Fill and Sign the Motion to Contest an Administrative Adjustment Delaware Form

Form 253 Rev 10/18 The Family Court of the State of Delaware In and For New Castle Kent Sussex County MOTION TO CONTEST ADMINISTRATIVE ADJUSTMENT       (the “Movant”) has received a Notice of Administrative Adjustment filed with the Family Court by the Division of Child Support Services (DCSS). The Movant DISAGREES with the: Date of Termination of Current Support. Balance (amount) of past due child support (back support / arrears). Monthly amount ordered to repay past due child support (back support / arrears). Change of Payee (The person alleged does not have placement of the child(ren)). Date of Change of Payee (Movant disagrees with the date alleged for the change in placement). Other:       Because:       MOVANT AFFIRMS that the above information is true and correct and that a copy of this motion was deposited in the U.S. Mail on       with sufficient postage and addressed to: the Division of Child Support Services (appropriate county address on reverse of form) and the opposing party at       Movant/Attorney Date Print Name Sworn to subscribed before me: Clerk of Court/ Notary Public Date NOTICE: RESPONDENT HAS THE RIGHT TO FILE A RESPONSE WITHIN TEN (10) DAYS OF THE SERVICE OF THIS MOTION. IF NO RESPONSE IS TIMELY FILED, THE MOTION MAY BE DECIDED WITHOUT OTHER OPPORTUNITY TO BE HEARD. Upon consideration of the Motion, the Notice of Administrative Adjustment and the response (or) no response, the Court ORDERS the following: The motion is DENIED. The Administrative Adjustment was correct and authorized by Family Court Civil Rule 302. The motion is GRANTED and: Current Support terminated (or shall presumptively terminate) on       The correct arrears balance is $       as of       Arrears shall be repaid at the rate of $       per month The correct payee is       effective       A hearing will occur on       at       AM PM to consider this motion ( date/time TBD). Other:       CC: FILE PARTIES DCSS Counsel DCSS Accounting DCSS Operations Reciprocal Agency 1 of 2 Name Name File Number                   Street Address (including Apt) . Street Address (including Apt)             Petition Number P.O. Box Number P.O. Box Number                   City/State/Zip Code City/State/Zip Code DCSS Number                   Phone Number D.O.B. Phone Number D.O.B.                         Attorney Name Attorney Name             So Ordered this Date:       Judge/Commissioner       Form 253 Rev 10/18 FOR ALL CHILD SUPPORT CASES HANDLED THROUGH THE DIVISION OF CHILD SUPPPORT SERVICES (DCSS), A COPY OF THIS NOTICE AND MOTION TO CONTEST AN ADMINISTRATIVE ADJUSTMENT MUST BE SENT TO THE DCSS OFFICE IN THE COUNTY WHERE YOUR CASE IS LOCATED. IF YOUR CASE IS LOCATED IN NEW CASTLE COUNTY, SEND COPY TO: DIVISION OF CHILD SUPPORT SERVICES P.O. BOX 15012 WILMINGTON, DE 19850 IF YOUR CASE IS LOCATED IN KENT COUNTY, SEND COPY TO: DIVISION OF CHILD SUPPORT SERVICES 905 S. GOVERNORS AVE 2 ND FLOOR DOVER, DE 19901 IF YOUR CASE IS LOCATED IN SUSSEX COUNTY, SEND COPY TO: DIVISION OF CHILD SUPPORT SERVICES GEORGETOWN PROFESSIONAL PARK 20105 OFFICE CIRCLE GEORGETOWN, DE 19947 2 of 2