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Complete the top portion of the Stipulation and Settlement Agreement and the Affidavit as to. Each requests sole custody.PHYSICAL CARE (Check and complete either subsection A or B):. (1). For Word, WordPerfect, Google Docs, and PDF files, the text load file must contain the full extracted text from the document, unless the document has been. Complete the Proposed Order of Court, the Stipulation and Agreement, the Petition for. If part of the arrears is owed to CSS, check this box and complete this section in the same way you completed section a. Nonetheless, having full knowledge of the right to such a formal hearing, Respondent waives that right. 5. Licensee worked the entire time she was using narcotics. Licensee admitted abusing narcotics and diverting liquid morphine from her clinic on one occasion. Complete both Stipulation to Change FA-604A and Order on Stipulation to Change FA-604B form following the instructions on the left-hand side of the form.