| Form | Title | Use |
|---|---|---|
| 18-176A 18-176A(Spanish) |
Address Disclosure Request | Used by CPs and NCPs (or their attorneys)to request the address of dependent children or to request the home or work address of the other party to the child support order. |
| 09-693 09-693(Spanish) |
Declaration of Lawful Custody | Used to help expidite the establishment or enforcement of Child Support by the legal custodian/physical custodian of a child in a non-assistance case. |
| 09-728 | Washington State Addendum To Box 2 Of Plan Administrator Response | Medical insurance plan administrators use this form to respond to a National Medical Support Notice. |
| 09-793 09-793(Spanish) |
Medical Assistancy Only - Election Of Support Enforcement Services | Used for establishing Medical Support. |
| 18-463 |
New Hire Reporting Methods and Instructions | Used by the New Hire Reporting program to explain the program and reporting methods. |
| 18-464 |
Introduction to New Hire Reporting | Used to provide employers information about the New Hire Reporting program. |
| 18-682 18-682(Spanish) | Detail Sheet - Unreimbursed Medical Expenses | Used to request medical reimbursement. |
| 18-683 18-683(Spanish) | Monthly Summary Sheet - Unreimbursed Medical Expenses for Children | Used to request medical reimbursement. |
| 09-280B |
Petition for Modification - Administrative Order | Formal petition to modify a child support order. |
| 09-741 |
Request For Review Of Child Support Order | Used to request a review and modification to a child support order. |
| WPF DRPSCU 01.1550 (6/2004) |
Financial Declaration | Used as a declaration of income and expenses. |
| WPF DRPSCU 09.0200 |
Confidential Information Form (INFO) | Used by CPs and NCPs to provide a court confidential information in a modification process. |
| WPF DRPSCU 09.0210 |
Addendum to Confidential Information Form | Used by CPs and NCPs as an addendum to the Confidential Information Form (INFO). |
| 18-078 18-078(Spanish) |
Application for Nonassistance Support Enforcement Services | Anyone can request the services of DCS for enforcement of an existing child support order, or establishment of a child support obligation. |
| 14-057 14-057(Spanish) |
Child Support Enforcement Referral | Must be used with the Application for Nonassistance Support Enforcement Services (18-078) |
| 14-057B 14-057B(Spanish) |
Noncustodial Parent Child Support Enforcement Application | Used with the WSCSS Child Support Schedule Worksheets and the 16-107 Noncustodial Parents Rights and Responsibilities. |
| 14-057D 14-057D(Spanish) |
Child Support Referral Continuation | Used as a continuation sheet for the DSHS 14-057 for cases involving more than three children. |
| 14-341 | Application For Full Collection Services | Used with the 16-072 Nonassistance Support Enforcement Information. |
| 18-433 | Declaration of Support Payments | Form states a history of Child Support Payments over a 10 year period. |
| 18-483 | Employer Payment Identification Instructions | To process payments, the Division of Child Support (DCS) needs specific information for each employee covered by your payment. The information you provide helps us quickley distribute payments to the families due support. This is a user fillable file. |
| 18-484 | Automatic Payment Authorization and Electronic Funds Transfer Information |
Payments can be automatically deducted from a bank account. More about payments... |
| 18-560 | Employment Termination Notice | Use this form to report termination of employees for whom you had a requirement to withhold child support or enroll the employee's children in a health insurance plan. |
| 16-072 16-072(Spanish) |
Nonassistance Support Enforcement Information | Division of Child Support policies information and public assistance. |
| 16-107 | Noncustodial Parent's Rights and Responsibilites | An overview of the Division of Child Support and our child support policies. |
| 17-063 | Authorization to Disclose Personal Information |
Either a custodial or non-custodial parent can grant written permission for someone
of their choosing to discuss case specific information with DCS. More about disclosure... |
| 09-392 | Petition for Late Hearing - Administrative Orders |
A non-custodial parent, who missed the initial hearing period, can request that DCS review
the facts and the administrative order. More about administrative orders... |
| 09-520 | Request for Conference Board |
Conference boards provide a speedy, informal method of resolving grievances. More about conference boards... |
| 18-097 | Statement of Resources and Expenses | A non-custodial parent completes this income and expense statement at the request of DCS staff, usually to negotiate a payment plan. |
| 09-508 | Waiver of Statute of Limitations Defense | The non-custodial parent acknowledges via signature that a child support obligation is owed for the children listed on the form. If you waive your right to defense of the statue of limitations, DCS may negotiate a more liberal repayment plan. |
|
Schedule Worksheets WSCSS (Spanish) Worksheets (Spanish) |
Washington State Child Support Schedule |
The Washington State Child Support Schedule is developed by the Administrator
of the Courts to be used for establishment or modification of a child support
obligation. More about establishment... More about modification... |