INSTRUCTIONS: ARIZONA APPLICATION FOR IV-D SERVICES/GENETIC TESTING AGREEMENT (Form CS-124)

When applying for child support services in Arizona from a father who denies being the biological father of the child in question, the mother may file a form CS-124 requesting that genetic testing be conducted to establish paternity. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 1: In the first box, enter the child's name.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 2: In the second box, enter the child's birth date.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 3: In the third box, enter the city, county and state of birth.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 4: In the fourth box, enter the hospital of birth.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 5: The next section concerns the mother. Enter your first, middle and last name in the first blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 6: Enter your maiden name in the second blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 7: Enter your address in the third blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 8: Enter your date of birth in the fourth blank box and your place of birth in the fifth blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 9: Enter your phone number in the sixth blank box and your Social Security number in the seventh blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 10: Enter your employer in the eighth blank box, your occupation in the ninth blank box, and the type of business in the tenth blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 11: Enter your medical insurance company name in the eleventh blank box and your policy number in the twelfth blank box.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 12: Indicate your ethnicity.

Arizona Application For IV-D Services/Genetic Testing Agreement CS-124 Step 13: Sign and date the form, as well as providing all information requested about the father in the section where indicated