Complete a Provincial Court Financial Statement (Form 4)

A Provincial Court Financial Statement (Form 4) is a document that tells the judge about your income, expenses, assets, and debts.

You must fill out this form if:

• There's a claim for spousal or child support against you.
• You're claiming spousal support.
• You're claiming child support and any of the following apply:
  • You're claiming an amount other than the amount set out in the child support tables.
  • You're claiming for special or extraordinary expenses.
  • The child support is for stepchildren.
  • At least one of the children for whom you're claiming support is 19 or over.
  • Each parent has, or is applying for, at least 40 percent of the parenting time (split or shared parenting time).
  • Each parent has, or is applying to have, one child primarily in the care of one parent and another child primarily in the care of the other parent.
  • The person being asked to pay child support makes more than $150,000 a year.
  • Either spouse is claiming undue hardship.
• There's an application to set aside (cancel) or replace all or any part of an agreement that deals with child support.

See spousal support and child support for more information.

You'll need:

• Financial Statement (Form 4)

The Financial Statement contains instructions to help you fill it out. You can either fill it out online or print it out and fill it out by hand (print neatly using dark-coloured ink).

You can also get free printed forms from the Family Court registry at a courthouse near you.

When filing your financial statement you'll need the original plus three copies.

The Financial Statement is divided into 6 parts. You may not have to fill them all out. The form itself will tell you which parts to complete.

• Part 1 — Income
• Part 2 — Personal Expenses and Debts
• Part 3 — Assets
• Part 4 — Special or extraordinary expenses
• Part 5 — Income of Other Persons in Household (Complete this part only if you or the other person has made a claim for undue hardship in a child support claim.)
• Part 6 — Undue Hardship

See our child support page for more information on special and extraordinary expenses and undue hardship.

Attach all of these documents to your Financial Statement:

• A copy of the last three income tax returns you filed, including any attachments. (If you don't have copies, call the Canada Revenue Agency at 1-800-959-8281 or ask the tax professional who prepared them for you.)
• A copy of every income tax Notice of Assessment and Reassessment that the Canada Revenue Agency has sent you for the three most recent tax years.

Also attach any of these documents that apply to you:

• If you're an employee: your most recent statement of earnings, showing your total earnings (including overtime) paid so far this year, or a letter from your employer that says what your total earnings (including overtime) are so far this year, and what your annual salary is.
• If you're getting Employment Insurance (EI) benefits: copies of the three most recent benefit statements (the cheque stubs).
• If you're getting workers' compensation benefits: copies of the three most recent benefit statements.
• If you're getting income assistance: a statement from the Ministry of Social Development & Poverty Reduction that shows how much you've received in benefits and for which months you got it — ask your employment assistance worker for this.
• If you own a home or other property: a copy of the most recent assessment notice (usually from BC Assessment if the property is in BC).

Also attach any of these documents that have applied to you during the last three years:

• If you've been self-employed, for the three most recent tax years, a copy of:
  • the financial statements for your business or professional practice (other than a partnership), and
  • a statement showing a breakdown of all salaries, wages, management fees, or other payments or benefits paid to, or on behalf of, people or corporations you deal with closely (that is, not at arm's length).
• If you're a partner in a partnership: confirmation of your income drawn from and capital in the partnership for the three most recent tax years.
• If you control a corporation: the financial statements of the corporation and its subsidiaries and a statement showing a breakdown of all salaries, wages, management fees, or other payments paid to, or on behalf of, people and corporations that your corporation and all related corporations deal with closely (that is, not at arm's length).
• If you've received payouts from a trust: a copy of the trust settlement agreement and copies of the trust's three most recent annual financial statements.

You've now worked through all the steps to complete a Provincial Court Financial Statement.

When you're filing the other documents you need, you can get your Financial Statement sworn at the courthouse. Or, if you have a lawyer, your lawyer can swear it. Before they sign, ask them to look over your Financial Statement and make sure it's all correct. Once it's sworn it can't be changed.

You can close this tab and continue to work through the step-by-step guide that sent you here.