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Fl470 2026

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  1. Click ‘Get Form’ to open the FL-470 in the editor.
  2. Begin by filling in your name, State Bar number, and address in the 'ATTORNEY OR PARTY WITHOUT ATTORNEY' section. This identifies you as the applicant.
  3. Provide your contact information, including telephone number and optional email address, ensuring that all details are accurate for court communication.
  4. In the 'MARRIAGE OF' section, enter the names of both parties involved in the case along with the case number for proper identification.
  5. Complete the 'APPLICATION' section by detailing the obligor's name and dates relevant to health insurance coverage. Make sure to indicate how notice was given regarding this application.
  6. Fill out the 'ORDER FOR HEALTH INSURANCE COVERAGE' section by providing necessary child details such as names and dates of birth. Ensure accuracy to avoid delays.
  7. Finally, review all entries for correctness before signing and dating at the bottom of the form. This confirms your declaration under penalty of perjury.

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