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To request versions of these forms accessible to persons with visual disabilities, make a note of the form name and click here.

Application for Services Forms

Supplemental Security Income Self Certification Form 

Employer Forms 

Certification of Annual Service Fee Exemption  English | Spanish

Non IV-D Family Violence Questionnaire

Non IV-D Supporting Claim of Family Violence

Application for Child Support Services 

Establishing Parentage Forms

Parentage Opportunity Program Forms

Payment Forms

Electronic Payment Card Fees Disclosure  Domestic | International 

International Direct Deposit Enrollment Form English | Spanish

Domestic Electronic Pay Card Enrollment Form English | Spanish 

International Electronic Pay Card Enrollment Form  English  | Spanish 

Employer Forms

Employee Status Report

Health Insurance Information

National Medical Support Notice Form

Health Insurance Assignment Packet

  • Request and Notice of Hearing Regarding Health Insurance Assignment  Form  |  Instructions

Termination of Benefits

Employer Income Withholding

Employer Refund Request

Employer Stop Payment Request Form

Complaint Forms

Credit Reporting Dispute Claim  English | Spanish

Language Access Complaint Form  English | Spanish

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Click on button to calculate child support.
Click on button to make a payment.
Click on button to apply for services.
Click on button to access frequently asked questions.