INSTRUCTIONS: ARIZONA DCSE MODIFICATION PACKET (Form CSE-1178A)

Arizona recipients or payers of child support who have experienced a significant change in their financial situation may use a packet CSE-1178A to request a change in support payments. This packet can be obtained from the website maintained by the Arizona Department of Economic Security.

Arizona DCSE Modification Packet CSE-1178A Step 1: The first two pages contain instructions for completing and using this packet.

Arizona DCSE Modification Packet CSE-1178A Step 2: The third page contains a request for modification review, which must be submitted as part of your application. This document requires you to provide your name, current address, home, cell and work phone numbers, and the other party's address and phone number, as well as your date of last contact with them.

Arizona DCSE Modification Packet CSE-1178A Step 3: The fourth page contains a request for modification. Here, you must indicate your reason for seeking a modification in payments using a check mark next to the appropriate statement.

Arizona DCSE Modification Packet CSE-1178A Step 4: The fifth page contains an agreement to accept service by mail of 10 different documents that may be involved in the process.

Arizona DCSE Modification Packet CSE-1178A Step 5: The rest of the form contains an Affidavit of Financial Information. The first page of this document requires you to provide your name and contact information.

Arizona DCSE Modification Packet CSE-1178A Step 6: Sign and date your name at the top of the second page and read the instructions.

Arizona DCSE Modification Packet CSE-1178A Step 7: Section 1 on the third page concerns general information.

Arizona DCSE Modification Packet CSE-1178A Step 8: Section 2 on the fourth page concerns your employment, while Section 3 concerns your education and training.

Arizona DCSE Modification Packet CSE-1178A Step 9: Section 4 on the fifth page concerns your gross monthly income.

Arizona DCSE Modification Packet CSE-1178A Step 10: Section 5 on the sixth page concerns self-employment income, if applicable. Section 6 on this page should only be completed by the unemployed or self-employed.

Arizona DCSE Modification Packet CSE-1178A Step 11: Section 7 begins on the seventh page and is a schedule of all monthly expenses and continues through the ninth page.

Arizona DCSE Modification Packet CSE-1178A Step 12: Section 8 on the ninth page concerns your parenting or visitation time.