Forms

All forms below are PDFs and require Adobe Reader » to view. Forms are separated into six categories:

  1. Applications / Requests / Information Gathering
  2. Child Support Calculations / Worksheets
  3. Credit for Payment / Satisfactions
  4. Electronic Payment Withdrawal (EPW)
  5. Employers / Withholding Child Support / Payment Methods
  6. Establishing Paternity

Applications / Requests / Information Gathering

Form No. Name Language
CSF 03 0574 Application for Child Support Services English | Español
CSF 01 0571 Request for Information from the Federal Parent Locator Service English | Español
CSF 01 8643 Child Support Grievance Form English | Español
CSF 01 8644A Notice of Grievance Procedure English | Español
CSF 02 8635 Choose Your Own Language English | Other Languages
CSF 11 0111 General Testimony English
CSF 11 0111I General Testimony – Instructions English
CSF 01 0142A, 01 0100 Request for Review – Modification or Termination Packet (This includes the CSF 01 0100 – Uniform Income & Expense Statement that is required to be submitted with the CSF 01 0142A.) English | Español
CSF 01 0142C, 01 0100 Request for Modification, Termination or Credit on Arrears – Change of Custody Packet (This includes the CSF 01 0100 – Uniform Income & Expense Statement that is required to be submitted with the CSF 01 0142C.) English | Español
CSF 01 0100 Uniform Income and Expense Statement English | Español
CSF 01 0100A Statement of Financial Condition for Individuals English | Español
DHS 8660
Version A		 Client Safety Packet on Good Cause (Version A – For use by the custodial parent or the guardian who has the child or children) English | Español
DHS 8660
Version B		 Client Safety Packet on Good Cause (Version B – For use by the noncustodial parent or a Child Attending School) English | Español

 

Child Support Calculations / Worksheets

Form No. Name Language
CSF 02 0910 Child Support Worksheet English | Español
CSF 02 0910I Child Support Worksheet Instructions English | Español
CSF 02 0910A Rebuttal Worksheet English | Español
CSF 02 0910AI Rebuttal Worksheet Instructions English | Español
CSF 02 0910C Parenting Time Worksheet English | Español

Credit for Payment / Satisfactions

Form No. Name Language
CSF 01 0320, 0322, 0323 Credit for Direct Payment Packet English | Español
CSF 08 0350, 0350A, 0350B, 0350C Satisfaction of Support Judgment with Instructions Packet English | Español

Electronic Payment Withdrawal (EPW)

Form No. Name Language
CSF 08 0305 Electronic Payment Withdrawal Service Information English
CSF 08 0301 Electronic Payment Withdrawal Enrollment/Authorization English
CSF 08 0308 Request for Your Consent to Electronic Payment Withdrawal (EPW) English

Employers / Withholding Child Support / Payment Methods

Form No. Name Language
CSF 01 0580 Employer New Hire Reporting Form English
CSF 08 0700A Direct Deposit Enrollment/ Authorization Form English | Español
CSF 08 0700B ReliaCard Enrollment/ Authorization Form
I have read and accept the U.S. Bank ReliaCard® Fee Schedule and Pre-Acquisition Disclosure

CSF 08 0700C ReliaCard and Direct Deposit Information Frequently Asked Questions (FAQs) English | Español
CSF 08 0701 Request for Exception to Electronic Disbursement Enrollment English | Español
CSF 11 0210 Order/Notice to Withhold Income for Child Support English | Español

Establishing Paternity

Form No. Name Language
CSF 11 0112 Declaration in Support of Establishing Parentage English | Español