Form Name | Form Number | Form Description |
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Address Disclosure Request |
Used by parents or their attorneys to request the address of dependent children and home or work addresses of the other party to the child support order. |
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Application for Non-assistance Support Enforcement Services | 18-078, 18-078sp (Spanish) |
Use to request the services of DCS for enforcement of an existing child support order or the establishment of a child support obligation.
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Application to Convert Payment Services Only (PSO) Cases to Full Collection Services Cases |
Used by in state parents to apply for case conversion from payment services only (PSO) to full collection services.
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Authorization to Disclose Personal Information | 17-063, 17-063sp (Spanish) |
Parents can grant written permission for someone of their choosing to discuss case specific information with DCS.Search our FAQs to learn more about disclosure…
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Automatic Payment Authorization and Electronic Funds Transfer Information |
Used by noncustodial parents to authorize DCS to deduct support payments from their account by Electronic Funds Transfer (EFT). Payments can be automatically deducted from a bank account. Search our FAQs to learn more about payments...
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Child Care Verification | 18-607, 18-607sp (Spanish) |
Used to obtain childcare costs to enforce or establish a childcare obligation.
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Child Support Enforcement Referral | 14-057, 14-057SP (Spanish) |
Must be used with the Application for Non-assistance Support Enforcement Services (18-078) for case set-up.
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Child Support Referral Continuation | 14-057d, 14-057dsp (Spanish) |
Used as a continuation sheet for the DSHS 14-057 for cases involving more than three children.
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Confidential Information Form (INFO) | WPF DRPSCU 09-0200, WPF DRPSCU 09-0200sp (Spanish) |
Used by parents to provide the court confidential information in a modification process.
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Confidential Information Form (Addendum) | WPF DRPSCU 09-0210, WPF DRPSCU 09-0210sp (Spanish) |
Used by parents as an addendum to the Confidential Information Form (INFO)
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Confidentiality Statement - Tribal Employee | 09-989 |
Used by Tribal employees who have access to SEMS, to agree to federal and state confidentiality requirements.
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Declaration of Lawful Custody | 09-693, 09-693sp (Spanish) |
Used by legal or physical custodians to declare that children are in their lawful custody and can help expedite the establishment or enforcement of Child Support.
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Declaration of Support Payments | 18-433. 18-433sp (Spanish) |
Used by the receiving parent to provide a record of child support payments received from the paying parent.
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Detail Sheet - Unreimbursed Health Care Expenses | 18-682, 18-682sp (Spanish) |
Used by parents to provide DCS with the details of uninsured health care expenses incurred.
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Direct Deposit Authorization | 18-700, 18-700sp (Spanish) |
Used by receiving parents to authorize direct deposit to their bank account.
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Employer Payment Identification Instructions | 18-483 |
Used to provide employers with information on how to remit child support payments and provides employees with a payment remittance form. This is a user fillable file.
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Employment Termination Notice | 18-560 |
Employers use this form to report termination of employee for whom they had a requirement to withhold child support or enroll the employee's children in a health insurance plan.
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Financial Declaration | WPF DRPSCU 01.1550, WPF DRPSCU 01.1550sp (Spanish) |
Used as a declaration of income and expenses.
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Introduction to New Hire Reporting | 18-464 |
Information about the New Hire Reporting Program.
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New Hire Reporting Methods and Instructions | 18-463 |
Information to employers on how to report newly hired and rehired employees.
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Non-Assistance Support Enforcement Information | 16-072, 16-072sp (Spanish) |
Division of Child Support policies and non-assistance cases information.
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Noncustodial Parent Child Support Enforcement Application | 14-057B, 14-057Bsp (Spanish) |
Use this application with both WSCSS Child Support Schedule Worksheets and the 16-107 Noncustodial Parent’s Rights and Responsibilities.
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Noncustodial Parent's Rights and Responsibilities | 16-107, 16-107sp (Spanish) |
This is an overview of the Division of Child Support and its policies.
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Permission to Share Documents for Reimbursement of Medical Expenses | 27-096, 27-096sp (Spanish) |
Use this form to serve a Notice of Support Owed – Medical Support to the obligated parent.
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Petition for Modification - Administrative Order | 09-280B, 09-280Bsp (Spanish) |
Formal petition to modify an administrative child support order.
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Request for Collection of Uninsured Health Care Expenses | 18-681, 18-681sp (Spanish) |
Use to inform either parent that DCS may be able to collect uninsured health care expenses.
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Request for Conference Board | 09-520, 09-520sp (Spanish) |
Conference boards provide a speedy, informal method of resolving grievances. Search our FAQ to learn more about enforcement and conference boards ...
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Request for Income Information for Purposes of Entering a Child Support Order | 18-701, 18-701sp (Spanish) |
Use to ask the Division of Child Support for income information about the other party to your child support order.
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Request for Review of Child Support Order | 09-741, 09-741sp (Spanish) |
Use to request a review and modification to a court order for child support.
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School Statement | 18-551, 18-551sp (Spanish) |
Use to obtain educational institution graduation and enrollment information to determine eligibility for continued child support.
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Statement of Resources and Expenses | 18-097, 18-097sp (Spanish) |
A paying parent completes this income and expense statement, usually to negotiate a payment plan.
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Waiver of Statute of Limitations Defense | 09-508, 09-508sp (Spanish) |
DCS may offer a reduced or deferred repayment plan if the form is signed by the paying parent. The paying parent waives the right to raise a statute of limitations defense.
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Washington State Addendum to Box 2 of Part B - Plan Administrator Response | 09-728 |
Medical insurance plan administrators use this form to respond to a National Medical Support Notice.
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Washington State Child Support Schedule | WSCSS Schedule (English), WSCSS Worksheets (English), WSCSS Worksheets (Spanish), WSCSS Pamphlet (Spanish) |
The Washington State Child Support Schedule (WSCSS) developed by the Administrator of the Courts for establishment or modification of a child support obligation. Search our FAQ to learn more about establishment and modification.
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