Do You Have Court Order For Child SupportNoYes
Since A Court Order For Support Was Issued, Please Provide Us:
What was the amount the non custodial parent was suppose to pay each month?
Please list the dates of birth of all children involved in this child support case. (MM/DD/YY)?
Please Provide Your Child's/Children's DOB ---YesNo
Did you ever request assistance collecting child support? ---YesNo
(Select all that apply.)
Private AttorneyCounty Domestic Relations DepartmentOffice of the Attorney GeneralPrivate Collections Agency
Did you ever receive cash benefits from the state government? ---YesNo
Has Any Of The State Debt Been Repaid? ---YesNo
Has Any Of The Debt Been Repaid? ---YesNo
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Would You Like To Add Any Additional Information? ---YesNo