CSE-1158A Non-Custodial Parent Request for Review of Arrears
State: Arizona Category: Child Support Agency Format: PDF Form Name: CSE-1158A.pdf |
(The pdf reader is necessary.) |
INSTRUCTIONS: ARIZONA NON-CUSTODIAL PARENT REQUEST FOR REVIEW OF ARREARS (Form CSE-1158A)
To request that a review be conducted of a request for unpaid child support dues in Arizona, the non-custodial parent should file a form CSE-11158A. This document can be obtained from the website maintained by the Arizona Department of Economic Security.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 1: On the first blank line, enter your name.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 2: On the second blank line, enter your phone number.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 3: On the third blank line, enter your street address.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 4: On the fourth blank line, enter your city.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 5: On the fifth blank line, enter your state.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 6: On the sixth blank line, enter your zip code.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 7: On the seventh blank line, enter your Atlas case number.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 8: On the eighth blank line, enter the date.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 9: The next section concerns your reason for requesting this review. Check the box next to the first statement if direct payments were made to the custodial parent. Include copies of cancelled check or an Affidavit of Receipt of Direct Payments.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 10: Check the box next to the second statement if the children have been emancipated, adopted or are deceased.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 11: Check the box next to the third statement if you do not owe any past-due support. Proof must be attached.
Arizona Non-Custodial Parent Request For Review Of Arrears CSE-1158A Step 12: Check the box next to the fourth statement if your court order was changed but your DCSE records do not show the changes. Check the box next to the fifth statement if a legal change in custody was made. Check the sixth box if the DCSE does not have a complete payment history. For other, check the last box and explain. |
Related Forms
- CC-201 Certification Statement for Providing Child Care Services
- CSE-1194AS Paga usted Sustento para Menores? ¿Está usted desempleado? ¡Venga a un Taller de Modificación de Sustento para Menores!
- CSE-1196A Notification of Employment Termination
- CC-016-PDS Lista Prioritaria de Espera para Asistnecia con el Cuidado de Niños: Lo que Necesita Saber
- CS-127-PF Acknowledgment of Paternity (Eng/Span)
- CCA-1095AS State of AZ Substitute W-9 form-Request for Taxpayer Identification and Certification (Spanish)
- CS-124 Request for IV-D Services/Genetic Testing Agreement
- CC-036 Permission to Give Medication
- CC-036-S Permiso para Administrar Medicamentos
- CSE-1091A Notification of Change of Address