Form FL-170: Declaration for Default or Uncontested Dissolution or Legal Separation (Family Law)
Upload your blank FL-170 from Judicial Council of California, let AI auto-detect every field, type or dictate your data, and download the completed PDF in seconds. Your first clean download has no watermark, and there is nothing to install.
By uploading, you confirm you have the legal right to use this document.
JustFill fills the FL-170 PDF for you. It does not grant a judgment, does not calculate support and does not give legal advice — you file the declaration yourself with the proposed judgment.JustFill is not affiliated with Judicial Council of California. This is an independent third-party tool to help you complete FL-170. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official FL-170 from Judicial Council of California
Form FL-170 is the Declaration for Default or Uncontested Dissolution or Legal Separation approved for mandatory use by the Judicial Council of California under Family Code section 2336. It is the sworn declaration that replaces testimony: you state that if you appeared in court and were sworn you would testify to these facts, and you agree the case will be proven by the declaration so you do not have to appear. It covers the type of case, the disclosure requirements, custody, child support, spousal support, parentage and the request for judgment, and is filed with the proposed Judgment (form FL-180) and Notice of Entry of Judgment (form FL-190) once the default has been entered or requested. JustFill fills the official three-page PDF in your browser; the first clean completed PDF download is included at no charge.
FL-170 is what lets an uncontested California divorce be decided on paper, and JustFill turns the official three-page Judicial Council PDF into a fillable form in your browser. Items 1 to 12 apply to both dissolution and legal separation. Item 4 fixes the type of case: default without agreement, default with agreement, or uncontested. Item 5 is the declaration of disclosure, with four alternatives depending on how the case is proceeding. Items 6 to 8 cover custody and parenting time, child support and spousal or partner support. Item 9 covers parentage of children born before the marriage. Items 10 to 12 cover attorney fees, nunc pro tunc entry and restoration of a former name. Items 13 and 14 (irreconcilable differences and review by a commissioner) also apply to both. Only items 15 to 17 are limited to dissolutions, item 18 applies only to legal separations, and item 19 is a free-text box for anything else.
What each section of FL-170 asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.
That you would testify to these facts if sworn; that you agree the case will be proven by this declaration and you will not appear unless ordered; and that the information in the petition or response, amended or not, is true and correct.
Exactly one of three: default without agreement (no response filed, no written agreement, default entered or being requested, and you seek no relief beyond the petition); default with agreement (no response, the parties agreed the matter may proceed as a default without notice, and a written agreement is submitted for approval); or uncontested (both parties appeared and a written agreement is submitted). For a default without agreement you also check one statement in 4a(3): either there are no assets or debts for the court to divide, or they are listed on a current Property Declaration (form FL-160) and the division in the proposed Judgment (form FL-180) is a fair and equal one.
Four alternatives: both parties have filed or are filing FL-141 and FL-150; default by publication or posting where preliminary disclosure was not required and final disclosure is waived; default where proof of service of the preliminary disclosure was filed and final disclosure is waived; or an uncontested case where final disclosure is mutually waived under FL-144, the settlement agreement or a separate stipulation.
That custody and parenting time should be ordered as in the proposed Judgment (form FL-180); whether the UCCJEA information (form FL-105) has changed since it was last filed; any existing order in another county with its case number; and the current schedule.
Child support as in the proposed judgment, whether it is being enforced in another case, public assistance status for either party, and confirmation that the attached child support calculation is correct from personal knowledge. Then spousal, partner or family support: ordered as in the proposed judgment on stated factors, reserved for the future, terminated forever, or knowingly given up. The note at item 8 is where the Income and Expense Declaration (form FL-150) comes in: if you ask for a support order or attorney fees you must submit a completed current FL-150 with your best estimate of the other party's income, unless one is already on file.
Parentage of children born before the marriage or partnership, with a voluntary declaration or written agreement attached or a prior court determination identified; attorney fees; entry nunc pro tunc with reasons; and restoration of a former name as set out in the proposed judgment.
Items 13 and 14 apply to every case: irreconcilable differences have led to irremediable breakdown with no possibility of saving the marriage, and the declaration may be reviewed by a commissioner sitting as a temporary judge under Family Code section 2336. Items 15 to 17 apply only to dissolutions: the residence requirement where the marriage or partnership was created in another state, the request for a judgment of dissolution with the orders in the proposed Judgment (form FL-180), and the optional status-only judgment that ends the marriage and reserves every other issue. Item 18 applies only to legal separations: the request for judgment plus your acknowledgement that a legal separation does not end the marriage or partnership. Item 19 is for anything else.
A petitioner in Alameda County whose spouse never responded. The default was entered on FL-165. There are no children, no community property or debts, both parties support themselves, and the petitioner wants a former name restored. The respondent was served on 3 March 2026, so the six-month date is 3 September 2026.
DISSOLUTION box checked; petitioner, respondent and case number copied from the FL-100
The same form serves dissolution and legal separation; the box at the top decides which closing items apply.
Petition checked (amended left unchecked)
You swear the facts in your petition are still true and correct. Check amended only if you filed an amended petition.
a. Default without agreement; (3)(A) There are no assets or debts to be disposed of by the court
No response, no written agreement and a default already entered. With property to divide you would check (3)(B) instead and attach a current Property Declaration (FL-160).
b. checked: proceeding by default, proof of service of the preliminary Declaration of Disclosure (FL-140) filed, receipt of the final disclosure waived
Requires the FL-141 already on file. If the summons was served by publication or posting, c is the matching box.
Left blank
There are no children of the marriage. With children each item and its attachments (FL-341, FL-342) must be completed.
a. checked (petitioner gives up the right to support forever); c. checked for Respondent, matching what the petition asked for
No support order or attorney fees are requested, so no Income and Expense Declaration (FL-150) is needed. The note at item 8 requires a current FL-150 whenever an order or fees are requested.
Petitioner box checked
The restored name itself goes on the proposed Judgment (FL-180). This item is only for dissolution or nullity, not legal separation.
Pre-printed statements, no box
They apply to every FL-170: you affirm the marriage cannot be saved and accept that a commissioner may decide on the paper or require you to appear.
Item 16 pre-printed; item 17 left unchecked
A full judgment is requested. Item 17 is only for ending marital status while reserving every other issue.
25 August 2026, JANE SAMPLE, signed under penalty of perjury
The declaration replaces your testimony under Family Code section 2336. It is filed with FL-180, FL-190 and stamped envelopes; the judgment can end the marriage no earlier than 3 September 2026.
These values are made up. They are here to show what belongs on each line, not to be copied — every name, number, and address on your own FL-170 has to be your own.
Upload your blank FL-170 PDF and our AI maps every fillable region — no manual drawing required.
Fill FL-170 once, save the layout, then reuse it instantly for the next client, employee, or filing.
GDPR compliant. Export or delete all your data anytime from your account settings.
Drop your blank FL-170 PDF below. Free account, no credit card.
By uploading, you confirm you have the legal right to use this document.
Form FL-165: Request to Enter Default (Family Law—Uniform Parentage)
Form FL-100: Petition—Marriage/Domestic Partnership (Family Law)
Form FL-150: Income and Expense Declaration
Form FL-341(D): Additional Provisions — Physical Custody Attachment
Upload any document — a scan, a photo, a Word export, a form from another agency — and the same editor puts fields on it.
Turn a flat, scanned or exported PDF into a fillable form — draw the fields once, or let AI detect them.
Keep the original layout and get real, clickable form fields back out the other side.
Type straight onto any PDF in the browser. No Adobe or install; your first clean download has no watermark.
Upload a form and preview its fields before paying. Your first clean download has no watermark, and no credit card is required.
Adobe retired Fill & Sign. This is the free browser replacement for the same job.
Official source: FL-170 on Judicial Council of California’s website
Edition checked: FL-170 [Rev. January 17, 2020] (Judicial Council of California, form approved for mandatory use; self-help page shows Effective: January 17, 2020). Verified against the official source on .
Form FL-170 is published by the Judicial Council of California. JustFill is not affiliated with the Judicial Council or any California court.
JustFill is an independent product and is not affiliated with, endorsed by, or sponsored by Judicial Council of California or any government agency. Always verify your completed form on the official version before signing or submitting.