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We publish state-approved court forms free of charge as a public service. Information on this website is NOT a substitute for legal advice. Please talk with a lawyer to get legal advice on your situation. Court staff cannot give legal advice. (See Disclaimer.)

If you cannot find a form on this website or at your local District Court, you may find forms at a law library or legal forms publisher.

Form "Packets" are available for many legal actions and are designed to make it easier to select and print the instructions and all of the forms needed for an action. Be sure to click the link for the [Packet] if available for your legal action.
NOTICE:

Go arrow The eFile and eServe system is currently available for attorneys and justice agencies only, and it must be used in civil and family cases in select counties. Learn more... 
Go arrow Effective May 1, 2012 - Find new family law forms in the Family Forms Category.
Go arrow See also Court Rules Forms & Other Legal Forms.

Court Forms Category List > Family Forms >

Forms Packet: Collect Unreimbursed / Uninsured Health Care Expenses

Form # Form District* Download
FAM401Instructions on Collection Unreimbursed / Uninsured Health Care Expenses for Joint Children Statewide FAM401.docFAM401.pdf
FAM402Notice of Intent to Collect Unreimbursed / Uninsured Health Care Expenses for Joint Children Statewide FAM402.docFAM402.pdf
FAM403Affidavit of Health Care Expenses and Demand for Payment Statewide FAM403.docFAM403.pdf
FAM404Notice of Motion and Motion and Affidavit to Collect Unreimbursed / Uninsured Health Care Expenses Statewide FAM404.docFAM404.pdf
SOP105Affidavit of Service - Combined Statewide SOP105.docSOP105.pdf
* If a district is listed for a form, then that form is designed specifically for use within that Judicial District. If no district is listed for a form, then that is the statewide form.