FL-421State (JC)Fillable

Payment History Attachment (Governmental—Uniform Parentage Act)

Judicial Council of California · Family Law

Verified current as of August 1, 2026

This form shows a record of all child support or spousal support payments made by a parent or spouse, including dates, amounts, and whether payments were on time or late. Parents or guardians use this form in court cases involving parentage and support obligations to prove they've made their required payments or to document payment problems.

This form has fillable fields — you can complete it directly in the viewer on the right.
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