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Hague Child Support Convention Forms

OMB 0970-0488

Published: May 15, 2017

The Hague Convention forms were developed to comply with the Convention and reduce the complexity of international case processing for all Convention countries.

  • Before sending a case to another Hague Convention country, U.S. states must check the form and language requirements for the specific country. See OCSE's summary page for Hague Convention Language Requirements and Forms, which includes versions of Hague forms translated into several languages. Or check the specific country’s Hague Country Profile.
  • Unless the country's Hague Country Profile indicates otherwise, a U.S. state should use the Hague forms for outgoing cases. (See page 225 of the Practical Handbook for Caseworkers for instructions on completing the forms.)
  • All Hague Convention countries sending a case to the U.S. must use the Hague forms in English.

Hague forms in English and fillable PDFs:

# Form Title Description
Mandatory Transmittal and Acknowledgement
1 Annex 1: Transmittal Form under Article 12(2).pdf This form must accompany all outgoing applications to Hague countries.
2 Annex 2: Acknowledgement Form under Article 12(3).pdf This form must be used to acknowledge all incoming applications from Hague countries.
Annex A
3 Annex A1: Application for Recognition or Recognition and Enforcement.pdf This form is used for applications for recognition or recognition and enforcement of child support decisions, and includes the option to provide personal information separately.
4 Annex A2: Abstract of a Decision.pdf This form may accompany an application to recognize or to recognize and enforce a decision where the requested country has specified that it will accept an abstract of the child support decision. The form must be completed by the competent authority of the country of origin.
5 Annex A3: Statement of Enforceability of a Decision.pdf This form may accompany an application to recognize or to recognize and enforce a decision and confirms that the decision is enforceable in the country of origin. The Statement of Enforceability is completed by the competent authority of the country of origin.
6 Annex A4: Statement of Proper Notice.pdf This form may accompany an application to recognize or to recognize and enforce a decision and indicates that the respondent did not appear and was not represented in the proceedings in the country of origin but had proper notice of the proceedings and an opportunity to be heard or had proper notice of the decision and an opportunity to challenge it on fact and law. The Statement of Proper Notice is completed by the competent authority of the country of origin.
7 Annex A5: Status of Application Report – Article 12.pdf This form can be used by the requested country to update the Central Authority in the requesting country about progress in a case for recognition or recognition and enforcement.
Annex B
8 Annex B1: Application for Enforcement of a Decision Made or Recognized in the Requested State.pdf This form is used for applications for enforcement of a decision made or recognized in a requested country, and includes the option to provide personal information separately.
9 Annex B2: Status of Application Report – Article 12.pdf This form can be used by the requested country to update the Central Authority in the requesting country about progress in a case for enforcement of a decision made or recognized in a requested country.
Annex C
10 Annex C1: Application for Establishment of a Decision.pdf This form is used for applications to establish a child support decision, and includes the option to provide personal information separately.
11 Annex C2: Status of Application Report – Article 12.pdf This form can be used by the requested country to update the Central Authority in the requesting country about progress in a case for establishment of a decision.
Annex D
12 Annex D1: Application for Modification of a Decision.pdf This form is used for applications to modify a child support decision, and includes the option to provide personal information separately. The same form can be used whether the applicant is the creditor or the debtor.
13 Annex D2: Status of Application Report – Article 12.pdf This form can be used by the requested country to update the Central Authority in the requesting country about progress in a case for modification of a decision.
Annex E
14 Annex E1: Financial Circumstances Form.pdf This form can be used with any of the applications under the Convention. However, the form does not have to be completed in full for each application.
Last Reviewed: February 9, 2017

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