Child Support Agency

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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CS-124 Request for IV-D Services/Genetic Testing Agreement

CS-124 Request for IV-D Services/Genetic Testing Agreement

 

INSTRUCTIONS: ARIZONA APPLICATION FOR IV-D SERVICES/GENETIC TESTING AGREEMENT (Form CS-124)

 

 

When applying for child support services in Arizona from a father who denies being the biological father of the child in question, the mother may file a form CS-124 requesting that genetic testing be conducted to establish paternity. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 1: In the first box, enter the child's name.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 2: In the second box, enter the child's birth date.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 3: In the third box, enter the city, county and state of birth.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 4: In the fourth box, enter the hospital of birth.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 5: The next section concerns the mother. Enter your first, middle and last name in the first blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 6: Enter your maiden  name in the second blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 7: Enter your address in the third blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 8: Enter your date of birth in the fourth blank box and your place of birth in the fifth blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 9: Enter your phone number in the sixth blank box and your Social Security number in the seventh blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 10: Enter your employer in the eighth blank box, your occupation in the ninth blank box, and the type of business in the tenth blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 11: Enter your medical insurance company name in the eleventh blank box and your policy number in the twelfth blank box.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 12: Indicate your ethnicity.

 

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 13: Sign and date the form, as well as providing all information requested about the father in the section where indicated

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CSE-1158AS Solicitud De Padre/Madre Sin La Custodia Para Revisión De Deudas

CSE-1158AS Solicitud De Padre/Madre Sin La Custodia Para Revisión De Deudas

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Administrative Review Request

Administrative Review Request

 

INSTRUCTIONS: ARKANSAS ADMINISTRATIVE REVIEW REQUEST 

 

 

Arkansas parties in child support cases who feel that the offices of the Arkansas Office of Child Support Enforcement have been unprofessional, discourteous or otherwise inadequate in handling their case should first speak with their caseworker. If this fails to yield results, the parent should then contact a supervisor at the office in question. If this fails to produce results, you may speak directly with the office manager. If you still are not satisfied with the handling of your case, you may call the Office of Child Support Enforcement's customer service division to file a complaint. Alternately, you may complete the Administrative Review Request discussed in this article. This document can be obtained from the website maintained by the Arkansas Department of Finance and Administration.

 

Arkansas Administrative Review Request Step 1: On the first blank line, enter the date.

 

Arkansas Administrative Review Request Step 2: On the second blank line, enter your name.

 

Arkansas Administrative Review Request Step 3: Indicate whether you are a custodial or noncustodial parent by circling the appropriate description.

 

Arkansas Administrative Review Request Step 4: On the third blank line, enter your case number.

 

Arkansas Administrative Review Request Step 5: On the fourth blank line, enter your street address.

 

Arkansas Administrative Review Request Step 6: On the fifth blank line, enter your city, state and zip code.

 

Arkansas Administrative Review Request Step 7: On the sixth blank line, enter your daytime phone number, including the area code.

 

Arkansas Administrative Review Request Step 8: In the next section, provide a brief written description of your problem with your case has been handled. Note that the Office of Child Support Enforcement has no authority over judge's decisions and cannot process complaints related to unfavorable rulings.

 

Arkansas Administrative Review Request Step 9: Mail the form to the address of your child support enforcement office. You can expect to receive a response from the office manager within 10 days of their receipt of your request. 

 

Arkansas Administrative Review Request Step 10: If you are not satisfied with the results of the administrative review, you may request an additional review by calling or faxing the department at the numbers given at the bottom of the page. Alternately, you may mail your request for additional review to the P.O. box given at the bottom of the page.

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Affidavit of Service In Motion to Intervene

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Acknowledgement Agreeing to Termination of Child Support

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Child Support Computation (Form 03EN025E)

Child Support Computation (Form 03EN025E)

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