Child Support Forms

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PDF

Word

Form Name

Custodial Application for Services

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

Custodian's Application for Services (04-1017) *

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

Custodian's Application for Services (04-1017) Fill-in Version 

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

Paternity Information Locate Sheet (04-1423A) *

Non Custodial Parent Application for Services

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

Noncustodial Parent Application for service (1017B) *

Non Parent Application for Services

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

Non Parent Custodial Application for Services  (04-1017D) *

Paternity Forms

6 Click here to get PDF version of Completion of Paternity Affidavit  

Paternity Witness Statement (04-1604D)

7 Click here to get PDF version of Completion of Paternity Affidavit  

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

8 Click here to get PDF version of Completion of Paternity Affidavit  

Affidavit in Support of Establishing Paternity

8A Click here to get PDF version of Completion of Paternity Affidavit  

Instructions for Affidavit in Support of Establishing Paternity

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

Paternity Information Locate Sheet (04-1423A) *

Modification

10 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)

11 Click here to get PDF version of Child Support Guidelines Affidavit  

Child Support Guidelines Affidavit (04-1901) *

Intergovernmental

12 Registration Statement

Registration Statement and instructions *

13 Registration Statement  

Registration Statement Packet * (includes cover letter)

14 Registration Statement  

General Testimony * (11 pages)

15 Registration Statement  

General Testimony Instructions (15 pages)

16 Registration Statement  

General Testimony Packet * (includes cover letter)

17 Click here to get PDF version of Affidavit of Military Service  

Affidavit of Military Service (04-0004) *

Electronic Funds Transfer (EFT)

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

Custodial Parent Authorization for Visa Debit Card or Direct Deposit Fill-in Version (04-0008)

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

Custodial Parent Authorization for Visa Debit Card or Direct Deposit (04-0008) 

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

Non Custodial Parent Payment Agreement / Direct Withdrawal Authorization
Fill-in Version(04-0008C)

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

Non Custodial Parent Payment Agreement / Direct Withdrawal Authorization (04-0008C)

Additional Forms

22

 

Click here to get Word version of New Hire Reporting Form

Authorization for Release of Information (04-0007)

23

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

 

Hardship Request for Lower Withholding (04-0009) *

24

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

 

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

25

Click here to get PDF version of Affidavit of Support Received

 

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

26

Click here to get PDF version of Affidavit of Support Received

 

Statement of Support Paid - 12 year version (04-1606C)  *

27

Click here to get PDF version of Affidavit of Support Received

 

Statement of Support Paid - 3 year version (04-1606D) *

28

Click here to get PDF version of Nondisclosure letter

 

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

29

Click here to get PDF version of Affidavit for Nondisclosure

 

Affidavit & Request for Nondisclosure of Identifying Information (04-0502)*

30

Click here  to get PDF version of Introductory Information from CSSD

 

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

31

Click here to get PDF version of Information Locate Sheet

 

Information Locate Sheet (04-1423) *

32

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

 

Withdrawal of Application for Services (04-1090) *

33

Click here to get PDF version of Withdrawal from Formal Hearings

 

Hearing Withdrawal and Consent (04-1916) *

34

Click here to get PDF version of Withdrawal from Formal Hearings

 

Hearing Withdrawal and Consent  -  Fill in Version (04-1916)

35

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

 

CSSD Check Reissue Request (04-1013) *

36

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)

37

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

 

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

38

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

 

Vacating an Administrative Order *

39

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

 

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

40

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) *

41

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

 

Settlement Financial Statement (04-1888A) *

42

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

 

Forgiveness of Arrears - Program Eligibility Application (04-2400A)

43

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

 

Forgiveness of Arrears - Program Eligibility Application - Fill in Version (04-2400A)

44

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

 

Forgiveness of Arrears - Financial Statement - (04-2402)

45

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

 

Forgiveness of Arrears - Financial Statement - Fill in Version (04-2402)