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Request for Child Support Printouts

Requestor Information
Case Number
Agency Name
Requestor Name
Time Period From (mm-dd-yyyy)
Time Period To (mm-dd-yyyy)
Best Time and Way to Contact You
Payors Name
DOB (mm-dd-yyyy)
Comments (Once your record is located, we will contact you to determine how you would like to obtain it and provide payment. Thank you)
Fee Instructions:
Certified Record $2.00 / document
Faxed Document $2.00 / page
Mailed Document $2.00 / document
You can make payments using the Transaction id using any of the online payment options on the website.

Attach Document (PDF, JPG, PNG, GIF, TIFF Only)

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