Common Forms


Listed below are the some of the required forms for utilizing the DCSS services. We hope these forms will save you time when using our services.

Application for Child Support Services
This form is used to open a child support case by mail or in person.
(English | Spanish)
Attestation Statement
Form is used to attest that you have a lack of information about the Non-Custodial Parent (NCP).
(English | Spanish)
Certification of Annual Service Fee Exemption
To be completed by Parent/Party Receiving Support (PRS) who believe that their case does not meet the criteria for the $35 Annual Service Fee.
(English | Spanish)
Change of Custody
Form is used to provide DCSS with information on changes to the custody of the child(ren)
(English | Spanish)
Childcare Verification
Form is used to provide DCSS with information on childcare for the child(ren) typically when the case is opening.
(English | Spanish)
Consent to Electronic Service
(English)
Debt Reduction Program Application
The Debt Reduction Program application is used to apply to reduce your child support balance.
(English | Spanish)
Declaration of Support Payment History
Form is used to report direct payments of child support.
(English | Spanish)
Family Violence Questionnaire
(English | Spanish)
Income and Expense Declaration
Form is used primarily for case opening and for requests to review for child support modification.
(English)
Request and Authorization for Release of Information
To be completed by customers requesting that an authorized representative have the ability to discuss their case with our office.
(English)
Request for Telephonic Hearing
Upon request, the court, in its discretion, may permit a telephone appearance in any hearing or conference related to an action for child support under title IV-D of the Social Security Act. Telephonic hearings are not allowed for contested trials, contempt hearings, orders of examination, and any matters in which the party or witness has been subpoenaed to appear in person. Nor allowed for cases in which the identity of the person appearing by telephone is in question or cannot be verified.
(English | Instructions)
Supplemental Security Income Self Certification
(English)
Visitation Verification
Form is used to provide DCSS with information on changes visitation of the child(ren) typically when the case is opening.
(English | Spanish)

You must have a current version of Adobe Acrobat Reader software to utilize these forms. To obtain the most current version of Adobe Acrobat Reader software, please visit the Adobe site to download a free version. Please print them on your home printer, complete and return by mail or bring them with you on your next office visit. Obtain the latest version of Adobe's Acrobat Reader software.