Forms

The forms on this page are in Adobe PDF format.

LCR001: Request for Complaint Resolution

SH001: Request for State Hearing

To apply for services, complete the Application for Child Support Services Packet and return it to the county child support agency in your area.

FSCSS-02: Self Service Application for Child Support Services Packet

FSCSS-02-S: Aplicación para Servicios de Manuntención de Niños

The following forms are contained in the Self Service Application for Child Support Services Packet:

• DCSS-0064: Notice of Child Support Services Program  
• DCSS-0370: Simplified Application for Child Support Services
• DCSS-0095: Confidential Paternity Questionnaire
• DCSS-0048: Family Violence Questionnaire
• DCSS-0053: Visitation Verification
• DCSS-0054: Health Insurance Information
• FL-150: Income and Expense Declaration
• DCSS-0569: Declaration of Support Payment History

These individual forms can be downloaded at:
      California State DCSS - Apply for Child Support Services Webpage

If you have questions on filling out a form, contact us at (866) 901-3212.

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