State of Alaska  > Revenue  > Child Support Services  > Forms

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PDF	Word	Form Name
Custodial Application for Services
		Custodian's Application for Services (04-1017) *
		Custodian's Application for Services (04-1017) Fill-in Version
		Paternity Information Locate Sheet (04-1423A) *
Non Custodial Parent Application for Services
		Noncustodial Parent Application for service (1017B) *
Non Parent Application for Services
		Non Parent Custodial Application for Services  (04-1017D) *
Paternity Forms
		Paternity Witness Statement (04-1604D)
		Paternity Witness Statement Fill-in Version (04-1604D)
		Affidavit in Support of Establishing Paternity (includes 4 pages of instructions) *
		Paternity Information Locate Sheet (04-1423A) *
Modification
		Request for Modification of an Alaskan Child Support Order (04-1686A)
		Child Support Guidelines Affidavit (04-1901) *
Interstate
		Registration Statement and instructions *
		Registration Statement Packet * (6 pages - includes cover letter and attachments)
		General Testimony * (11 pages)
		General Testimony Instructions (17 pages)
		General Testimony Packet * (14 pages - includes cover letter and attachments)
		Affidavit of Military Service (04-0004) *
Electronic Funds Transfer (EFT)
		Custodial Parent Authorization for Direct Deposit Fill-in Version (04-0008)
		Custodial Parent Authorization for Direct Deposit (04-0008)
		Non Custodial Parent Payment Agreement / Direct Withdrawal Authorization Fill-in Version(04-0008C)
		Non Custodial Parent Payment Agreement / Direct Withdrawal Authorization (04-0008C)
Additional Forms
		Debit Card Authorization form (04-0006)
		Hardship Request for Lower Withholding (04-0009) *
		Statement of Support Received - 12 year version (04-1606A)  *
		Statement of Support Received - 3 year version (04-1606B) *
		Statement of Support Paid - 12 year version (04-1606C)  *
		Statement of Support Paid - 3 year version (04-1606D) *
		Confidentiality of Information for Domestic Violence Victims (04-0500A)
		Affidavit & Request for Nondisclosure of Identifying Information (04-0502)*
		Information about Child Support Services Services (04-1060A)
		Information Locate Sheet (04-1423) *
		Withdrawal of Application for Services (04-1090) *
		Withdrawal from Formal Hearing (04-1916) *
		Withdrawal from Formal Hearing -  Fill in Version (04-1916) *
		CSSD Check Reissue Request (04-1013) *
		Alaska New Hire Reporting Form (04-1050)
		Alaska New Hire Reporting Form - Fill in Version (04-1050)
		Vacating an Administrative Order *
		Request for Release of Joint Federal Tax Refund (04-1806) *
		CSSD Verification Form (04-0950) *
		Settlement Financial Statement (04-1888A) *
		Forgiveness of Arrears - Program Eligibility Application (04-2400A)
		Forgiveness of Arrears - Program Eligibility Application - Fill in Version (04-2400A)
		Forgiveness of Arrears - Financial Statement - (04-2402)
		Forgiveness of Arrears - Financial Statement - Fill in Version (04-2402)