DCSS Internal Forms and Checklists
| Subject Area & Document Title | Link to Document | Document Type | Fillable? |
|---|---|---|---|
| CLOSURE | |||
| AZCARES Closure Checklist | AZCARES Closure Checklist | Checklist | Fillable |
| Enforcement Case Closure Checklist | Enforcement Case Closure Checklist | Checklist | Fillable |
| CORRESPONDENCE ONLY | |||
| Correspondence Only Notification Letter | Correspondence Only Notification Letter | Notice | Fillable |
| Postal Mail Only Letter | Postal Mail Only Letter | Notice | Sample Only |
| Correspondence Only Removal Letter | Correspondence Only Removal Letter | Notice | Sample Only |
| DATA RELIABILITY | |||
|
Data Reliability Checklist - Worksheet |
Checklist |
Not fillable | |
| DEBT | |||
|
Case Review Worksheet (CSE-170) |
Checklist |
Fillable | |
|
CP's Request to Review the Disbursement of Support Checklist |
CP's Request to Review the Disbursement of Support Checklist |
Checklist |
Not fillable |
|
Debt Work and Email Priorities List |
Checklist |
Not fillable | |
| Debt Review Audit Checklist | Debt Review Audit Checklist | Checklist | Fillable |
| DRU Checklist | DRU Checklist | Checklist | Fillable |
| DRU Ready Checklist | DRU Ready Checklist | Checklist | Fillable |
| Manual Payment Allocation Spreadsheet | Manual Payment Allocation Spreadsheet | Formula | Fillable |
| ELECTRONIC DOCUMENT EXCHANGE | |||
| Declaration of Documents Delivered Electronically | Declaration of Documents Delivered Electronically | Form | Fillable |
| ENFORCEMENT | |||
| Ability to Pay Review Form | Ability to Pay Review Form | Form | Fillable |
| Barriers to Payment Questionnaire | Barriers to Payment Questionnaire | Form | Fillable |
| Contempt Action Worksheet | Contempt Action Worksheet | Checklist | Fillable |
| DCSS Hardship Review Checklist | DCSS Hardship Review Checklist | Checklist | Fillable |
| Employer/Wage Search Checklist | Employer/Wage Search Checklist | Checklist | Fillable |
| Enforcement Referral Checklist | Enforcement Referral Checklist | Checklist | Fillable |
| Injured Spouse Waiver Checklist | Injured Spouse Waiver Checklist | Checklist | Fillable |
| PALR Request Cover Sheet | PALR Request Cover Sheet | Form | Fillable |
| ESTABLISHMENT | |||
|
|
|
|
|
| FAMILY SAFETY | |||
| Family Safety Questionnaire | Family Safety Questionnaire | Form | Fillable |
| Family Safety Questionnaire - Spanish | Family Safety Questionnaire - Spanish | Form | Not-fillable |
| Non-disclosure Affidavit - English | Non-disclosure Affidavit - English | Form | Fillable |
| Non-disclosure Affidavit - Spanish | Non-disclosure Affidavit - Spanish | Form | |
| Requesting Family Violence Indicator Override (Cover letter) | Requesting Family Violence Indicator Override (Cover letter) | Form | Fillable |
| FEDERAL TAX INFORMATION (FTI) | |||
| FTI Tracking Log | FTI Tracking Log | Form |
Fillable |
| FOSTER CARE (IV-E) | |||
| IV-E Referral Checklist | IV-E Referral Checklist | Checklist | Fillable |
| IMAGING | |||
|
Imaging Accuracy Checklist |
Checklist |
Fillable |
|
| Imaging Correction Form | Imaging Correction Form | Form | Fillable |
| Imaged Document Request Form | Imaged Document Request Form | Form | Fillable |
| INTAKE | |||
| Application or TANF Pre-cooperation Checklist | Application or TANF Pre-cooperation Checklist | Checklist | Fillable |
| CP Return Letter (CSE-1204) | CP Return Letter | Letter | Fillable |
| CP Return Letter - Spanish (CSE-1204) | CP Return Letter - Spanish | Letter | Fillable |
| INTERGOVERNMENTAL | |||
| FOREIGN ORDER | |||
| Registration of Foreign Order Checklist | Registration of Foreign Order Checklist | Checklist | Fillable |
| Foreign Order Calculation Checklist | Foreign Order Calculation Checklist | Checklist |
Fillable |
| HAGUE DOCUMENTS | |||
| Annex 1 Transmittal form under Article 12(2) | Annex 1 Transmittal form under Article 12(2) | Form | Fillable |
| Annex 2 Acknowledgment form under Article 12(3) | Annex 2 Acknowledgment form under Article 12(3) | Form | Fillable |
| Annex A1 Application for Recognition or Recognition and Enforcement of a Decision | Annex A1 Application for Recognition or Recognition and Enforcement of a Decision | Form | Fillable |
| Annex A2 Abstract of a Decision | Annex A2 Abstract of a Decision | Form | Fillable |
| Annex A3 Statement of Enforceability of a Decision | Annex A3 Statement of Enforceability of a Decision | Form | Fillable |
| Portugal Certificate of Enforceability | Portugal Certificate of Enforceability | Form | Not fillable |
| Annex A4 Statement of Proper Notice | Annex A4 Statement of Proper Notice | Form | Fillable |
| Annex A5 Status of Application Report (Recognition or Recognition and Enforcement of a Decision) | Annex A5 Status of Application Report (Recognition or Recognition and Enforcement of a Decision) | Form | Fillable |
| Annex B1 Application for Enforcement of a Decision Made or Recognized in the Requested State | Annex B1 Application for Enforcement of a Decision Made or Recognized in the Requested State | Form | Fillable |
| Annex B2 Status of Application Report (Enforcement) | Annex B2 Status of Application Report (Enforcement) | Form | Fillable |
| Annex C1 Application for the Establishment of a Decision | Annex C1 Application for the Establishment of a Decision | Form | Fillable |
| Annex C2 Status of Application Report (Establishment of a Decision) | Annex C2 Status of Application Report (Establishment of a Decision) | Form | Fillable |
| Annex D1 Application for Modification of a Decision | Annex D1 Application for Modification of a Decision | Form | Fillable |
| Annex D2 Status of Application Report (Modification of a Decision) | Annex D2 Status of Application Report (Modification of a Decision) | Form | Fillable |
| Annex E1 Financial Circumstances Form | Annex E1 Financial Circumstances Form | Form | Fillable |
| Annex F1 Request for Specific Measures | Annex F1 Request for Specific Measures | Form | Fillable |
| Annex F2 Request for Specific Measures-Response | Annex F2 Request for Specific Measures-Response | Form | Fillable |
| SPANISH-ENGLISH INTERGOVERNMENTAL FORMS | |||
| DECLARACIÓN EN APOYO DEL ESTABLECIMIENTO DE PATERNIDAD- Declaration in Support of Establishing Parentage | DECLARACIÓN EN APOYO DEL ESTABLECIMIENTO DE PATERNIDAD-Declaration in Support of Establishing Parentage_ | Form | Fillable |
| TESTIMONIO GENERAL-General Testimony | TESTIMONIO GENERAL-General Testimony | Form | Fillable |
| TESTIMONIO GENERAL INSTRUCCIONES- General Testimony Instructions | TESTIMONIO GENERAL INSTRUCCIONES- General Testimony Instructions | Checklist | Not Fillable |
| REQUISTITOS UIFSA 2015-Required Documents for Referral to Mexico | REQUISTITOS UIFSA 2015-Required Documents for Referral to Mexico | Checklist | Not fillable |
| REMISION DE DOCUMENTOS SOLICITANDO COLABORACION-Transmittal by Hand | REMISION DE DOCUMENTOS SOLICITANDO COLABORACION-Transmittal by Hand | Form | Fillable |
| PETICIÓN UNIFORME DE SUSTENTO- Uniform Support Petition | PETICIÓN UNIFORME DE SUSTENTO- Uniform Support Petition | Form | Fillable |
| CARTA DE TRÁMITE SOLICITANDO REGISTRO- Letter of Transmittal Requesting Registration | CARTA DE TRÁMITE SOLICITANDO REGISTRO- Letter of Transmittal Requesting Registration | Form | Fillable |
| DECLARACIÓN JURADA DE PAGOS Y CUSTODIA DE LOS NIÑOS-AFFIDAVIT OF DIRECT PAYMENTS AND POSSESSION | DECLARACIÓN JURADA DE PAGOS Y CUSTODIA DE LOS NIÑOS-AFFIDAVIT OF DIRECT PAYMENTS AND POSSESSION | Form | Fillable |
| PAGINA DE DATOS PARA LA UBICACIÓN-LOCATE DATA SHEET | PAGINA DE DATOS PARA LA UBICACIÓN-LOCATE DATA SHEET | Form | Fillable |
| CERTIFICACIÓN DE CANTIDADES VENCIDAS-STATEMENT OF ARREARS | CERTIFICACIÓN DE CANTIDADES VENCIDAS-STATEMENT OF ARREARS | Form | Fillable |
| REMISION DE DOCUMENTOS SOLICITANDO COLABORACION-Transmittal Fillable | REMISION DE DOCUMENTOS SOLICITANDO COLABORACION-Transmittal Fillable | Form | Fillable |
| FORMULARIO DE INFORMACIÓN PERSONAL PARA LA UIFSA § 311 - PARA PRESENTAR ANTE UN TRIBUNAL - Personal Information Form 311 | FORMULARIO DE INFORMACIÓN PERSONAL PARA LA UIFSA § 311 - PARA PRESENTAR ANTE UN TRIBUNAL - Personal Information Form 311 | Form | Fillable |
| LOCATE | |||
| APLS Information Sheet and Application for Locate | APLS Information Sheet and Application for Locate | Information and Application | Fillable |
| APLS Information Sheet and Locate Application for Child Custody-Visitation or Parental Kidnapping Cases | APLS Information Sheet and Locate Application for Child Custody-Visitation or Parental Kidnapping Cases | Information and Application | Fillable |
| MISCELLANEOUS | |||
| AZCARES - Local Print Only Forms | AZCARES - Local Print Only Forms | Table/List | Not fillable |
|
Miscellaneous Referral Checklist |
Checklist |
Fillable | |
| MODIFICATION | |||
|
Modification Referral Checklist |
Checklist |
Fillable | |
| Modification Referral Summary | Modification Referral Summary | Checklist | Fillable |
| Modification Review Interview Form | Modification Review Interview Form | Checklist | Not fillable |
| NEW APPLICANT | |||
|
New Application Questionnaire |
Checklist |
Not fillable | |
| PASSPORT RELEASE | |||
|
Review for Passport Release |
Checklist |
Not fillable | |
| PATERNITY | |||
| Case Managers Affidavit Supporting Paternity - Mother | Case Managers Affidavit Supporting Paternity - Mother | Form | Fillable |
| Case Managers Affidavit Supporting Paternity - Father | Case Managers Affidavit Supporting Paternity - Father | Form | Fillable |
| California Parentage Declaration Information Request | California Parentage Declaration Information Request | Form | Fillable |
|
Paternity Referral Checklist |
Checklist |
Fillable | |
| PAYMENT PROCESSING | |||
| Bond of Indemnity Letter | Bond of Indemnity Letter | Letter | Fillable |
| Bond of Indemnity Form | Bond of Indemnity Form | Form | Fillable |
| POLICY REQUESTS | |||
| Policy Review Request Form | Policy Review Request Form | Form | Fillable |
| PRE-SETTLEMENT | |||
|
Pre-Settlement Checklist |
Checklist |
Not fillable | |
| SETTLEMENT | |||
| Settlement Request Form | Settlement Request Form | Form | Fillable |
| Standard Operating Procedures Template Instructions | Standard Operating Procedures Template Instructions | Checklist | Not Fillable |
| STATE DISBURSEMENT UNIT (SDU) | |||
| SDU Accounts Receivable Blank/Non IV-D Redirect Letter | Letter | Fillable | |
| STATES ENTRY OF APPEARANCE | |||
|
State's Entry of Appearance Instructions |
Checklist |
Not fillable | |
| TANF | |||
| TANF Pre-Cooperation Information Request | TANF Pre-Cooperation Information Request | Form | Fillable |
| TANF Flyer | TANF Flyer | Flyer | Not fillable |
| Claim of Good Cause - English | Claim of Good Cause - English | Form | Fillable |
| Claim of Good Cause - Spanish | Claim of Good Cause - Spanish | Form | Not fillable |
| Notice of Claim of Good Cause | Notice of Claim of Good Cause | Form | Not fillable |
| TRIBAL | |||
| Subject Matter Jurisdiction Tribal Questionnaire (SMJ Checklist) | Subject Matter Jurisdiction Tribal Questionnaire (SMJ Checklist) | Form | Fillable |