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On the far right, mark the box for the change(s) you are requesting and enter the original case number. Enter the name, address, and daytime.If this Order modified legal custody or physical placement in any way, you are informed that: 1. Complete all sections you are changing in 1A-1H. Complete all relevant information and attach a copy of your proposed placement schedule, if applicable. AGREEMENTS: The parties agree that the judgment or order in this case should be changed as follows, and that. Use this checklist and form if both parents agree on the changes to the court orders. This can be done at the child support agency, or the parents can complete the form on their own and submit it to the child support agency. A stipulation is a formal written agreement between parties to change a current court order or judgment. Can I stop paying child support if the other parent isn't following the court-ordered custody agreement?