Custodial Party Child Support Application – Fill Out and Use This PDF

Mark Yes, No or I don't know/Unsure: are you worried that opening a child support case may result in physical or emotional harm to you or your child(ren)? If you are worried about you or your child(ren)'s safety, CSS can change some of its processes.

If family or domestic violence is an issue, CSS can put an alternate address on public documents or court filings to keep this information safer. This is called non-disclosure of information (NDI). Mark Yes, No or I don't know/Unsure: would you like to request NDI for your case?

You can update information about safety at any time. Even if you've already told your child support worker that you did not have any safety concerns, things change.

Mark the language you speak most often: English, Español or Other.

Mark the language you read most often: English, Español or Other.

Mark Yes or No: do you need an interpreter?

When you are finished, initial each line of Applying for Child Support Services - Your Rights & Responsibilities. You must initial and agree to all statements in order for your application to be processed.

CSS represents the People of the State of Colorado and are not my private attorneys. No attorney-client relationship or privilege exists between me or the CSS staff.

I must provide my social security number or individual tax identification number to CSS.

I must cooperate with CSS. This includes providing CSS with the information needed to establish and enforce my child support order, signing and returning forms, and attending relevant appointments, conferences or hearings.

If I do not cooperate, my case may be closed and public assistance programs (including but not limited to TANF, SNAP, Medicaid) will be notified, if applicable.

Non-parent caretakers (e.g., grandparent, aunt, uncle, adult sibling, stepparent, etc.) applying for child support must open a case against both biological parents. If this applies to me, I cannot close only one of the two cases against the biological parents.

Mark I am: Seeking child support, Paying child support or Other. Please describe your relationship to the child(ren).

Enter your Legal Name (First, Middle, Last) **, Maiden Name (If applicable), Preferred Name or Nickname and Your Birthdate ** (MM/DD/YYYY).

Enter your Personal Identification Number (Social Security Number or Taxpayer Identification Number) **, and mark Social Security Number, Taxpayer Identification Number or I do not have one.

Mark your Gender: Male, Female or Other. Mark your Pronouns: He/Him/His, She/Her/Hers, They/Them/Theirs or Other. Mark your Ethnicity: Asian, Black, Hispanic, Native American, Other or White.

Enter a Primary Phone Number ** and mark Home, Cell, Work or Other. Mark Yes or No: would you like to receive text messages about your child support case? You may also enter a Secondary Phone Number with Home, Cell, Work or Other, and an Email.

Where you live today: enter Street Address **, Apartment/Unit Number, City **, State ** and Zip Code **. You cannot use a PO Box for your residential address. Can you receive mail at your residential address? Mark Yes or No. If No, fill out Mailing Address.

If No, enter Street Address, Apartment/Unit Number, City, State and Zip Code.

You must complete a separate application for each parent for whom you wish CSS to provide services. Enter the other parent's Legal Name (First, Middle, Last) **, Maiden Name (If applicable) and Preferred Name or Nickname.

Enter the Birthdate (if unknown, give best guess of age) (MM/DD/YYYY) and Personal Identification Number (Social Security Number or Taxpayer Identification Number). Mark Social Security Number, Taxpayer Identification Number or They do not have one, or I do not know this information.

Enter a Primary Phone Number with Home, Cell, Work or Other, and an Email. Where does the other parent receive mail? Enter Street Address, Apartment/Unit Number, City, State and Zip Code. Not sure where they currently live? Give the last known address.

Is the other parent employed? Mark Yes, No or I don't know. Not sure where they are currently employed? Give the last known employer. Enter Employer Name, Phone Number, Street Address, Apartment/Unit Number, City, State and Zip Code.

For each of Child 1, Child 2, Child 3, Child 4, Child 5 and Child 6, enter Legal Name (First, Middle, Last) **, Personal Identification Number (SSN/ITIN) ** and Birthdate ** (MM/DD/YYYY), and mark Gender **: Male, Female or Other.

Enter Where was the child born? (City, State, Country) and Where was the child conceived? (City, State, Country). Under Who is listed on the child's birth certificate?, enter Parent 1 and Parent 2.

Does the child have health care coverage? Mark Yes or No. Who is providing the health care coverage? Mark Party seeking support, Party paying support, Medicaid or Other.

Were you ever married to the other parent? Mark Yes, No or I don't know. Enter the Date of Marriage/Civil Union, Where did the marriage/civil union take place?, Date of Separation, Date of Divorce, Where was the divorce filed? (City, State) and When did you last have contact with the other parent?

Do you have an existing court order for child support? Mark Yes, No or I don't know. If yes: enter the Child Support Order Number, What court established the order? and When did you last receive support?

Sign under SIGN, then enter the Signature **, the Date ** and your Print Name **.

Application - Supporting Documentation: please locate and submit copies of the documents when requested by your county technician.

Copy of a birth certificate and social security card (if applicable) for all children. Copy of your government-issued ID (i.e. driver's license, passport, etc). A photo of the other parent (if available). Verification of your income (i.e., pay stubs, tax returns). Copy of Marriage Certificate(s).

Copy of Court Order(s) related to the children or marriage, which could include: Divorce Decrees, Paternity Orders, Child Support and/or Spousal Support Orders, Parenting Time Orders, Adoption Orders, Orders Terminating Parental Rights, Related orders from states outside of Colorado.

Records of all child support paid, including payments made directly or through a state disbursement.

Individual counties may ask for other documents not listed here. Please reach out to your county for any specific requirements.

Federal law requires CSS to charge a $35 annual fee on each case where CSS has collected at least $550 in child support payments in a year, but only if the party receiving support has never received Temporary Assistance for Needy Families (TANF)/Colorado Works benefits. The fee is deducted from the child support disbursed to the party receiving support. (checked November 8, 2026)

CSS will not accept my application for services if all the children have emancipated. CSS cannot help me with with custody arrangements, parenting time (visitation) or property settlements.