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Florida Child Support Form

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CHILD SUPPORT ENFORCEMENT TRANSMITTAL #2 – SUBSEQUENT ACTIONS

The information on this form may be disclosed as authorized by law.

If you are not the intended recipient, you are hereby notified that any use, disclosure, distribution, or copying of this form or its contents is strictly prohibited.

Child Support Agency Confidential Information Form Attached

Petitioner: Legal Name (first, middle, last, suffix)

Tribal Affiliation (if applicable)

IV-D Case: TANF

IV-E Foster Care

Medicaid Only

Former Assistance

Never Assistance

File Stamp

(File Stamp Area)

Respondent: Legal Name (first, middle, last, suffix)

Tribal Affiliation (if applicable)

To: (Agency Name and Address)

Responding Locator Code:

Responding IV-D Case Identifier:

Responding Tribunal Number:

State

From: (Agency Name and Address)

Initiating Locator Code:

Initiating IV-D Case Identifier:

Initiating Tribunal Number:

State

Payment Locator Code:

State

NOTE:

Nondisclosure Finding/Affidavit attached

This form sent through EDE

This request or information sent through CSENet

Section I. Case Processing Actions: (Provide additional information in section III or as an attachment as appropriate.)

Providing:

1. Status update

2. Notice of hearing

3. Notice of case forwarding

4. Document filed

5. Order issued

6. Arrears calculation (month by month)

7. Payment history (provide details under section III)

8. Arrears balance and/or accrued interest (affidavit of arrears)

9. Notice of health care coverage change (see section III or attachment)

10. Notice of case receiving tax refund offset from federal collection and enforcement program

11. Nondisclosure finding/affidavit

12. Other

Requesting:

13. Status update

14. Arrears balance and/or accrued Interest (affidavit of arrears)

15. Payment history

16. Arrears calculation (month by month)

17. Administrative review for contested debt certification in the federal collection and enforcement program

18. Other (List and describe in section III.)

Please return the requested information.

Child Support Enforcement Transmittal #2 - Subsequent Actions OMB 0970-0085 Expiration Date: 12/31/2019 Page 1 of 2

CHILD SUPPORT ENFORCEMENT TRANSMITTAL #2 – SUBSEQUENT ACTIONS, PAGE 2

Section II. Intergovernmental Closure Actions:

From Initiating Agency:

1. The initiating agency has closed its IV-D intergovernmental case because

Proceed with closure of your responding IV-D intergovernmental case.

2. Close the responding agency's IV-D intergovernmental case and stop income withholding, if applicable. We are keeping our IV-D case open and your agency's intergovernmental services are no longer needed.

From Responding Agency:

3. The responding agency has closed its IV-D intergovernmental case at your request.

4. The responding agency intends to close its IV-D intergovernmental case on (mm/dd/yyyy) because your agency failed to provide

5. The responding agency has closed its IV-D intergovernmental case because your agency failed to respond to the 60-day notice dated (mm/dd/yyyy).

Section III. Other Pertinent Information:

Date

Contact person (first, middle, last, suffix)

Fax: ( )

Direct telephone number and extension

E-mail:

Encryption Requirements:

When communicating this form through electronic transmission, precautions must be taken to ensure the security of the data. Child support agencies are encouraged to use the electronic applications provided by the federal Office of Child Support Enforcement. Other electronic means, such as encrypted attachments to e-mails may be used if the encryption method is compliant with Federal Information Processing Standard (FIPS) Publication 140-2 (FIPS PUB 140-2).

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What the Florida Child Support Form Is and When It Applies

The Florida Child Support Form is the standard set of documents used to request, modify, or enforce a child support order through Florida's child support program or family court. It gathers identifying information about the parents and child, financial disclosures such as income and deductions, custody or time-sharing details, and a proposed support calculation. The form initiates administrative establishment with the Florida Department of Revenue (Child Support Program) or supports a court petition and includes signature blocks, verification language, and instructions for submitting supporting proof such as pay stubs and income tax returns.

Why Accurate Completion Matters for Families and Agencies

Completing the Florida Child Support Form precisely ensures that support amounts reflect current incomes and custody arrangements and that enforcement tools—wage garnishment, tax refund intercepts, and license suspension—are available. Accurate forms reduce processing delays and lower the risk of enforcement gaps or incorrect obligations.

Why Accurate Completion Matters for Families and Agencies

Who Commonly Prepares and Signs This Form

Knowing which role you fill helps determine whether you should attach financial exhibits, request a hearing, or use administrative case establishment channels.

  • Parents and guardians who request establishment, modification, or enforcement of a child support order through the Department of Revenue or family court.
  • Family law attorneys and paralegals who prepare petitions, draft income affidavits, and assemble supporting financial documentation.
  • Child support caseworkers and county clerks who intake forms, verify data, and route matters for administrative or judicial action.

Step-by-Step: Completing and Submitting the Form

Use this sequential checklist to assemble the Florida Child Support Form and supporting papers.

  • 01
    Gather Documents: Collect pay stubs, tax returns, custody orders, and identification before starting.
  • 02
    Fill Main Form: Enter names, addresses, incomes, and requested support amount accurately.
  • 03
    Attach Proof: Include supporting exhibits labeled and organized to match form entries.
  • 04
    Sign and Submit: Sign in required places, notarize if needed, and send to the listed agency or clerk.

How to Prepare an Online Submission Workflow

Set up a digital workflow that mirrors the paper process: upload, tag fields, authenticate signer, and route to agency or court.

Field Configuration
Upload Document PDF or DOCX accepted; ensure readability and clear margins.
Add Fillable Fields Place name, date, income, and signature fields using consistent labels.
Signer Authentication Use email verification or SMS code; higher-risk cases may need stronger ID proofing.
Routing Send signed copy to both parties and the Florida Department of Revenue as required.

Where the Completed Form Goes and What Happens Next

After submission, the document follows administrative or judicial channels depending on the relief requested.

  • Department Intake: DOR reviews for completeness and opens an administrative case if eligible.
  • Service of Process: Respondent is served and given time to answer or provide income evidence.
  • Hearing or Determination: An administrative or court hearing determines support and enforcement actions.
  • Enforcement: If ordered, enforcement tools such as wage assignment or tax intercept may be applied.

Digital Filing and eSubmission Considerations

Confirm local county clerk or DOR electronic filing rules before relying solely on e-submission for initial filings.

  • File Formats: PDF, DOCX, and scanned images are commonly accepted.
  • Authentication: Email or SMS verification is minimum; consider multi-factor for contested cases.
  • Audit Trail: Keep timestamps, IP addresses, and certificate of completion for records.

Common Timeframes and Typical Processing Expectations

Processing times vary by county and whether a judicial or administrative path is used; deadlines for responses and hearings are set by local rules.

Initial Intake Review:

Agency review times vary; expect administrative screening before case opening.

Response Period:

Respondent typically has a limited period to reply per service rules.

Temporary Orders:

Courts may issue temporary support pending final determination.

Modification Requests:

Substantial change in circumstance petitions are evaluated on proof submitted.

Enforcement Actions:

Once ordered, enforcement can proceed immediately under statutory mechanisms.

Key Case Milestones from Filing to Enforcement

A typical sequence moves from application to decision and then to enforcement if needed.

01

Application Filed

Form and supporting documents are submitted to DOR or court.

02

Service Completed

Respondent receives notice and has opportunity to respond.

03

Hearing or Determination

Administrative hearing or court date resolves obligations.

04

Order Enforcement

Wage assignment, tax intercept, or other remedies are applied as authorized.

Common Mistakes That Delay Child Support Processing

  • Incomplete income documentation: missing pay stubs or tax returns cause verification delays and possible interim calculations.
  • Name or case number mismatches: inconsistent names or wrong docket numbers lead to misfiled documents and processing errors.
  • Unsigned or improperly signed forms: missing signatures or notarizations as required by local rule can void submissions.
  • Poorly labeled exhibits: unlabeled or out-of-order attachments slow review and require resubmission for clarity.

Consequences of Incorrect or Fraudulent Information

Contempt Sanctions: Court penalties including fines or jail.
Wage Garnishment: Income withholding orders may be imposed.
Tax Intercept: Federal or state refund interception possible.
Perjury Exposure: Knowingly false statements can trigger criminal charges.
Child Support Arrears: Missed payments accrue and may include interest.
Case Dismissal: Incomplete filings may be rejected without prejudice.

Essential Data Elements to Include on the Form

Child Name: Full legal name
Child DOB: MM/DD/YYYY
Parent Names: Full legal names
SSN/TIN: Provide if requested
Income Details: Gross/net, frequency
Case Number: Court or DOR identifier

Key Components of a Complete Florida Child Support Form Package

A professional submission combines the core form with verifiable exhibits, clear calculations, and legally compliant signature and authentication elements.

Parties and Case Identification

Clear identification of petitioner, respondent, children, and any existing case or Department of Revenue reference to ensure correct case association.

Financial Disclosure

Comprehensive income reporting including wages, benefits, self-employment income, deductions, and attached pay stubs or tax returns for verification.

Support Calculation

A transparent calculation showing how the requested amount was derived, referencing Florida child support guidelines or agreed-upon deviations.

Custody and Time-Sharing Facts

Concise description of parenting time, custody arrangements, and any shared expenses that affect the support obligation.

Enforcement and Remedies

Language indicating sought enforcement remedies such as income withholding, liens, intercepts, or license suspension where appropriate.

Verification and Signatures

Signed verification under penalty of perjury, notarization if required, and contact details so the agency or court can verify and serve notices.

Comparison: eSignature Platform Pricing and Core Capabilities

Platform selection affects cost, authentication options, and compliance. signNow is listed first per comparative conventions; vendor pricing shown reflects typical annual billing tiers.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by vendor Varies by vendor Varies by vendor Varies by vendor
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently Asked Questions About the Florida Child Support Form

Answers to common questions about completion, signatures, notarization, and electronic submissions for Florida child support filings.


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