DCSS Internal Forms and Checklists
Subject Area & Document Title | Link to Document | Document Type | Fillable? |
---|---|---|---|
CLOSURE | |||
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 | |||
Enforcement Referral Checklist |
Checklist |
Fillable | |
Contempt Action Worksheet | Contempt Action Worksheet | Checklist | Fillable |
Ability to Pay Review Form | Ability to Pay Review Form | Form | Fillable |
Injured Spouse Waiver Checklist | Injured Spouse Waiver Checklist | Checklist | Fillable |
PALR Request Cover Sheet | PALR Request Cover Sheet | Form | Fillable |
ESTABLISHMENT | |||
Establishment Referral Checklist |
Checklist |
Fillable | |
2023 Child Support Calculator | 2023 Child Support Calculator | Calculator | Not fillable |
New Worksheet Instructions | New Worksheet Instructions | Instructions | Not fillable |
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 |
Interface Case CP Contact Letter | Interface Case CP Contact Letter | Letter | Fillable |
Interface Case CP Contact Letter-Email Template | Interface Case CP Contact Letter-Email Template | Email Template | Fillable |
Intake Worksheet |
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 | |||
CP Locate Checklist |
Checklist |
Not fillable | |
NCP Locate Checklist | NCP Locate Checklist | Checklist | Not fillable |
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 |
PRE-SETTLEMENT | |||
Pre-Settlement Checklist |
Checklist |
Not fillable | |
SETTLEMENT | |||
Settlement Request Form | Settlement Request Form | Form | Fillable |
STANDARD OPERATING PROCEDURES | |||
Standard Operating Procedures Template | Standard Operating Procedures Template | Template | 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 |
Sworn Statement for Claim of Good Cause - English | Sworn Statement for Claim of Good Cause - English | Form | Fillable |
Sworn Statement for Claim of Good Cause- Spanish | Sworn Statement for Claim of Good Cause- Spanish | Form | Not fillable |
Lack of Information Statement | Lack of Information Statement | Form | Fillable |
Lack of Information Statement - Spanish | Lack of Information Statement - 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 |