Alaska Child Support Services Division

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) * (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)