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

Data Reliability Checklist

Checklist

Not fillable
DEBT

Case Review Worksheet (CSE-170)

Case Review Worksheet

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

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

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

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

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

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

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

Miscellaneous Referral Checklist

Checklist

Fillable
MODIFICATION

Modification Referral Checklist

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

New Application Questionnaire

Checklist

Not fillable
PASSPORT RELEASE

Review for 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

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

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

SDU Accounts Receivable Blank/Non IV-D Redirect Letter

Letter Fillable
STATES ENTRY OF APPEARANCE

State's Entry of Appearance Instructions

States 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

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