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Child Support Forms
State of Alaska  > Revenue  > Child Support Services  > Forms

These files are available for downloading and viewing for your use. Forms with a PDF icon image icon by it are Adobe Acrobat PDF documents, those with a Word icon image icon by it are Microsoft Word documents.

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PDF

Word

      Form Name

Pages

 

Custodial Application for Services

 

1

Click here to get PDF version of complete packet for custodial application

  Custodian's Application for Services (04-1017) 

13

2 Click here to get PDF version of complete packet for custodial application   Paternity Information Locate Sheet (04-1423A) 2
   

Noncustodial Parent Application for Services

 

3

Click here to get PDF version of Noncustodial Parent Application for service

  Noncustodial Parent Application for service (1017B) 10
4 Click here to get PDF version of Noncustodial Parent Application for service   Non Parent Custodial Application for Services  (04-1017D) 14
   

Paternity Forms 

 

5

Click here to get PDF version of Completion of Paternity Affidavit

  Paternity Witness Statement (04-1604D) 1

6

Click here to get PDF version of Completion of Paternity Affidavit

  Paternity Witness Statement Fill-in Version (04-1604D)  1

7

Click here to get PDF version of Completion of Paternity Affidavit

 

Affidavit in Support of Establishing Paternity (includes 4 pages of instructions)

7

8 Click here to get PDF version of complete packet for custodial application   Paternity Information Locate Sheet (04-1423A) 2
   

Modification

 

9

Click here to get PDF version of Request for Modification of Administrative Support Order

  Request for Modification of an Alaskan Child Support Order (04-1686A)

1

10

Click here to get PDF version of Child Support Guidelines Affidavit

  Child Support Guidelines Affidavit (04-1901)

1

   

Interstate

 

11

Registration Statement

  Registration Statement (OMB No, 0970-0085)

1

12

Registration Statement

  General Testimony & Instructions for General Testimony                             (includes 16 pages of instructions)

26

13

Click here to get PDF version of Affidavit of Military Service

  Affidavit of Military Service (04-0004)

11

 

  Click here to get PDF version of Affidavit of Military Service

Click here to get Word version of New Hire Reporting Form

Request for Administrative Review of Controlling Order Determination

1

   

Electronic Fund Transfer

 

15

Click here to get PDF version of Direct Deposit/Withdrawal Information Pamphlet

  Custodial Parent Authorization for Direct Deposit Fill-in Version (04-0008) 

1

 16

Click here to get PDF version of Request for Direct Deposit/Withdrawal

  Custodial Parent Authorization for Direct Deposit (04-0008) 

1

   

Additional  Forms

 

17

Click here to get PDF version of Hardship Request for Lower Withholding

  Hardship Request for Lower Withholding (04-0009)

1

 18

Click here to get PDF version of Instructions for Completing Affidavit of Support Received

  Statement of Support Received - 12 year version (04-1606A)  

3

 19

Click here to get PDF version of Affidavit of Support Received

  Statement of Support Received - 3 year version (04-1606B)  

2

 20

Click here to get PDF version of Nondisclosure letter

  Confidentiality of Information for Domestic Violence Victims (04-0500A)

1

 21

Click here to get PDF version of Affidavit for Nondisclosure

  Affidavit and Request for Address Confidentiality (DV Victim) (04-0502)

1

 22

Click here  to get PDF version of Introductory Information from CSSD

  Information about Child Support Services Services (04-1060A)

3

23

Click here to get PDF version of Information Locate Sheet

  Information Locate Sheet (04-1423) 

2

24

Click here to get PDF version of Withdrawal of Application for Services

  Withdrawal of Application for Services (04-1090)

1

25

Click here to get PDF version of Withdrawal from Formal Hearings

  Withdrawal from Formal Hearing (04-1916)

1

26

Click here to get PDF version of Request for Stop Pay/Re-issue

  Request for Stop Pay/Re-issue (04-1013)

1

27

Click here to get PDF version of Alaska New Hire Reporting Form

Click here to get Word version of New Hire Reporting Form

Alaska New Hire Reporting Form (04-1050)

2

28

Click here to get PDF version of Alaska New Hire Reporting Form

  Alaska New Hire Reporting Form - Fill in Version (04-1050)

2

29

Click here to get PDF version of Vacating an Administrative Order Packet

  Vacating an Administrative Order

5

 30

Click here to get PDF version of Vacating an Administrative Order Packet

  Request for Release of Joint Federal Tax Refund (04-1806)

1

31

Click here to get PDF version of Vacating an Administrative Order Packet

Click here to get Word version of New Hire Reporting Form

CSSD Verification Form (04-0950)  
32

Click here to get PDF version of Vacating an Administrative Order Packet

  Settlement Financial Statement (04-1888A) 5
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