Application to Modify Child Support - Iowa
Form FL-301, page 3 of 4
7.
9.
Child support should be changed because: (Check all that are true.)
a. There is a juvenile court order that changed where the child or children were living. The
person paying support has custody of the children. (If you check a., write in the county
where the juvenile court order was entered and the case number.)
County: ________________________________ Case #: _________________________
b. One or more of the children live with the parent who is paying support. There is no court
order that sets up custody.
c. One or more of the children no longer qualify for child support.
d. My income has gone down.
e. The other parent’s income has gone up.
f. Other reason (explain): ____________________________________________________
________________________________________________________________________________
________________________________________________________________________________
10. Child support should be: (Check all that apply; i
f you check more than one please explain on the
blank lines.)
a. Raised ______________________________________________________________
b. Lowered ______________________________________________________________
c. Stopped ______________________________________________________________
______________________________________________________________
11. Tax deduction for the child or children. (Check the one that is true.)
a. There is no court order at this time on tax deductions.
b. A court order currently says who gets the tax deduction for the child or children and it
should stay the same.
c. A court order currently says who gets the tax deduction for the child or children and it
should be changed.
12. Health care expenses for the child or children. (Check the one that is true.)
a. There is no court order at this time on who pays health care expenses.
b. A court order currently says who pays for health care expenses for the child or children
and it should stay the same.
c. A court order currently says who pays for health care expenses and it should be changed.
(If you check this box, explain what you want in 15 below.)
13. The other party is: (Check all that are true.) (If you check a. or b. see the instructions.)
a.
In the military service. (Give the location.) ____________________________________
b. In prison or jail. (Give the location.) __________________________________________
14. (Check if true.)
There is a “protective order” or a “no contact order” between any of the parties and me.
If you check the box, write in the following information (Required):
a. County and state where the order came from: ______________________________________
b. Court case number: __________________________________
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