Washington Department of Social and Health Services · Washington
Washington child support enforcement services
Help establishing or collecting child support and medical support. Receiving and paying parents use different packets. TANF and SFA cases have a separate automatic referral process.
Taking applicationsChecked October 11, 2026
Establish and enforce child support and medical support, review support orders, and process support payments. This is an enforcement service, not a guaranteed payment.
Apply for me
We use your saved answers and ask only what is missing. You review and sign before anything is sent.
Who can apply
Documents to gather
Support orders · if it applies
- Copies of all support orders.
Voided check for direct deposit · if it applies
- A voided check attached to the bank information when authorizing direct deposit.
Prior out-of-state assistance records · if it applies
- A sworn statement from the public assistance agency or a certified copy of your assistance records.
Child care payment proof · if it applies
- Receipts or copies of cancelled checks.
Last three pay stubs or pay records · if it applies
- Copies of the last three pay stubs or pay records.
Paternity affidavits, court orders, administrative orders and written child support agreements · if it applies
- Copies of all paternity affidavits, court orders, administrative orders and written child support agreements.
Proof of past child support payments · if it applies
- DCS may ask for proof of payments reported for the last 10 years. The form does not specify acceptable proof alternatives.
The questions on the application (348)
Enroll in Child Support Services · optional
I want to open a child support case, and start receiving support: · I want to pay child support:
Name (first, middle, last) · optional · if it applies
Telephone number · optional · if it applies
Social security number · if it applies
Street address · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
Name (first, middle, last) · optional · if it applies
Bank Name · optional · if it applies
Bank Routing Number · optional · if it applies
Checking Savings · optional · if it applies
Checking · Savings
Bank Account Number · optional · if it applies
No. Please contact me before you attempt to recover a payment sent in error from my future support payments. · optional · if it applies
No. Please contact me before you attempt to recover a payment sent in error from my future support payments.
Signature · if it applies
Place signed · if it applies
Date · if it applies
Name (first / middle / last) · optional · if it applies
Other names used · optional · if it applies
P.o. box or street address · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
Home phone · optional · if it applies
Message phone · optional · if it applies
Cell phone · optional · if it applies
E-mail address · optional · if it applies
Social security number · optional · if it applies
Date of birth (month / day / year) · optional · if it applies
Place of birth (city / county /state / country) · optional · if it applies
Race · optional · if it applies
Height · optional · if it applies
Weight · optional · if it applies
Hair color · optional · if it applies
Eye color · optional · if it applies
Native language (if correspondence needed in other than english) · optional · if it applies
Tribal affiliation (if any) · optional · if it applies
Lives on an indian reservation? · optional · if it applies
NO · YES
Last-known employer's name · optional · if it applies
Employer's p.o. box or street address · optional · if it applies
Employer's city · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
Employer's telephone number · optional · if it applies
Is this a tribal business? · optional · if it applies
NO · YES · UNK
Mother’s father’s name · optional · if it applies
Mother’s mother’s maiden name · optional · if it applies
Name (first / middle / last) · optional · if it applies
Other names used · optional · if it applies
P.o. box or street address · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
Home phone · optional · if it applies
Message phone · optional · if it applies
Cell phone · optional · if it applies
E-mail address · optional · if it applies
Social security number · optional · if it applies
Date of birth (month / day / year) · optional · if it applies
Place of birth (city / county /state / country) · optional · if it applies
Race · optional · if it applies
Height · optional · if it applies
Weight · optional · if it applies
Hair color · optional · if it applies
Eye color · optional · if it applies
Native language (if correspondence needed in other than english) · optional · if it applies
Tribal affiliation (if any) · optional · if it applies
Lives on an indian reservation? · optional · if it applies
NO · YES
Last-known employer's name · optional · if it applies
Employer's p.o. box or street address · optional · if it applies
Employer's city · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
Employer's telephone number · optional · if it applies
Is this a tribal business? · optional · if it applies
NO · YES · UNK
Father’s father’s name · optional · if it applies
Father’s mother’s maiden name · optional · if it applies
The children listed on page 2 live with: · optional · if it applies
Mother · Father · Other (specify):
Other (specify): · optional · if it applies
Did the noncustodial parent ever live with or provide support for the children in Washington State? · optional · if it applies
Yes · No
If yes, when? · optional · if it applies
What percentage of time do the children listed on page 2 reside with the mother? · optional · if it applies
What percentage of time do the children listed on page 2 reside with the father? · optional · if it applies
What percentage of time do the children listed on page 2 reside with a non-parent custodian? · optional · if it applies
Your name · optional · if it applies
Your p.o. box or street address · optional · if it applies
Your social security number · optional · if it applies
Your date of birth · optional · if it applies
Your city · optional · if it applies
Your state · optional · if it applies
Your zip code · optional · if it applies
Your relationship to the children · optional · if it applies
Your home phone · optional · if it applies
Your message phone · optional · if it applies
Your cell phone · optional · if it applies
Your tribal affiliation (if any) · optional · if it applies
Do you live on an indian reservation? · optional · if it applies
No · Yes
Date married (month / day / year) · optional · if it applies
Place married (county / state) · optional · if it applies
Date divorced (month / day / year) · optional · if it applies
Place divorced (county / state) · optional · if it applies
Date separated (month / day / year) · optional · if it applies
Place separated (county / state) · optional · if it applies
Is there a restraining / protection order in place or do you have safety concerns for you or your children? · optional · if it applies
NO · YES
Have you or the children listed above ever received public assistance from a state or Indian Tribe? · optional · if it applies
NO · YES
If yes, where (counties / states / tribes) · optional · if it applies
If yes, when (months / years) · optional · if it applies
Signed at · optional · if it applies
Signature · if it applies
Date · optional · if it applies
from · optional · if it applies
to · optional · if it applies
Noncustodial parent's full name · optional · if it applies
Custodial parent's name · optional · if it applies
Case number · optional · if it applies
Signed at · optional · if it applies
Date · optional · if it applies
Your signature · if it applies
TO: · optional · if it applies
Case number: · optional · if it applies
for the period · optional · if it applies
no later than · optional · if it applies
Children's Names · optional · if it applies
Date · optional · if it applies
Authorized representative division of child support · optional · if it applies
Last · optional · if it applies
First · optional · if it applies
Middle · optional · if it applies
Birthdate · optional · if it applies
Sex · optional · if it applies
Social security number · optional · if it applies
5. other names you use · optional · if it applies
6. ethnic origin · optional · if it applies
7. height · optional · if it applies
8. weight · optional · if it applies
9. color of hair · optional · if it applies
10. color of eyes · optional · if it applies
11. If you need to receive correspondence in a language other than English, list the language: · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Country · optional · if it applies
13. Are you a member of an Indian tribe? · optional · if it applies
No · Yes
If yes, which tribe? · optional · if it applies
14. Do you live on a reservation? · optional · if it applies
No · Yes
If yes, which reservation? · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
17. home telephone number · optional · if it applies
18. message / cell telephone number · optional · if it applies
19. work telephone number · optional · if it applies
Last · optional · if it applies
First · optional · if it applies
Middle · optional · if it applies
Last · optional · if it applies
First · optional · if it applies
Middle · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
Last · optional · if it applies
First · optional · if it applies
Middle · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
25. Are you a member of the military reserve forces? · optional · if it applies
No · Yes
26. service branch · optional · if it applies
Reserves · optional · if it applies
National guard · optional · if it applies
28. duty station · optional · if it applies
1. Are you self-employed? · optional · if it applies
No · Yes
2. company name · optional · if it applies
Sole owner · optional · if it applies
Corporation · optional · if it applies
Partnership · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
5. employer's name · optional · if it applies
Year-around employer · optional · if it applies
Seasonal employer · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
7. employer's telephone number · optional · if it applies
8. days of the week you work · optional · if it applies
9. your work hours · optional · if it applies
Employer is an indian tribe · optional · if it applies
Employer is an indian-owned business located on a reservation · optional · if it applies
Employer is a tribally-owned business · optional · if it applies
Employer is not indian tribe related · optional · if it applies
11. Do you belong to a labor union? · optional · if it applies
No · Yes
12. union's name · optional · if it applies
13. local number · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
1. Is health insurance available to you through your employer, union, or Indian Health Services? · optional · if it applies
No · Yes
8. Do you have any other health insurance? · optional · if it applies
No · Yes
15. Does your health insurance cover any of the children involved in this case? · optional · if it applies
No · Yes
16. monthly insurance premium to cover each child · optional · if it applies
17. total monthly insurance premium to cover the children · optional · if it applies
1. gross monthly earnings or income · optional · if it applies
2. net monthly earnings or income · optional · if it applies
3. pay period: weekly bimonthly monthly other: · optional · if it applies
WEEKLY · BIMONTHLY · MONTHLY · OTHER:
Other: · optional · if it applies
4. bank name · optional · if it applies
5. bank branch · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
7. Do you receive retirement benefits? · optional · if it applies
No · Yes
If yes, from whom? · optional · if it applies
8. your retired rank · optional · if it applies
9. service branch · optional · if it applies
10. Do you receive worker's compensation benefits? · optional · if it applies
No · Yes
11. who pays the benefit? · optional · if it applies
12. claim number · optional · if it applies
13. Do you have income other than salary or wages? · optional · if it applies
No · Yes
If yes, list the source. · optional · if it applies
14. Do you own property? · optional · if it applies
No · Yes
15. location of the property · optional · if it applies
16. TYPE OF PROPERTY (real estate, boat, car, etc.) · optional · if it applies
1. Were you married to your children's other parent? · optional · if it applies
No · Yes
2. date married · optional · if it applies
City · optional · if it applies
County · optional · if it applies
State · optional · if it applies
Country · optional · if it applies
4. Are you now divorced from your children's other parent? · optional · if it applies
No · Yes
5. date divorced · optional · if it applies
City · optional · if it applies
County · optional · if it applies
State or tribe · optional · if it applies
Country · optional · if it applies
7. Are you now separated (not divorced) from your children's other parent? · optional · if it applies
No · Yes
8. date separated · optional · if it applies
City · optional · if it applies
County · optional · if it applies
State · optional · if it applies
Country · optional · if it applies
10. If you were never married to your children's other parent, does a state or tribal court order name the children's father? · optional · if it applies
No · Yes
11. date order entered · optional · if it applies
City · optional · if it applies
County · optional · if it applies
State or tribe · optional · if it applies
Country · optional · if it applies
First · optional · if it applies
Last · optional · if it applies
Middle · optional · if it applies
14. Did you sign a Paternity Affidavit? · optional · if it applies
No · Yes
15. date signed · optional · if it applies
City · optional · if it applies
County · optional · if it applies
State · optional · if it applies
Country · optional · if it applies
17. name of the state or tribal reservation where the children were conceived · optional · if it applies
18. Do you have any other child support orders? · optional · if it applies
No · Yes
19. date entered · optional · if it applies
20. CAUSE NUMBER (if known) · optional · if it applies
County · optional · if it applies
State or tribe · optional · if it applies
Country · optional · if it applies
22. Do you pay spousal maintenance · optional · if it applies
No · Yes
23. dates paid · optional · if it applies
24. name of person(s) paid · optional · if it applies
25. Did you ever pay child support to another state or tribal child support agency? · optional · if it applies
No · Yes
26. dates paid · optional · if it applies
27. agency name · optional · if it applies
28. Did you ever pay child support through a court clerk? · optional · if it applies
No · Yes
30. place paid: county · optional · if it applies
29. dates paid · optional · if it applies
State or tribe · optional · if it applies
31. Describe all verbal and written agreements you have with the other parent that affect the child support amount. · optional · if it applies
Last · optional · if it applies
First · optional · if it applies
Middle · optional · if it applies
Birthdate · optional · if it applies
Sex · optional · if it applies
Social security number · optional · if it applies
5. other names used · optional · if it applies
6. If the other parent needs to receive correspondence in a language other than English, list the language: · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Country · optional · if it applies
8. Is the other parent a member of an Indian tribe? · optional · if it applies
No · Yes
If yes, which tribe? · optional · if it applies
9. Does the other parent live on a reservation? · optional · if it applies
No · Yes
If yes, which reservation? · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
12. home telephone number · optional · if it applies
13. message / cell telephone number · optional · if it applies
14. work telephone number · optional · if it applies
1. Is the other parent self-employed? · optional · if it applies
No · Yes
2. company name · optional · if it applies
Sole owner · optional · if it applies
Corporation · optional · if it applies
Partnership · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
5. employer's name · optional · if it applies
Year-around employer · optional · if it applies
Seasonal employer · optional · if it applies
P.o. box or street number · optional · if it applies
City · optional · if it applies
State · optional · if it applies
Zip code · optional · if it applies
8. employer's telephone number · optional · if it applies
9. days of the week worked · optional · if it applies
10. work hours · optional · if it applies
Employer is an indian tribe · optional · if it applies
Employer is an indian-owned business located on a reservation · optional · if it applies
Employer is a tribally-owned business · optional · if it applies
Employer is not indian tribe related · optional · if it applies
12. gross monthly earnings · optional · if it applies
13. net monthly earnings · optional · if it applies
14. pay period: weekly bimonthly monthly other: · optional · if it applies
WEEKLY · BIMONTHLY · MONTHLY · OTHER:
Other: · optional · if it applies
2. Did a state (other than Washington State) or tribe ever grant public assistance to the children listed above? · optional · if it applies
No · Yes
3. WHEN GRANTED (most recent) · optional · if it applies
4. PLACE GRANTED (most recent) COUNTY · optional · if it applies
State or tribe · optional · if it applies
5. Did the children live in more than one household while you had a requirement to pay child support? · optional · if it applies
No · Yes
I want DCS to require the other parent to provide health insurance coverage for the children or to pay part of the medical insurance premium costs I am incurring in the amount stated in the order. · optional · if it applies
I want DCS to collect the other parent's share of uninsured medical expenses (including copayments, deductibles, and premiums as defined in WAC 388-14A-1020) that I have paid on behalf of the children. · optional · if it applies
Signature · if it applies
Date · if it applies
Information About the Children for Whom You Want Child Support: answered for each person (CHILD’S NAME (FIRST / MIDDLE / LAST), SEX, SOCIAL SECURITY NUMBER, DID THE FATHER SIGN A PATERNITY ACKNOWLEDGEMENT?, DATE OF BIRTH (MONTH / DAY / YEAR), PLACE OF BIRTH (CITY / COUNTY /STATE / COUNTRY), TRIBAL AFFILIATION (IF ANY), DID THE MOTHER BECOME PREGNANT WITH THIS CHILD IN WASHINGTON STATE?, IF NO, THEN WHERE (COUNTY/STATE):, IS THERE A SUPPORT ORDER FOR THIS CHILD?, IF YES, DATE OF ORDER (MONTH / DAY / YEAR), IF YES, PLACE ORDER ENTERED (COUNTY / STATE / TRIBE)).
for the children listed below:: answered for each person (for the children listed below:).
Declaration of Support Payments: answered for each person (Year, January, February, March, April, May, June, July, August, September, October, November, December, Total).
Child Care Verification Response: answered for each person (DCS Case Number, Child Care Provider Name and Address, Child Care Provider Telephone Number (include area code), Child's Name, I am paid $, per, subsidy from Washington State or another state or government agency per month for this child., Date, Child Care Provider Signature, Child Care Provider Printed Name, Date, Parent / Custodian Signature, Parent / Custodian Printed Name).
Payments from the custodian that were not subsidized: answered for each person (Amount, Period (month/year)).
List the following information for relatives, friends, or places where DCS can contact you:: answered for each person (29. NAME, P.O. BOX OR STREET NUMBER, CITY, STATE, ZIP CODE, 31. TELEPHONE NUMBER, 32. RELATION TO YOU).
III. Your Health Insurance Information: answered for each person (2. INSURANCE COMPANY'S NAME, 3. POLICY NUMBER, 4. GROUP NUMBER, P.O. BOX OR STREET NUMBER, CITY, STATE, ZIP CODE, MEDICAL ONLY, MEDICAL AND DENTAL, DENTAL ONLY, OTHER (LIST):, OTHER (LIST):, 7. EFFECTIVE DATE).
III. Your Health Insurance Information: answered for each person (9. OTHER INSURANCE COMPANY'S NAME, 10. POLICY NUMBER, 11. GROUP NUMBER, P.O. BOX OR STREET NUMBER, CITY, STATE, ZIP CODE, MEDICAL ONLY, MEDICAL AND DENTAL, DENTAL ONLY, OTHER (LIST):, OTHER (LIST):, 14. EFFECTIVE DATE).
List all children living in the other parent's household for whom you have a requirement to pay child support or for whom you want a child support requirement established.: answered for each person (LAST, FIRST, MIDDLE, BIRTHDATE, SEX, SOCIAL SECURITY NUMBER, E. RELATIONSHIP TO YOU, F. PLACE OF BIRTH COUNTY, STATE, G. TRIBE, H. COVERED BY YOUR HEALTH INSURANCE?).
VIII. Information About the Children in This Case: answered for each person (6. NAME OF THE CUSTODIAN IN THE HOUSEHOLD, 7. LOCATION: CITY, STATE, 8. DATES IN HOUSEHOLD).
List all child support payments that you paid for the children involved in this case for the last 10 years.: answered for each person (Year/Month, January, February, March, April, May, June, July, August, September, October, November, December, Total).
What you agree to
I understand that DCS can send support payments to me by Electronic Funds Transfer (EFT) by depositing the payments directly into my checking or savings account. I authorize direct deposit by completing the following bank account information. (Attach a voided check.)
I declare that I: 1. Am not receiving or asking for support enforcement services from another state or authority. 2. Either have physical custody of the children for whom I am seeking current support or had physical custody of the children for the time when the support debt occurred. 3. Have the legal custodian's permission to care for the children. 4. Did not wrongfully deprive the legal physical custodian of custody of the children. 5. Am not receiving public assistance funds for the children. I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Acknowledgment regarding payments sent in error and / or overpayments: Unless I check the "No" box below, my signature on this application gives the Division of Child Support (DCS) permission to keep up to 10 percent of my current child support payments and all of my past-due payments made on this case until payments sent in error are recovered in full. No. Please contact me before you attempt to recover a payment sent in error from my future support payments. DCS will provide the same level of full enforcement services whether or not I check the "No" box . DCS may use other collection methods to recover a payment sent in error, which could include income withholding and other actions allowed under RCW 74.20A.270.
I want DCS to provide child support enforcement services to me and my children. I want DCS to accept and endorse all child support payments (checks, money orders, electronic funds transfers, etc.) collected for me. If I now receive child support payments through a state or tribal court or state or tribal child support enforcement agency, I want the court or agency to send all payments to DCS. I read and understand the Nonassistance Support Enforcement Information form that I received with this application.
I understand that: 1. DCS charges me a $35 annual fee if I have never received Temporary Assistance to Needy Families (TANF), Tribal TANF, or Assistance to Families with Dependent Children (AFDC) for children in my household. DCS retains this fee (between October 1st and September 30th) from child support collected after DCS has disbursed $550 in child support payments to me on a case in a federal fiscal year. If I have more than one case, I may be charged a fee on each case where $550 is disbursed to me. If I have received TANF, Tribal TANF, or AFDC from another state I must provide proof, such as a sworn statement from the public assistance agency or a certified copy of my assistance records, to DCS. DCS may charge the fee until I provide that proof. If paying the $35 fee creates a hardship for my family, I may ask for an exception by requesting a Conference Board. 2. If DCS refers my case to another state for enforcement, the other state may charge a fee for a particular service. The other state may collect its fees by retaining a part of the child support collection. 3. DCS will need to release my name and my children's names to the noncustodial parent. 4. I must provide my social security number to DCS. DCS will use the number for child support enforcement purposes as defined in the Title IV-D of the Social Security Act. 5. DCS cannot collect child support debts barred by the statute of limitations. 6. DCS cannot require an Indian tribe, a tribally-owned business, or an Indian-owned business located on a reservation to withhold child support from income paid to a noncustodial parent. If a tribe and DCS have an agreement to do so, DCS will ask the tribe to enforce my child support order. 7. DCS will enter my child support order into the Washington State Support Registry (WSSR). 8. If I have a court order that requires the noncustodial parent to pay child support through the WSSR, my case will remain in the WSSR until a court releases my order. 9. DCS will distribute child support collections on my case as required by federal and state law. DCS will: a. Apply current child support to the month in which it is received. b. Send me the current child support. (If the noncustodial parent has more than one child support order and a collection does not cover all current support orders, DCS divides the collection proportionally between the cases.) c. Retain an annual $35 fee payment (between October 1st and September 30th), if I have never received AFDC, TANF, or Tribal TANF funds as a custodian of minor children, after $550 in child support is disbursed to me on the case in a year. d. Apply collections that exceed one month's current child support to past-due child support (if any). e. If I received TANF or AFDC in the past, DCS will distribute past-due child support (except payments from the Internal Revenue Service (IRS)) as follows: (1) First, to any past-due support owed to me that was never assigned to the state. (2) Second, to any past-due support that was temporarily assigned to the state. (3) Third, to any past-due support owed to me for my children's medical support. (4) Fourth, to any past-due support that was permanently assigned to the state by a public assistance assignment. (5) Fifth, to any medical support assigned to the state. 10. Collections received from the IRS are always applied to past-due support. Payments from the IRS are distributed in the following order: a. First, to permanently assigned past-due financial support. b. Second, to temporarily assigned past-due financial support. c. Third, to permanently assigned past-due medical support. d. Fourth, to any support owed that was never assigned to the state. 11. WAC-388-14A-2037 explains permanently assigned arrears. WAC 388-14A-2038 explains temporarily assigned arrears. 12. I must return money DCS pays me if I: a. Receive a payment in error. b. Receive more money than the noncustodial parent owes (also called an overpayment). 13. DCS may recover the overpayment and / or payment in error by withholding from future child support received for me, without further notice to me. This is called an 'offset' and is allowed by RCW 26.23.035(3). I may request in writing on page one of this application that DCS contact me before seeking payment recovery by offset. DCS may contact me at a later date to seek permission for offset or to notify me in writing that DCS plans to recover a payment by offset unless I respond. When DCS has authority to recover by offset, the following occurs: a. DCS withholds up to 10 percent of my future current support payments. b. DCS withholds up to 100 percent of my future past-due support payments. 14. DCS may take other collection actions allowed by RCW 74.20A.270 to recover overpayments and / or payments sent to me in error. This applies even after I stop receiving child support payments through DCS. If DCS chooses this option, DCS will serve a notice on me. If no objection is received, DCS is allowed to: a. Send my employer or other person or organization that holds assets for me an Income Withholding for Support. This order / notice requires my employer or other person or organization to withhold the amount of the payment in error and / or overpayment from my earnings, income, and assets. b. File liens against my real and personal property. c. Use any DCS collection remedy available under Chapters 26.09, 26.18, 26.23, and 74.20 RCW. 15. RCW 26.23.110 allows DCS to collect unreimbursed medical expenses (including copayments, deductibles, and premiums as defined in WAC 388-14A-1020) incurred on behalf of the children from me under certain circumstances. DCS may do so by: a. Reducing the debt owed to me. b. Reducing any current support owed to me by no more than 50 percent each month for a year or less. c. Opening a collection case against me and using any DCS collection remedy except license suspension. 16. If my support order requires me to provide health insurance coverage, DCS may enforce that requirement if the noncustodial parent requests it. Enforcement may include establishing a cash medical obligation for monthly premiums, not to exceed 25 percent of my basic child support obligation as shown in the worksheets for my support order. 17. DCS does not represent me or the other party to my child support order. To protect my interests, I should take part in all hearings or court appearances about my child support order. If I do not attend and participate in a hearing, an Administrative Law Judge may grant any requests made by DCS or the other party to my child support order without further notice to me. 18. DCS can deposit my support payments directly into my bank account by Electronic Funds Transfer (EFT). If I do not authorize direct deposit, DCS will automatically mail me a stored-value Visa debit card, called the DCS debit card. If DCS enrolls me in the DCS debit card program, DCS deposits my support payments to the card rather than to my bank account. In most cases, support payments are available to my bank account or on my DCS debit card within three business days after DCS applies them to the case. The DCS debit card can be used anywhere VISA is accepted or at ATM machines. For more information about electronic payments or other options for receiving payments I can call 800-468-7422 or go on-line at www.dshs.wa.gov/esa/division-child-support. 19. DCS may serve written notices on me by first class mail. DCS may serve these notices to my last-known address.
I agree to: 1. Send DCS all support payments I get from anyone other than DCS. I must send DCS the payments within eight days. 2. Tell DCS immediately if my children receive any of the following paid on behalf of the noncustodial parent. The noncustodial parent may receive support payment credit for the benefit payments your children receive. You may be asked to confirm these payments. If giving credit shows that the noncustodial parent has overpaid, you may be required to repay the overpaid amount. Generally, the children's custodian must apply for those benefits. a. A benefit paid by the Department of Labor and Industries or a worker's compensation benefit paid by a self-insurer paid after July 1, 1990. b. A disability dependency benefit or retirement benefit from the Social Security Administration paid after July 1, 1990. c. An apportionment of benefits from the Department of Veterans Affairs on or after July 24, 2015. 3. Tell DCS if I ask another person or agency to collect child support for me. 4. Tell DCS if my address or my children's address changes. 5. Send DCS copies of all child support orders that change the support requirements or custody of the children named in my case.
I agree to tell the DCS immediately, in writing, of any new or changed information that relates to collecting support from the parent responsible for paying support. I certify or declare under penalty of perjury, under the laws of the state of Washington, that the forgoing is true and correct.
I declare under penalty of perjury, under the laws of the state of Washington, that the foregoing is true and correct.
I declare under penalty of perjury, under the laws of the state of Washington, that the foregoing is true and correct. I understand that DCS will use the information I have provided for child support purposes and will become public record. DCS may disclose the information to the noncustodial parent upon written request to DCS and pursuant to public disclosure policy.
I am asking for child support enforcement services. I realize that DCS tries to collect child support debts not barred by the statute of limitations. I know that this request registers my child support order with the Washington State Support Registry (WSSR). I understand that the information I provide may be used by Washington State to establish, enforce, or modify my child support.
I agree to tell DCS when I change my address or employer and about other events that might change my child support payment amount.
I agree to send all child support payments to DCS. I understand that DCS credits only payments that I send to WSSR, a state court or child support agency, or a Tribal court or child support agency to my child support obligation. I understand that DCS will not give me credit for any payment sent directly to the custodial parent.
I declare under penalty of perjury, under the laws of the state of Washington, that: 1. All statements I gave on this form are true and correct. 2. I am not requesting or receiving child support enforcement services from another state.
After you apply
- DCS sends a case number and assigns a caseworker to review the information and decide next steps.
- Receiving parents agree to send DCS direct support payments within eight days and report address changes, other collectors, and changed orders.
- DCS says it sends an enrollment letter within seven to 10 days. For receiving applicants it confirms the case opened; for paying applicants it explains next steps.
- Support payments are usually available in the bank account or debit card within three business days after DCS applies them to the case.
- DCS may establish or enforce child support and medical support or review an order for modification. A support debt may be limited by the statute of limitations.
- DCS may serve notices by first class mail to your last-known address. A notice may become final if you do not respond.
- A payer can request a hearing. The notice controls the right to a hearing; the printed information describes 20 days in Washington or 60 days outside Washington to stop enforcement.
Before you send it
- Use one enrollment form for each noncustodial parent.
- List only the children of the parents on page one who live in your home. Use a continuation sheet if needed.
- Do not include payments from DCS in the Declaration of Support Payments.
- DCS must release your name and your children's names to the noncustodial parent. Tell DCS about safety concerns or a protection order.
- An annual $35 fee may apply after $550 is disbursed on a case in a federal fiscal year if you never received TANF, Tribal TANF or AFDC. You can ask for a hardship exception through a Conference Board.
- DCS does not represent either parent and cannot establish or enforce child custody or visitation.
- The child care provider completes a separate response for each child. The parent signs it and attaches receipts or cancelled checks.
- Fields are requested to the best of your ability. Required flags identify printed signing requirements and repeated children. They do not establish which unanswered details DCS will accept.
- If you do not know an answer, write UNK. Use an attached sheet when you need more space. Print in blue or black ink, except for your signature.
- DCS says it will not credit payments sent directly to the custodial parent. The certification directs payments to the Washington State Support Registry, a state court or child support agency, or a tribal court or child support agency.
What we could not check
- The public enrollment page offers current receiving and paying application routes. No seasonal closing date is stated.
- Some details here could not be confirmed. Check with Washington Department of Social and Health Services, Division of Child Support before you apply.