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CS-167 Request for Title IV-D Child Support Services

cs167en22.pdf

Form Instructions

INSTRUCTIONS: ARIZONA REQUEST FOR TITLE IV-D CHILD SUPPORT SERVICES (Form CS-167)

Arizona residents who wish to obtain the assistance of the state Department of Child Enforcement Services should do so by filing a form CS-167. This is available as part of a larger packet containing instructions and information about the process of establishing child support. This packet can be obtained from the website maintained by the Arizona Department of Economic Security.

Arizona Request For Title IV-D Child Support Services CS-167 Step 1: The first five pages of this packet contain instructions and information.

Arizona Request For Title IV-D Child Support Services CS-167 Step 2: On the sixth page, indicate whether you need an interpreter by checking "yes" or "no." If "yes," enter the language which you need interpreted.

Arizona Request For Title IV-D Child Support Services CS-167 Step 3: Indicate with a check mark whether you are the custodial or noncustodial parent or the caretaker. The caretaker must complete all sections of the form, while parents are only required to complete sections 1, 2 and 4.

Arizona Request For Title IV-D Child Support Services CS-167 Step 4: Section 1 on the seventh page concerns information about the custodial parent. If you are a caretaker, enter information about the mother in this section.

Arizona Request For Title IV-D Child Support Services CS-167 Step 5: Section 2 on the eighth page concerns information about the non-custodial parent. If you are a caretaker, enter information about the father in this section.

Arizona Request For Title IV-D Child Support Services CS-167 Step 6: Section 2 continues on the ninth page.

Arizona Request For Title IV-D Child Support Services CS-167 Step 7: Section 3 on the tenth page is only for caretakers and concerns information about themselves.

Arizona Request For Title IV-D Child Support Services CS-167 Step 8: Section 4 on the eleventh page requires information about the first child.

Arizona Request For Title IV-D Child Support Services CS-167 Step 9: Section 4b on the twelfth page requires information about the second child, if applicable.

Arizona Request For Title IV-D Child Support Services CS-167 Step 10: If filing concerning more than two children from the same father, use a separate form CS-167A for each additional child.

Arizona Request For Title IV-D Child Support Services CS-167 Step 11: Sign and date the last page.

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