Form FL-300, Request for Order Completed Form Examples and Samples
Explore detailed, filled-out examples of California's Form FL-300, Request for Order. Our samples demonstrate how to complete the form for common family law requests, such as modifying child custody, visitation, and support. Get a clear understanding of how to fill out your FL-300 correctly.
Form FL-300 Example: Modifying Child Custody and Visitation
How this form was filled:
This sample FL-300 form is filled out for a common scenario: a parent requesting to modify an existing child custody and visitation order due to a change in circumstances (a new work schedule). The request also includes a request for the other parent to contribute to the child's extracurricular activity expenses and attorney's fees.
Information used to fill out the document:
- Petitioner's Name: Samantha Miller
- Respondent's Name: David Chen
- Case Number: 22FA012345
- Hearing Date: To Be Determined by Court
- Department: To Be Determined by Court
- Child's Name: Olivia Chen
- Order Requested 1: Child Custody and Visitation (Modification)
- Order Requested 2: Child Support (Other - extracurricular expenses)
- Order Requested 3: Attorney's Fees and Costs
- Facts Supporting Request: There has been a significant change in circumstances. My work schedule, which was previously Monday-Friday 9am-5pm, has been permanently changed to a rotating schedule that includes weekends. This change conflicts with the current visitation order. I am requesting a modification to ensure I have quality parenting time with our child. I have attached a proposed new schedule (Attachment 3a). Additionally, our child, Olivia, has started competitive soccer, which costs $600 per season. I request that Respondent be ordered to pay 50% of this cost.
- Time for Service: Requesting standard court order for time for service.
- Filing Date: 04/15/2026
- Representation: Self-Represented (Pro Per)
What this filled form sample shows:
- Clearly identifies the parties and existing case number at the top of the form.
- Properly checks the boxes for multiple orders being requested: Child Custody, Child Support, and Attorney's Fees.
- Indicates the request is a 'Modification' of a previous court order.
- Provides a detailed declaration under 'Facts to Support' (Item 10) explaining the change of circumstances justifying the request.
- Demonstrates how to request orders for specific expenses, such as a child's extracurricular activities, under the 'Child Support' section.
Form specifications and details:
| Form Name: | Form FL-300, Request for Order |
| Jurisdiction: | California Superior Court |
| Use Case: | Post-judgment request to modify child custody, visitation, and financial orders due to a change in circumstances. |
Created: January 27, 2026 02:09 AM
