|
Form Name* |
Description |
Adobe PDF Fillable
Form* |
|
Application For Support Services
Package |
Request for child support services.
This package is used for custodial parents to declare and request
assistance in child support pursuant cases based on court orders.
Custodial and Non-custodial Parents Only. |
 |
|
Income And Expense Declaration |
This form is used for parents to
declare income and expenses for proof in support cases.
Custodial and Non-custodial Parents. |
|
|
Employer - Employee Verification Form
Employers Only |
This form is used by employers to
verify employment and pay benefits to compute child support.
|
|
|
Health Insurance Statement
Verification
Employers Only |
This form is used to provide
information on employee medical benefits and requirements.
Forms open in new window. Employers
can print out form, sign to validate information and mail to DCSS or
simply complete fillable form, save file and email to DCSS. The
fillable forms can be saved blank to employer’s computer and filled
out from there as above. |
|
|
Employment Payment Coupon for Wage
Withholding
Employers Only |
This form is used to identify payment
withholding for employees.
Forms open in new window. Employers
will print out form, sign to validate information and mail to DCSS. |
|
|
Termination of Employment Notice
Employers Only |
This form is used to report
termination of employment of NON-CUSTODIAL PARENT for whom you have a
requirement to withhold support or enroll the employee's children in a
health insurance plan.
Forms open in new window. Employers
will print out form, sign to validate information and mail to DCSS. |
|
|
For more information and resources on
government forms, visit the Judicial Council and the Administrative
Office of the Courts website at
4www.courtinfo.ca.gov/forms/
|
