Child Support Agency

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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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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