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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.
Adobe also provides Online Conversion Tools for Adobe Portable Document Format documents so that you may convert them to either HTML 3.2 or Text format. Click here to access Adobe's online conversion tools for Adobe PDF Documents.
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Case Opening Packet
Below are forms required for case opening.
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Child Care Verification - Form CSS 2105
Used primarily for case opening.
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Declaration of Parental Relationship
Used primarily for case opening.
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Declaration of Support Payment History - Form CSS 2109
Used primarily for case opening. Includes instruction for completing form.
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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.
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Income and Expense Declaration- Form FL-150
Used primarily for case opening and for requests to review for child support modification.
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Paternity Questionnaire - Form AG107
Used primarily for case opening.
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Payment Records Designee Form
To be completed by customers who wish to authorize the release of their payment history to a non-governmental agency.
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Request for Case Closure
Custodial parties may complete this form when requesting case closure.
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Visitation Verification - Form CSS 2107
Used primarily for case opening.
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