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Forms and Brochures
  • Forms and Brochures

Listed below are the some of the required forms for utilizing the DCSS services, as well as informational brochures. We will continue to add additional forms in the future. We hope these forms will save you time when using our services.

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. Click Here to obtain the latest version of Adobe's Acrobat Reader software.

Application for Child Support Services
Link to the California Department of Child Support Services' website where applicants can download the entire Application for Child Support Services Packet or utilize the Statewide Online Application (SOLA).

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 $25 Annual Service Fee.

Please see Notice of New Federally Mandated Annual Service Fee for further information.

Child Care Verification - Form CSS 2105
Used primarily for case opening.

Cliente Conectado... paso a paso

Customer Connect... step-by-step
Informational brochure on accessing California's child support self-service information system.

Declaration of Support Payment History - Form CSS 2109
Used primarily for case opening. Includes instruction for completing form.

Financial Statement (Simplified)- Form FL-155
Used primarily for case opening and for requests to review for child support modification. Use if your only source of income is public aid or SSI.

Income and Expense Declaration- Form FL-150
Used primarily for case opening and for requests to review for child support modification.

Paternity Questionnaire - Form DCSS 0095
Used primarily for case opening.

Payment Records Designee Form
To be completed by customers who wish to authorize the release of their payment history to a non-governmental agency.

Request for Case Closure
The Parent/Party Receiving Support (PRS) may complete this form when requesting case closure.

Visitation Verification - Form CSS 2107
Used primarily for case opening.

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