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Registration Statement Form & Instructions

OMB 0970-0085

Published: June 7, 2011
Information About:
State/Local Child Support Agencies, Tribal Child Support Agencies
Administrative/Judicial Processes, Non-IV-D

The Registration Statement is completed by the initiating jurisdiction to request registration of an existing order for enforcement and/or modification. The purpose of the form is to refer specific order information to the responding State. This form can be used in IV-D and non-IV-D interstate cases. It should be included with the other appropriate forms and directed to the responding State’s central registry. In non-IV-D cases, contact the responding State central registry to determine appropriate procedures. It is important to remember that a separate Registration Statement is needed for each order that the initiating State is requesting be registered by the responding State.