Child Support Agency

CSE-1158A Non-Custodial Parent Request for Review of Arrears

CSE-1158A Non-Custodial Parent Request for Review of Arrears

 

INSTRUCTIONS: ARIZONA NON-CUSTODIAL PARENT REQUEST FOR REVIEW OF ARREARS (Form CSE-1158A)

 

 

To request that a review be conducted of a request for unpaid child support dues in Arizona, the non-custodial parent should file a form CSE-11158A. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 1: On the first blank line, enter your name.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 2: On the second blank line, enter your phone number.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 3: On the third blank line, enter your street address.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 4: On the fourth blank line, enter your city.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 5: On the fifth blank line, enter your state.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 6: On the sixth blank line, enter your zip code.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 7: On the seventh blank line, enter your Atlas case number.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 8: On the eighth blank line, enter the date.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 9: The next section concerns your reason for requesting this review. Check the box next to the first statement if direct payments were made to the custodial parent. Include copies of cancelled check or an Affidavit of Receipt of Direct Payments.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 10: Check the box next to the second statement if the children have been emancipated, adopted or are deceased.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 11: Check the box next to the third statement if you do not owe any past-due support. Proof must be attached.

 

Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 12: Check the box next to the fourth statement if your court order was changed but your DCSE records do not show the changes. Check the box next to the fifth statement if a legal change in custody was made. Check the sixth box if the DCSE does not have a complete payment history. For other, check the last box and explain.

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Administrative Hearing Request

Administrative Hearing Request

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Motion to Intervene

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Affidavit for Termination of Child Support

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Child Support Comments (Form 03EN012E)

Child Support Comments (Form 03EN012E)

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Special Power of Attorney-Authorized Representative (Form 03EN010E)


Special Power of Attorney-Authorized Representative (Form 03EN010E)

 

INSTRUCTIONS: OKLAHOMA SPECIAL POWER OF ATTORNEY (Form 03EN010E)

 

Parents who are involved in a child custody case may wish to appoint someone else to act on their behalf in certain aspects of the cases. To authorize this person, an Oklahoma Special Power of Attorney document (Form 03EN010E) must be completed. This form may be obtained from the Oklahoma Department of Human Services.

 

Special Power of Attorney 03EN010E Step 1: Type or print your name where indicated and enter the Family Group Number which has been assigned to your child custody case. Enter your full address where indicated.

 

Special Power of Attorney 03EN010E Step 2: Enter the name and address of the person you are authorizing as your agent in this case.

 

Special Power of Attorney 03EN010E Step 3: There are two options from which to choose regarding a representative's powers. Check the box next to the first option if you only wish for your representative to have the authority to obtain information and documents from Oklahoma Child Support Services regarding your case.

 

Special Power of Attorney 03EN010E Step 4: Check the box next to the second option if you wish to grant your representative the ability to negotiate and settle the argument on your behalf, including the authority to sign agreements and documents on your behalf. Note that this will not give them the authority to appear in district court or at administrative hearings on your behalf.

 

Special Power of Attorney 03EN010E Step 5: Read the rest of the document before signing. Note that you are entitled to a full account of their financial expenditures on your behalf when requested.

 

Special Power of Attorney 03EN010E Step 6: Sign and date the document at the bottom of the first page in the presence of a witness who is 18 or older, someone you know, and who is not related to you. Both signatures should occur before a notary public, who will affix their seal.

 

Special Power of Attorney 03EN010E Step 7: Submit this document to the child support office in your area. This document will not take effect until they have received it.

 

Special Power of Attorney 03EN010E Step 8: If you wish to revoke this document or to appoint a new representative, you must notify Oklahoma Child Support Services of either decision in writing.

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CC-046 DES Child Care Services Information

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CC-011 Information for Prospective Family Child Care Providers

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ACY-1095A Information Regarding Client Grievances – Level I

ACY-1095A Information Regarding Client Grievances - Level I

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CPS-1044B Response by Relative or Person Having a Significant Relationship with the Child

CPS-1044B Response by Relative or Person Having a Significant Relationship with the Child

 

INSTRUCTIONS: ARIZONA RESPONSE BY RELATIVE OR PERSON HAVING A SIGNIFICANT RELATIONSHIP WITH THE CHILD (Form CPS-1044B)

 

 

When Arizona Child Protection Services is charged with placing a child in custody in a new home, a form CPS-1044B may be mailed to relatives or persons who have a significant relationship with the child. The purpose of this form is to determine if you would be willing as a placement option. This document can be viewed on the website of the Arizona Department of Economic Security.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 1: On the first blank line, enter your name and your relationship to the children.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 2: On the second blank line, enter the name of the children.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 3: Check the first box if you wish to be considered as a placement option now.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 4: Check the second box if you wish to be considered as a placement option in the future.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 5: Check the third box if you are unsure if you wish to be considered as a placement option.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 6: Check the fourth box if you do not wish to be considered as a placement option.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 7: If you wish to be involved, enter the date by which you wish to be involved on line 2.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 8: On line 3, indicate with a check mark whether or not you would like to speak with a child protective services specialist about the children. If so, enter your telephone number or email address for contact purposes.

 

Arizona Response By Relative Or Person Having A Significant Relationship With The Child CPS-1044B Step 9: Sign and date the bottom of the form and provide all contact information requested.

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