Child Support Certification PDF Details

Navigating the complexities of child support can be a challenging journey for many, but understanding the Child Support Certification form is a crucial step in this process. This form, issued by the Human Resources Administration Office of Child Support Enforcement, is essential for various reasons, from employment to securing certain licenses. Updated in May 2010, the form serves as a self-declaration of one’s child support payment status, whether one is currently under a court or administrative order for child support or not. It requires detailed personal information and, if applicable, information about one's employer. Importantly, the form separates individuals into those not under any order to pay child support and those who are, with further distinctions based on whether one owes arrears of four months or more and how these arrears are being handled, including through direct payments, court agreements, or pending court proceedings. The form is a declaration under oath, highlighting the seriousness of the information provided, with penalties for falsification. It underscores the legal implications of child support, including the potential for license suspension for those significantly in arrears. The Child Support Certification form not only facilitates the enforcement of child support obligations but also offers a pathway for individuals facing difficulties to seek resolution, especially in obtaining necessary licenses or permits in New York City.

QuestionAnswer
Form NameChild Support Certification
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameschild support certification form new york, child support certification form, child support certification form westchester county, new york form child support

Form Preview Example

M-522

Human Resources Administration

Rev 05/10

Office of Child Support Enforcement

Child Support Certification

Certification pursuant to General Obligations Law Section 3-503(2)

Personal information

Last name

 

First name

 

 

 

 

 

 

 

Social Security Number or ITIN

 

 

 

Date of Birth

/

/

Street address

 

 

 

 

 

Apt. number

 

 

 

 

City

 

State

 

 

Zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer information

Business name

Street address

City

 

State

 

Zip code

 

 

 

 

 

 

(Choose #1 or# 2, and put an “X” in the box in front of the applicable statement.)

1.

2.

I am not under a court or administrative order to pay child support. OR I am under an obligation to pay child support.

My child support account number[s] (if applicable):

(If you chose #2, put an “X” in front of the applicable statement.)

a. I do not owe arrears equal to 4 months or more of child support payments.

b. I have arrears equal to 4 months or more of child support payments, and one of the following statements applies to me (check the appropriate boxes):

I am making payments by income execution or by court agreed payment/repayment plan or by a plan agreed to by the parties.

My child support obligation is the subject of a pending court proceeding.

I am currently in receipt of Public Assistance or Supplemental Security Income. My case number is: _____________________________________.

c. I have arrears equal to 4 months or more of child support payments and none of the above statements in “B” apply to me.

I hereby do solemnly swear under oath and subject to penalty of perjury that the information provided by me in this certificate is true and accurate to the best of my knowledge.

Signature

 

Date

The intentional submission of false written statements for the purpose of frustrating or defeating payment of support is punishable pursuant to Section 175.35 of the penal law. Persons who are four months or more in arrears in child support or who have failed to comply with a summons, subpoena or warrant relating to a paternity or child support proceeding may be subject to suspension of their business, professional, drivers, and/or recreational license and permits including, but not limited to, license issued pursuant to section 11-0713 of the environmental conservation law.

If you are experiencing difficulties obtaining a NYC license, permit, certificate or registration because of an outstanding

child support problem, please come to OCSE’s Customer Service Walk-In Center

and you may receive assistance in resolving your problem:

The New York City Office of Child Support Enforcement Customer Service Walk-In Center 151 West Broadway, 4th Floor, New York, NY 10013 (between Worth St. and Thomas St.)

Monday – Friday 8 a.m. – 7 p.m.; Saturday 9 a.m. – 5 p.m.

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portion of empty spaces in child certification 503 download

Inside the box a b, I do not owe arrears equal to, I am making payments by income, My case number is, I have arrears equal to months or, I hereby do solemnly swear under, Signature, Date, The intentional submission of, If you are experiencing, and The New York City Office of Child note the details which the platform requests you to do.

a b, I do not owe arrears equal to, I am making payments by income, My case number is, I have arrears equal to  months or, I hereby do solemnly swear under, Signature, Date, The intentional submission of, If you are experiencing, and The New York City Office of Child in child certification 503 download

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