Form Csf 08 0700B PDF Details

When you are required to complete a Form Csf 08 0700B, it is important that you understand the purpose of the form and what information is being requested. This form is used by the Department of Homeland Security (DHS) to request certain information from individuals who have been identified as potential witnesses or victims in a criminal matter. The information requested on this form can be helpful to DHS in their investigation. It is important to provide accurate and complete information on this form so that DHS can best assist you.

QuestionAnswer
Form NameForm Csf 08 0700B
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameschild support reliacard, oregon child support direct deposit form, oregon child support payment history, oregon child support payment history direct deposit

Form Preview Example

ReliaCard

OREGON ELECTRONIC DISTRIBUTION ENROLLMENT/AUTHORIZATION FORM

Send completed authorization to DOJ / DCS, P.O. Box 14320, Salem, OR 97309 OR Fax to (503) 986-2416

* Required Fields. Incomplete Authorizations may be returned to you causing a delay in your request.

PLEASE PRINT CLEARLY IN BLACK OR BLUE INK; Applications completed with red ink or pencil will be returned.

PERSONAL INFORMATION

CSP Case Number(s) (Include all Oregon CSP case numbers you want deposited into this ReliaCard account.)

Please deposit payments for ALL of my active cases into a single ReliaCard account:

[ ] YES

[ ] NO

0 ____________________ 41 0 ____________________ 41

0 ____________________ 41

0 ____________________ 41

If you would like to include additional cases please write them on a separate piece of paper or check the box above if appropriate.

*Name: (The name that’s currently on your child support checks)

 

 

 

 

LAST,

FIRST,

M I

*Date of Birth (mm/dd/yyyy):

/

/

*Social Security Number:

-

-

*Current Address Street Address (P.O. Box # / Apt #,) City, State, Zip Code, Country:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Contact Phone # (area code) (

)

 

Alternate Phone # (area code) (

)

 

Please check this box to give the Child Support Program permission to leave a detailed message about this application if needed:

[ ]

AUTHORIZATION: I certify I am entitled to the payments for the cases listed above. I authorize the Oregon Child Support Program (CSP) to initiate credit entries of my child support payments, and if necessary debit entries for transactions made in error, into the account above. I understand my payments will continue to be deposited in this account and this authorization will remain in full force and effect, until the CSP receives written notification from me of termination or change of account or financial institution, at such time and in a manner to provide a reasonable opportunity to act on it. To change financial institutions or accounts, I will complete and submit a new Authorization form. By signing this form I authorize the named financial institution to assist the CSP in validating the account information provided by me as related to the requirements of this application.

INTERNATIONAL TRANSACTION CERTIFICATION

I certify that the entire amount of my direct deposit payment IS NOT deposited to a financial institution outside the U.S. (NOTE: If your entire net payment IS directed outside the U.S. contact the Oregon Child Support Program).

SIGNATURE:

 

DATE:

Information about fees associated with ReliaCard may be found at the Oregon Child Support Program website at: www.OregonChildSupport.gov

If you have any questions about this form please contact 1-800-850-0228 or visit the Oregon Child Support Program website at: www.OregonChildSupport.gov

Page 1 of 1 – ReliaCard Enrollment/Authorization Form

CSF 08 0700B (New 04/13/10)

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This document requires particular info to be filled out, thus you need to take whatever time to provide what's required:

1. When submitting the child support card oregon, make certain to complete all needed fields in the associated area. This will help hasten the process, which allows your details to be handled quickly and appropriately.

How one can complete oregon child support history part 1

2. Just after filling out the last step, go to the next step and enter all required particulars in all these blanks - AUTHORIZATION I certify I am, SIGNATURE, DATE, Information about fees associated, If you have any questions about, and Page of ReliaCard.

oregon child support history conclusion process described (stage 2)

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