Child Support Order Form PDF Details

In the landscape of child support services, the IL DEPT OF HEALTHCARE AND FAMILY SERVICES APPLICATION FOR CHILD SUPPORT SERVICES (TITLE IV-D) stands out as a crucial document for parents navigating the complexities of support obligations. Dated and meticulously structured, this form serves as the gateway for initiating or modifying child support arrangements, providing essential contact information, and capturing details about the child or children involved. Communication is facilitated through multiple channels, including a dedicated call center and an information-rich website, reflecting a commitment to accessibility and support. Importantly, the form is designed with consideration for those who may face language barriers or require TTY services, ensuring that all individuals have the means to understand and engage with the child support process effectively. It also guides applicants on how to proceed if they are not biological or legal parents, thus broadening its inclusivity. Additionally, the form includes a segment for considering the military status of a parent, which can be pertinent in assessing benefits or obligations. Applicants are encouraged to supply as much information as possible, even allowing for the indication of a family violence indicator for added protection. The explicit encouragement to partner with legal representation while engaging HFS services underscores the form's role as a comprehensive tool for navigating child support services, emphasizing the importance of informed, collaborative legal approaches in ensuring the well-being of children.

QuestionAnswer
Form NameChild Support Order Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesillinois child support forms, apply for child support illinois, how to file for child support in illinois, childsupportillinois

Form Preview Example

Date:

Name:

Address:

IL DEPT OF HEALTHCARE AND FAMILY SERVICES

APPLICATION FOR CHILD SUPPORT SERVICES (TITLE IV-D)

Call Center: 1-800-447-4278

Website: www.ChildSupportIllinois.com

Please mail completed form to:

Division of Child Support Services

32 West Randolph

Chicago, Illinois 60601

Sex:

SSN:

Date of Birth:

Daytime Phone No:

Work Phone No:

Este es un aviso muy importante. Si usted no entiende este aviso, comuníquese con el Centro de Servicio al Consumidor en la Sección de Manutención de Niños a 1-800-447-4278, dónde le podrán explicar este aviso. Personas que usan teletipo (TTY) deben llamar a 1-800-526-5812.

This is an important notice. If you do not understand this notice, contact the Child Support Customer Service Call Center at 1-800-447-4278 who can explain it to you. Persons with a TTY device may call 1-800-526-5812.

*Any information that you do not know, please write "don't know" in the blank.

*Read the enclosed Child Support Program Fact Sheet. It explains the services we provide.

*Mail this form and copies of any order(s) you already have to the address listed above.

If you are NOT the biological or legal parent of the child, complete the application available for non-parents at www.childsupportillinois.com or call 1-800-447-4278 for a different application.

If you are working with an attorney on your child support needs, signing up for HFS child support services could provide additional services to you and your family. You can work with your attorney and HFS at the same time.

Applicant's Information:

Full Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(First)

 

 

 

 

 

 

 

 

(M Initial)

(Last)

 

 

 

 

 

 

 

Home Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Street)

 

 

(City)

 

 

 

 

 

 

 

(County)

 

 

(State) (Zip)

Relationship to Child:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth:

Age:

SSN:

 

 

 

 

Race:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(mm/dd/ccyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Telephone #:

 

Work Telephone #:

 

 

 

 

 

 

 

 

Cell Telephone #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What time of day is most convenient to talk to you?

 

 

 

 

 

 

At what telephone number?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HFS 1283C-internet (R-2-11)

Other Parent's Information:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(First)

 

 

 

 

 

(M Initial)

(Last)

Home Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Street)

 

 

 

 

 

 

(City)

 

 

 

 

 

 

 

 

(State) (Zip)

Date of Birth and/or Age:

 

 

SSN:

 

 

 

 

 

 

 

 

 

 

Race:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Telephone #:

Work Telephone #:

 

 

 

 

 

 

 

 

 

Cell Telephone #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Employer or Source of Income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer's Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is either or both of the parents of the child in the military?

Yes

 

 

 

 

No

Which branch(es) of service?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Send us a copy of military insurance card, if available)

Make and Model of Car:

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate #:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other Parent's Relatives: (mother):

 

 

 

 

 

 

 

 

(father)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Does the other parent have additional children with someone else? If you know the other children's names, list them here:

Mother's Other Children

Father's Other Children

 

 

 

 

 

 

 

 

Child's Information:

 

 

 

 

 

 

 

 

 

 

 

 

Full Name:

 

 

 

 

 

 

 

 

 

 

 

Sex:

 

(First)

 

 

(M Initial) (Last)

 

 

 

 

 

 

Date of Birth:

 

Place of Birth:

 

 

 

 

 

 

 

 

 

(mm/dd/ccyy)

 

 

 

 

(City)

 

 

(State)

Social Security Number:

 

 

 

 

 

 

Race:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have any additional children with the same mother and father, please provide the same information on a separate sheet of paper.

HFS 1283C-internet (R-2-11)

OTHER IMPORTANT INFORMATION

1.

Are/were you married to the other parent of the child? Yes

 

If yes, what date?

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

Are you and the other parent of the child divorced? Yes

 

 

If yes, what date?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

State of Divorce Order:

 

County of Divorce Order:

 

 

 

 

Order Docket Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.If you already have a child support order for the child, it is important that you send us a copy of the order with this application, if available.

Order or Docket #

Where was order entered?

(City)

(County)

(State)

When did the order start?

(month/year)

I authorize the Division of Child Support Services to explore, pursue or utilize all sources of information legally available in support of its investigations on my behalf and to choose the appropriate course of legal action. I have received and read the program fact sheet provided with this application. To the best of my knowledge, the information I have supplied is true, correct, and complete.

I understand the Division will protect my privacy as required by law, and I authorize the Division to disclose information about my case to the court or another party necessary in the course of establishing and enforcing paternity and child support orders, for as long as I am a client.

All information you provide is kept confidential but we understand that domestic violence may also be an issue for you or your family. For your protection, we can mark your case with a family violence indicator. If you would like us to place this indicator on your case, check the box below. If this is not an issue for your family, you do not need to check the box.

Yes, I want my case marked with a family violence indicator.

Applicant's Signature (required)

Date

HFS 1283C-internet (R-2-11)

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1. It is important to fill out the illinois child support application accurately, so pay close attention when filling out the areas comprising all these blank fields:

Writing section 1 in child support forms illinois

2. Once this part is complete, it's time to put in the essential specifics in Full Name, First, Home Address, M Initial, Last, Street, City, County, State Zip, Relationship to Child, Date of Birth, Age, SSN, Race, and mmddccyy so you're able to progress further.

Home Address, M Initial, and Age inside child support forms illinois

3. In this specific stage, have a look at Other Parents Information, Full Name, First, Home Address, M Initial, Last, Street, City, State, Zip, Date of Birth andor Age, SSN, Race, Home Telephone, and Work Telephone. These need to be filled in with highest awareness of detail.

Stage number 3 for completing child support forms illinois

People generally get some things incorrect when completing Full Name in this area. Ensure that you double-check everything you enter here.

4. This next section requires some additional information. Ensure you complete all the necessary fields - Does the other parent have, Childs Information, Full Name, First, Date of Birth, M Initial, Last, Place of Birth, Sex, mmddccyy, City, State, Social Security Number, Race, and If you have any additional - to proceed further in your process!

Filling out part 4 in child support forms illinois

5. Lastly, this last section is what you'll want to finish prior to submitting the form. The blanks in this case are the next: OTHER IMPORTANT INFORMATION, Arewere you married to the other, If yes what date, Are you and the other parent of, If yes what date, State of Divorce Order, County of Divorce Order, Order Docket Number, If you already have a child, Order or Docket, Where was order entered, When did the order start, City, County, and State.

child support forms illinois completion process clarified (stage 5)

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