DR-355 Order for Reimbursement of Health Care Expenses 612 Domestic Relations Forms 2026

1. Click ‘Get Form’ to open the DR-355 Order for Reimbursement of Health Care Expenses in our editor.
2. Begin by entering your name and mailing address in the 'Person Submitting Proposed Order' section. If you are representing yourself, check the 'Pro Se' box.
3. Fill in the case number at the top of the form to ensure it is linked to your specific court case.
4. In the order section, specify who must pay for the children's health care expenses and the exact amount due. Include a payment deadline.
5. If applicable, indicate whether enforcement actions may be taken if payment is not made by the specified date.
6. Complete any additional requirements, such as obtaining a release form from the insurance company for EOB statements.
7. Finally, ensure that all necessary signatures are included before submitting your completed form.

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