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. Circuit Court Forms
  4. Credit for Payment / Satisfactions
  5. Electronic Payment Withdrawal (EPW)
  6. Employers / Withholding Child Support / Payment Methods
  7. 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 0591 Authorization To Disclose Oregon Child Support Program Records (third party access) English | Espanol 
CSF 01 0591A Authorization To Disclose Support Payment Records (housing or income verification) English
CSF 01 8643 Child Support Grievance Form English | Español
CSF 01 8644A Notice of Grievance Procedure English | Español
CSF 01 0523 Request for Child Support Information
by a Lender, Title, or Escrow Company		 English
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 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

Circuit Court Forms

Form No. Name Language
CSF 02 5513 Petition for De Novo Review of Child Support Program Administrative Order and Instructions English

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 (Satisfaction forms should be sent to the Child Support Program and not your local courthouse. If unsure of the amount or specific form needed, contact Customer Service at 800-850-0228.) English | Español

Electronic Payment Withdrawal (EPW)

Form No. Name Language
CSF 08 0305 Electronic Payment Withdrawal Service Information English | Español
CSF 08 0301 Electronic Payment Withdrawal Enrollment/Authorization English | Español
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
(Not intended for use by the public when the Oregon Child Support Program is providing services on a case.)		 English | Español

Establishing Paternity

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