Family Law

FL-478: Request and Notice of Hearing Regarding Health Insurance Assignment

Fillable PDFJudicial Council of California

This form is used to request a court hearing and notify the other parent that you want the court to order health insurance coverage for a child in a family law case. Parents or guardians use this form when they need the court to decide who should be responsible for providing and paying for a child's health insurance as part of custody, child support, or divorce proceedings.

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