ABC County Prosecutor/Child Support
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INQUIRY FROM CUSTODIAL PARENT
Date
(mm-dd-yyyy)
ISETS #
Case Information
Use this form if you are the
CUSTODIAL PARENT
. Please complete
ALL
of the following:
First Name
Last Name
SSN
Address
City
State
Zipcode
Telephone
Please complete as much as possible of the following
Other Party Info
First Name
Last Name
SSN
Address
City
State
Zipcode
Telephone
Employer Details
First Name
Last Name
Telephone
Address
City
State
Zipcode
Please state what action or information you are requesting. Please be as specific as possible.
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