Insurance Match Standard Input File Record – Expires January 31, 2021

IM-18-05

Publication Date: April 20, 2018

INFORMATION MEMORANDUM

SUPERSEDED BY IM-21-02

IM-18-05

DATE: April 20, 2018

TO: State and Tribal IV-D Agencies

SUBJECT: Insurance Match Standard Input File Record — Expires January 31, 2021

ATTACHMENT: Insurance Match Implementation Guide (no longer available) (PDF)

The Office of Management and Budget (OMB) approved the Insurance Match Standard Input File Record (OMB No. 0970-0342), which is available for insurers to use and can be accessed in the Insurance Match Implementation Guide.

OMB approved the current form for use until January 31, 2021.

Scott M. Lekan
Commissioner
Office of Child Support Enforcement

Last Reviewed Date: