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Pleading"$6W_Header for numbered pleading paper*/ ȟ_ я"E'(   ,#x6X@;X@##x6X@;X@##X~xP7XP##X~xP7XP##mxP7P# X  y*dddyy*dddy HT1 HT2 HT3 HT4 HT5 HT6 HT7 HT8 HT9 H10 H11 H12 H13 H14 H15 H16 H17 H18 H19 H20 H21 H22 H23 H24 H25 H26 H27 H28   Ӏ1, 2, 3,")6W_Numbersx ?-=(/ (ҏ" )*/ ȟ_ я"E )*.2o³a1Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ 8+,@   a2Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ A-.@` `  ` ` ` a3Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ J/0` ` @  ` `  a4Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ S12` `  @  2W޶a5Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ \34` `  @hh# hhh a6Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ e56` `  hh#@( hh# a7Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ n78` `  hh#(@- ( a8Right Par+/ ȟ_ Right-Aligned Paragraph Numbers/ (ҏ" =*/ w9:` `  hh#(-@pp2 -ppp 2 N    h i    #ixP7P#y$dddy  dB Child Support Enforcement Transmittal #1 Initial RequestHH_OMB No. 0970 0085PPX X "" Page 1 of 3ċ #_xP7P#CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1 INITIAL REQUEST   y`dddyy< @ dddyy@,dddy  Z X` hp x (#%'0*,.8135@8:, D,LLJ,xxP,V,],c,((i,TTo,u,{,,,00,\\,OMB No. 0970 0085$  V  `INSTRUCTIONS FOR  V  K CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1 INITIAL REQUEST ă  PURPOSE OF THE FORM: The CSE Transmittal #1Initial Request form is a "cover letter" required to refer IVD interstate cases to any responding State's central registry. The form can also be used in nonIVD cases. It contains basic case information and space for indicating which services are requested. The form can be used to request administrative or legal action, including establishment of paternity and/or support obligation, modification, or enforcement. It does not take the place of, and therefore must be accompanied by, the appropriate standard interstate forms (e.g. Uniform Support Petition, General Testimony, etc.) and supporting documentation. HEADING/CAPTION (Pages 1 & 3): The initiating jurisdiction determines the heading. Note that the  M heading appears on both page 1 of the Child Support Enforcement Transmittal #1 and on page 3, the  M  Acknowledgment page. ,Identify the petitioner and respondent in the appropriate spaces.$ ,Check the appropriate space to identify the type of case: IVD Non Public Assistance; IVD Non Public Assistance Medicaid (indicate whether receiving Full Services or Medical Services Only); IVD Public Assistance; IVE Foster Care; or Non IVD. IVD means the case is being worked by the State or local child support enforcement agency (i.e., IVD agency). Public Assistance means the obligee's family receives IVA cash payments [IVA was formerly called Aid to Families with Dependent Children (AFDC) and is now called Temporary Family Assistance]. A IVD Non Public Assistance Medicaid case is a case where the obligee's family receives Medicaid but does not receive Public Assistance (IVA cash payments).$ ,In the space marked "To:", list the name and address (street, city, State, and zip code) of the central registry, court, or agency where you are sending the CSE Transmittal #1. In IVD cases, initial referrals must be sent to the responding State's central registry. In nonIVD cases, contact the responding State central registry to determine appropriate procedures.$ ,In the appropriate spaces, if applicable and if known, enter the Responding jurisdiction's FIPS code, State, IVD case number, and docket number. The responding FIPS code is not essential for an initial IVD referral since you will be sending the case to the responding central registry. Under "docket number", you may enter the docket number, cause number, or any other appropriate reference number that the responding State may use to identify the case, if known.$ ,In the space marked "From:", list a contact person, agency name, address (street, city, State, zip code), phone number (including extension), fax number, and Internet address.$ ,In the appropriate spaces, enter the Initiating jurisdiction's FIPS code, State, IVD case number, and docket number. Under "docket number", you may enter the docket number, cause number, or any other appropriate reference number which the initiating tribunal or agency has assigned to the case.$ ,In the space marked "Send Payments To:" enter the address to which payments should be sent, if the address is different from the agency address provided in the space labelled "From". Specify the case identifier if you want the responding jurisdiction to use an identifier other than the initiating IVD case number when remitting payments. $ ,In the appropriate spaces, enter the FIPS code and State where payments should be sent.$c*x-++Ԍ,If funds can be transmitted electronically via Electronic Funds Transfer (EFT), enter the bank account number under "Bank Account" and the bank routing code under "Routing Code".$ ,Check the appropriate box to indicate whether the initiating jurisdiction uses the Uniform Reciprocal Enforcement of Support Act (URESA) or the Uniform Interstate Family Support Act (UIFSA).$ ,In the appropriate space, note the State which you believe has continuing exclusive jurisdiction (CEJ), if known. Under UIFSA, a State that issues a child support order maintains CEJ as long as the obligor, obligee, or child(ren) reside in that State, or until each party files written consent allowing another State to assume CEJ. If there are multiple orders governing the same obligor, obligee, and child(ren), UIFSA contains rules for determining which order is controlling. The tribunal that issued the controlling order has CEJ as long as the conditions for CEJ are met. CEJ means the authority to modify the order.$ SECTION I (page 1), ACTION: Check the appropriate box(es) to indicate which actions are requested. Multiple actions may be requested, as appropriate.  M  In IVD cases , the responding jurisdiction should provide the full range of appropriate services. For example, even if the initiating IVD agency only checks box 1 "Establishment of Paternity", the responding jurisdiction should establish paternity, establish a support order, and enforce the support order.  M ,Check item 1 "Establishment of Paternity" to request that paternity be established. In a IVD case, ask another State to establish paternity only if use of longarm jurisdiction is not appropriate. Be sure to attach an "Affidavit in Support of Establishing Paternity" for each child whose paternity is at issue.$  M ,Check item 2 "Establishment of Order" to request that an order be established. Indicate the type of order by checking the appropriate box.$  M0 ,DDD%,pp,Check item 2A "Child Support" to request the initial establishment of a new child support order. If the responding State uses UIFSA and an order governing the same obligor, obligee, and child(ren) already exists, you should generally only request establishment of a new order if: (1) there is more than one existing order, and (2) the obligor, obligee, and child have all moved out of the issuing States.$p  M ,DDD%,pp,Check item 2B "Spousal Support" to request establishment of a spousal support order. Do not check this item in a IVD case; establishment of spousal support is not a IVD function. When requesting establishment of spousal support, contact the support enforcement agency for the appropriate procedure.$p  M " ,DDD%,pp,Check item 2C "Support for a Prior Period" to request establishment of support for a prior period. States may establish child support awards covering a prior period, but such awards must be based on guidelines and take into consideration either the current earnings and income at the time the order is set, or the obligor's earnings and income during the prior period. The award of back support is not required under Federal rules but may be appropriate in accordance with State law. Not all States have authority to establish support orders for prior periods.$p  M( ,DDD%,pp,Check item 2D "Medical Coverage" to request establishment of an order that provides for the provision of medical insurance or other health care coverage. Medical support must be requested in all IVD Public Assistance cases, all IVD Non Public Assistance@*x-++ Medicaid cases, and in other IVD Non Public Assistance cases where health coverage is sought.$p  Mp ,DDD%,pp,Check item 2E "Other Costs" to request an order for other costs such as: costs of the delivery of the child, other medical costs not covered by insurance, genetic testing, and attorney's fees. Describe the costs in section VII "Additional Case Information".$p  M ,Check item 3 "Enforcement of Responding Tribunal Order" to request enforcement of an existing order that was issued by the responding tribunal.$ ,DDD%,pp,If multiple orders governing the same obligor, obligee, and child(ren) exist, do not ask a responding UIFSA State to prospectively enforce (or modify) an order unless that order is the "controlling order" that has priority under UIFSA. UIFSA contains rules for determining which order is recognized when multiple orders exist. Under these rules:$p ,DDD%,pp,1., 2The order issued by a tribunal with continuing, exclusive jurisdiction (CEJ) has priority. An issuing tribunal retains CEJ as long as the issuing State remains the residence of the obligor, obligee, or child, or until all parties file written consent with the tribunal allowing another State to assume CEJ.$ ,DDD%,pp,2., 2If more than one issuing tribunal would have CEJ, the order issued by the child's current home State has priority.$ ,DDD%,pp,3., 2If more than one tribunal would have CEJ but there is no order in the child's current home State, the most recently issued order has priority.$ ,DDD%,pp,4., 2If no tribunal would have CEJ, the responding State may issue a new support order and it becomes the CEJ State.$  M ,Check item 4 "Modification of Responding Tribunal Order" to request modification (or review and adjustment) of an existing order that was issued by the responding tribunal. $ ,$ ,DDD%,pp,Do not request a responding UIFSA State to modify its own order if the obligor, obligee, and child(ren) have all moved out of that State, or if the parties have filed written consent with the issuing tribunal in that State allowing another State to modify the order.$p ,DDD%,pp,If multiple orders exist, do not ask a responding UIFSA State to modify an order unless that order is the "controlling order" that has priority under UIFSA. UIFSA contains rules for determining which order is recognized when multiple orders exist.$p ,DDD%,pp,Generally, you need to attach a completed General Testimony.$p  M" ,Check item 5 "Change of Payee/Redirection of Payment" to request a change of payee or redirection of payment. Describe your request in Section VII "Additional Case Information". "Change of Payee" is an administrative action used when the person or agency entitled to receive funds has changed. It may occur with a change in Public Assistance or Foster Care status or a change in custody. "Redirection of Payment" is an administrative action used when the custodian has moved. In some States a court action may be required if the custodian's move compels transfer of documents or funds to another jurisdiction.$  Mp) ,Check item 6 "Registration of Foreign Support Order" to request registration of a support order. Orders from one State may be registered in another State, under UIFSA, URESA, or the  M+ Uniform Enforcement of Foreign Judgments Act (UEFJA). Also check item 6A "For+x-++  M Enforcement Only", item 6B "For Modification and Enforcement" or item 6C "For Modification" to indicate whether the registration is for enforcement and/or modification. Check either item 6B or 6C if you are requesting review and adjustment of a foreign order. Check the appropriate box to indicate whether registration is requested by the obligor, obligee, or state enforcement agency. $ ,DDD%,pp,To modify another State's order, a responding State must first register the order. To enforce another State's order, a responding State may have to register the order; UIFSA allows for administrative enforcement without registration (but requires registration for other enforcement actions).$p ,DDD%,pp,When requesting registration, certain information or documents are required. The requirements for requesting registration depend on whether you are registering the order under UIFSA, URESA or UEFJA or other law. To request registration of an order under UIFSA, you must include:$p ,DDD%,pp,o, 2, 8A letter of transmittal to the tribunal requesting registration for enforcement and/or modification. The CSE Transmittal #1 serves this function. Check the appropriate boxes in item 6 of section I to indicate the action requested.$ ,DDD%,pp,o, 2, 8Two copies, including one certified copy, of all orders to be registered, including any modification of an order. $ ,DDD%,pp,o, 2, 8A sworn statement by the party seeking registration or a certified statement by the custodian of records showing the amount of any arrearage. At State option, page 6a of the General Testimony may be used for this purpose. In section VIII "Attachments", check the first box ("Arrears Statement/Payment History") to indicate that a sworn statement of arrears is attached.$ ,DDD%,pp,o, 2, 8The name of the obligor and, if known: the obligor's address and Social Security Number; the name and address of the obligor's employer and any other source of income of the obligor; and a description and the location of property of the obligor in the responding State not exempt from execution. Space for most of this information is provided on the CSE Transmittal #1. If you have information about the obligor's other sources of income or property, include the information in section VII or an attachment. In section VIII, check the box labelled "Description of Real/Personal Property" if a description is attached.$ ,DDD%,pp,o, 2, 8The name and address of the obligee. Space for this information is provided on the CSE Transmittal #1. $ ,DDD%,pp,o, 2, 8If applicable, the agency or person to whom support payments are to be remitted. Space for this information is included in the heading of the CSE Transmittal #1.$ ,DDD%,pp,In addition, to allow the responding State to establish a IVD case, you will probably need to complete all other information on the CSE Transmittal #1, particularly information regarding the children.$p ,DDD%,pp,Furthermore, when requesting registration for modification, you generally need to attach a completed Uniform Support Petition and General Testimony.$p @*x-++ ,DDD%,pp,Do not ask a responding UIFSA State to modify another State's order unless: $p ,$ ,DDD%,pp,o, 2, 8(1) the child(ren), obligee, and obligor do not live in the State that issued the order; (2) the party seeking modification does not live in the responding State; and (3) the responding State has personal jurisdiction over the other party (the party not requesting modification).$ ,DDD%,pp,, 2, 8OR$ ,DDD%,pp,o, 2, 8The responding State has personal jurisdiction over the obligor, obligee, or child(ren), and the obligor and obligee have filed written consent in the tribunal that issued the order providing that the responding State may modify the support order and assume continuing, exclusive jurisdiction over the order.$ ,DDD%,pp,If multiple orders governing the same obligor, obligee, and child(ren) exist, do not ask a responding UIFSA State to prospectively enforce or modify an order unless that order is the "controlling order" that has priority under UIFSA. UIFSA contains rules for determining which order is recognized when multiple orders exist. $p ,DDD%,pp,Generally, the CSE Transmittal #1 is used to send initial case referrals and the CSE Transmittal #2 is used to send/request additional information or action after the initial referral. However, since the CSE Transmittal #2 does not contain the necessary information needed to request registration of a foreign order, you may use the CSE Transmittal #1 to request registration even in a case that has previously been referred to the responding jurisdiction. If you are requesting registration in a case that has previously been referred to the responding jurisdiction, you may send the request directly to the responding entity working the case rather than to the responding central registry. $p ,$  M ,Check item 7 "Collection of Arrears" to request collection of arrears. You should request enforcement of arrears under all known orders.$  M ,Check item 8 "Income Withholding" to request interstate income withholding. If the employer's State uses UIFSA, you may send a withholding order/notice directly to the outofState employer. If you prefer, you may still send the CSE Transmittal #1 to send a request for withholding in a IVD case to the IVD central registry in a responding State. In fact, in a IVD case, if the employer's State does not use UIFSA and your State does not have jurisdiction over the employer under State law, you must send a request, using the CSE Transmittal #1, to the IVD central registry in the employer's State. Be sure to specify the amount to be withheld. Attach a copy of the support order and, if appropriate, a statement of arrears. Attach any other documentation required by the responding State (see the Interstate Roster and Referral Guide). In some instances, registration of a foreign income withholding order or underlying support order may be necessary. To request other enforcement techniques, rather than just income withholding, check item 3 or item 6, as appropriate. $  M$ ,Check item 9 "Administrative Review for Federal Tax Offset" to request an administrative review in the responding State if a Federal income tax refund offset has been challenged.$  M' ,Check item 10 "Other" if you are requesting a service other than those listed. Describe the service on the blank line.$ SECTION II (page 1), CASE SUMMARY: Provide complete information for all court/administrative actions regarding support for dependents. If there are more than three orders, use additional page(s) or Section VII. For "Period of Computation", enter the month, day, and year for both the beginning+x-++ and ending dates. The information in this section will be used to aid in verifying calculated arrearages and to assist in determining/verifying which order is controlling and which State has continuing exclusive jurisdiction. If you believe a particular order is controlling under UIFSA, check the box beside "Presumed Controlling Order"; otherwise leave the box blank. If there are multiple orders governing the same obligor, obligee, and child(ren), UIFSA contains rules for determining which order is controlling. The responding tribunal will make the final determination regarding which order is controlling. Attach the required number of copies of all pertinent orders that relate to support. If you are sending this case to a State that uses UIFSA, you will generally need to attach two copies, one of which is certified, of any support order. If you are sending this case to a State that uses a version of URESA, you will generally need to attach three certified copies of any support order. Note, however, that some responding States may be able to take certain administrative enforcement actions (e.g., interstate wage withholding) without having a certified copy of the order, although a regular copy is necessary. SECTION III (page 2), MOTHER INFORMATION: This section provides basic information about the child(ren)'s mother. Check the appropriate box to indicate if the mother is the obligor or obligee. Provide the mother's full name (first, middle, last) as well as aliases or maiden name, and all other information. List additional information (i.e., phone number changes, relatives' phone numbers, multiple employers or assets) in section VII. In cases where the mother is the respondent, the information can be used for location purposes if necessary. If the mother's address has been confirmed or verified, check the "Address Confirmed" box and indicate the date the address was confirmed. If the employer/employer's address has been confirmed or verified, check the "Employer Confirmed" box and indicate the date the information was confirmed. Verified, current information expedites processing of any child support case. However, if information cannot be verified, provide last known information. SECTION IV (page 2), FATHER INFORMATION: This section provides basic information about the child(ren)'s father. In a case where paternity has not been established, use this section to provide  M0 information about the alleged father. Check the appropriate box to indicate if the father is the obligor or obligee. Provide the father's full name (first, middle, last) as well as aliases, and all other information. List additional information (i.e., phone number changes, relatives' phone numbers, multiple employers or assets) in section VII. In cases where the father is the respondent, the information can be used for location purposes if necessary. If the father's address has been confirmed or verified, check the "Address Confirmed" box and indicate the date the address was confirmed. If the employer/employer's address has been confirmed or verified, check the "Employer Confirmed" box and indicate the date the information was confirmed. Verified, current information expedites processing of any child support case. However, if information cannot be verified, provide last known information. SECTION V (page 2), CARETAKER (IF NOT A PARENT): Complete this section only if the child(ren)'s caretaker is not the child(ren)'s parent. In the space labelled "Relationship to Child(ren)", indicate the relationship of the caretaker to the child(ren). Provide the caretaker's full name (first, middle, last) as well as aliases or maiden name, and all other information. Note: if the caretaker does not have a legal obligation to contribute to a child's support, information regarding the caretaker's employment may be privileged. SECTION VI (page 2), DEPENDENT CHILDREN INFORMATION: List all children for whom support is owed or being sought. For each child, provide full name (first, middle, last), date of birth, sex, Social Security Number, and State of residence for last 6 months. If additional space is needed, use section VII. + x-++ԌSECTION VII (page 2), ADDITIONAL CASE INFORMATION: In this section, provide additional information which may be useful to the responding jurisdiction in working the case, such as pending action, amounts reported to credit bureaus, or prior attempts of longarm action. If additional space is needed, attach page(s). If there is an order preventing disclosure of a party's or child's address/identifying information, check the box for "Nondisclosure Finding Attached" and attach a copy of the finding. In accordance with the finding, do not provide the address/identifying information; you may provide a substitute address. A nondisclosure finding means a finding that the health, safety, or liberty of a party or child would be unreasonably put at risk by disclosure of identifying information (e.g., residential address). UIFSA provides that interstate petitions must include certain identifying information regarding the parties and child(ren) unless a tribunal (court or agency) makes a nondisclosure finding by ordering that the address or identifying information not be disclosed. The procedures for obtaining a nondisclosure finding vary from State to State. SECTION VIII (page 2), ATTACHMENTS: Check the appropriate box(es) to indicate all documents attached. For attachments other than those listed, check "Other Attachments" and explain in section VII. Attach the required number of copies of all pertinent orders that relate to support. If you are sending this case to a State that uses UIFSA, you will generally need to attach two copies, one of which is certified, of any support order. If you are sending this case to a State that uses a version of URESA you will generally need to attach three certified copies of any support order. Note, however, that some responding States may be able to take certain administrative enforcement actions (e.g., interstate wage withholding) without having a certified copy of the order, although a regular copy is necessary. At the bottom of page 2, provide a specific worker's name, a direct telephone number (with extension if necessary) and fax number to expedite communications between jurisdictions. PAGE 3, ACKNOWLEDGMENT: The responding jurisdiction completes the Acknowledgments section of page 3 and returns it to the initiating jurisdiction. The initiating jurisdiction should not include this form in the initial referral packet. This form is intended to be generated by the responding jurisdiction in response to its receipt of the transmittal packet from the initiating State. In addition to acknowledging receipt of the case, the responding jurisdiction may request additional information (a request for statespecific forms which substantially duplicate or duplicate in part the content or purpose of the standard interstate forms is not allowed) and/or report back to the initiating jurisdiction what action/results have occurred (e.g., income withholding begun, arrearage reported to credit bureau, case closed and reason). The responding jurisdiction must indicate where the case has been referred for action, and the name, telephone and fax number of a contact person. ,DDD%,pp,, 2, 8*******************************************$ The Paperwork Reduction Act of 1995  This information collection is conducted in accordance with 45 CFR 303.7 of the child support enforcement program. Standard forms are designed to provide uniformity and standardization for interstate case processing. Public reporting burden for this collection of information is estimated to average one hour per response. The responses to this collection are mandatory in accordance with 45 CFR 303.7. This information is subject to State and Federal confidentiality requirements; however, the information will be filed with the tribunal and/or agency in the responding State and may, depending on State law, be disclosed to other parties. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.