for the Public Defender shares the commonality of navigating legal processes, significantly differing in purpose but similar in needing thorough personal information disclosure and a clear delineation of the applicant's situation, as Form 4-11 demands for modifying support orders.

Dos and Don'ts

When filling out the Form 4-11 (Support Petition for Modification), navigating the process effectively means understanding both the do's and don'ts. This form is crucial for amending an existing court order regarding child support under certain circumstances, and handling it with care is essential. Here are essential tips to guide you through this process:

Things You Should Do:

  • Read instructions carefully: Before you start filling out the form, take your time to read through the instructions thoroughly to ensure you understand what is required. This will help you avoid common mistakes and ensure your petition is processed smoothly.
  • Provide accurate and complete information: Fill in all required sections with current and correct information. This includes personal details, the original court order information, and the reason for seeking a modification.
  • Attach supporting documents: If you are required to present a true copy of the judgment or order you wish to modify, ensure these documents are attached as part of your petition.
  • Explain the reason for the modification request clearly: Whether the modification is sought due to a substantial change in circumstances, a significant change in income, or another valid reason, make sure your explanation is clear and supported by facts.
  • Seek legal advice if necessary: If you're uncertain about any part of the form or your eligibility for a modification, consulting with a legal professional can provide clarity and increase your chances of a favorable outcome.

Things You Shouldn't Do:

  • Avoid leaving sections blank: Ensure no section of the form that applies to you is left unfilled. If a particular section does not apply, mark it as "N/A" (Not Applicable) instead of leaving it blank.
  • Don't provide false information: It is crucial to be honest when filling out the form. Providing false information can lead to legal consequences and negatively affect the outcome of your petition.
  • Don't forget to sign the form: Your signature is required to validate the petition. Ensure the form is signed and dated correctly before submission.
  • Don't ignore court instructions: If there are specific instructions or requirements for filing the petition in your jurisdiction, make sure to follow them strictly. This can include rules about filing fees or how to serve the petition to the other party.
  • Don't delay: If you believe a modification is warranted due to changes in circumstances, act promptly. Delays can affect your eligibility for modification or result in accruing arrears.

Adhering to these do's and don'ts can help ensure that your Form 4-11 petition is complete, accurate, and likely to be processed without undue delay. Remember, this process is about ensuring that child support arrangements remain fair and reflective of current circumstances, and treating it with the seriousness it deserves is paramount.

Misconceptions

There are several misconceptions about the Form 4-11, otherwise known as the "Support Petition for Modification." This document is often used in the Family Court of the State of New York in proceedings regarding the support under Article 4 of the Family Court Act. Here are four common misunderstandings:

  • Misconception 1: Form 4-11 is only for modifying child support.

    While Form 4-11 is primarily used to petition for the modification of child support orders, it is not limited to this use alone. It can also be employed to seek changes to spousal support, provided that specific conditions necessitating a modification are met. This document facilitates both individual and agency petitioners in requesting adjustments based on substantial changes in circumstances or after a significant time has passed since the last order.

  • Misconception 2: Any change in circumstances warrants a modification.

    It's important to understand that not all changes in circumstances will qualify for a modification of the support order. The Family Court requires a substantial change in circumstances, such as a significant increase or decrease in either party's income or the needs of the child. Additionally, the law specifies that changes in income must exceed fifteen percent or three years must have passed since the last order for a modification request to be considered.

  • Misconception 3: You can only request a modification in the same court that issued the original order.

    Many believe that modifications to a support order must be made in the original issuing court. However, the Form 4-11 can be filed in the Family Court regardless of whether the original order was issued by the Family Court or another court. This allows for a greater accessibility and flexibility for individuals seeking to modify their support orders.

  • Misconception 4: The form does not accommodate support services applications.

    Contrary to some beliefs, individuals filling out Form 4-11 have the option to apply for child support services through the Support Collection Unit (SCU). This is particularly relevant for individuals who are not currently receiving support services or whose circumstances have changed significantly since the original order. The form clearly provides options for individuals to apply for, continue, or decline such services.

In summary, the Form 4-11 is a versatile document that enables individuals and agencies to request modifications to support orders under specific conditions. By understanding the scope and proper use of this form, petitioners can navigate the legal process more efficiently and effectively.

Key takeaways

Filling out and understanding the Form 4-11, a support petition for modification under the Family Court Act, involves several critical considerations. Here are key takeaways from this document:

  • The Form 4-11 is designed for use in the Family Court of the State of New York when an individual seeks to modify an existing order of support, spotlighting its jurisdictional specificity.
  • Personal information forms containing social security numbers of the parties and dependents, designated as Forms 4-5/5-1d, must be filed alongside the petition, emphasizing the need for comprehensive documentation.
  • Applicants must clearly indicate their relationship to the child or children involved and whether they are petitioning as an individual or on behalf of an assignee agency, demonstrating the importance of clarity in legal proceedings.
  • The form requires information about any previous actions in Supreme Court or other courts, underscoring the significance of legal history in modification petitions.
  • A true copy of the prior judgment or order being contested must be attached, highlighting the necessity of evidence in support of the modification request.
  • Eligibility for modification can be based on several grounds, including a substantial change in circumstances, the passage of three years since the last order, or a significant change in either party’s gross income, illustrating the dynamic nature of support obligations.
  • Applicants have the opportunity to request child support services through the filing, reflecting the integrated support system available to petitioners.
  • The form also references the potential application of a cost of living adjustment by the Support Collection Unit, acknowledging the evolving financial needs of children.

Understanding and correctly completing the Form 4-11 requires attention to the specific details and legal requirements outlined in the form. It serves as a critical tool for those seeking to adjust their support responsibilities in accordance with changes in their circumstances or those of their child or children.

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