New York > Statewide > Family Court > Uniform Interstate Family Support Act
Locate Data Sheet UIFSA-7 - New York
| Locate Data Sheet Form. This is a New York form and can be used in Uniform Interstate Family Support Act Family Court Statewide . |
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LOCATE DATA SHEET Petitioner Respondent To: (Agency Name and Address) [ ] IV-D Non Public Assistance [ ] IV-D Non PA Medicaid [ ] Full Services [ ] Medical Services Only [ ] IV-D Public Assistance [ ] IV-E Foster Care (IV-D Case) [ ] Non-IV-D File Stamp Responding FIPS Code ________________ State _________________________ Responding IV-D Case No. _____________________________________________ Responding Docket No. ________________________________________________ From: (Contact Person, Agency, Address, Phone, Fax, Internet) Initiating FIPS Code __________________ State __________________________ Initiating IV-D Case No. ________________________________________________ Initiating Docket No. ___________________________________________________ Initiating Jurisdiction [ ] URESA [ ] UIFSA [ ] Non Custodial Parent Information Full Name (First, Mid, Last) [ ] Custodial Parent Information [ ] Possibly Dangerous Social Security Number(s) Current Spouse's Name (Fst, M, Lst) [ ] Alias [ ] Maiden Name [ ] Mother's Maiden or Father's Name Date of Birth Sex (or approximate year) Place of Birth Height (City, State, County) Driver's License Number/State Race Hair Eyes Weight Distinguishing Marks, Scars, Tatoos, Glasses, Etc. Last Known Address - [ ] Residence [ ] Mailing Telephone: ( ) [ ] Confirmed Date________________ Usual Occupation/Professional Licenses Last Known Employer (Name, Full Address, Federal EIN) [ ] Confirmed Date________________ Telephone: (_______)_________________ Other Information, Including Assets, Education, Police Record, Public Assistance History Employment Wage Qtr ________________ Wage Year_______________ Attachments: [ ] Photograph [ ] Other Items, e.g. Fingerprints Wage Amount ____________ ____________________ Date ______________________________________ Initiating Contact Person (Print or Type) (_______)________________________________ Telephone Number and Extension (_______)________________________________ Fax Number Locate Data Sheet OMB No. 0970 - 0085 Page 1 of 1 2001 © American LegalNet, Inc. OMB No. 0970 - 0085 INSTRUCTIONS FOR LOCATE DATA SHEET PURPOSE OF THE FORM: The Locate Data Sheet is used for requesting locate information (regarding the parent, employer, wages, assets) or services from another State. The requesting jurisdiction completes as much of the form as possible with the information it has. In addition to the more common data elements specified on the Locate Data Sheet, space is provided to note other locate/asset information particular to the case. For example, information on wages, violence potential, military/veteran status, and relatives may prove useful in working a case. In the interest of expediting the locate process, use CSENet whenever possible. Quick Locate. When using the Locate Data Sheet to request "quick locate", do not attach the Locate Data Sheet to a Child Support Enforcement Transmittal. You may send the request directly to the responding State's Parent Locator Service. "Quick locate" is useful if a State believes that a noncustodial parent may be in one of several States, but is unsure of which State. If a State intends to use its long-arm jurisdiction to establish or enforce an order, it may choose to use "quick locate" to confirm the noncustodial parent's location. Using the Locate Data Sheet as Part of an Interstate Referral. Attach the Locate Data Sheet to the Child Support Enforcement Transmittal #1, and send the request to the responding State's central registry. Use of the Child Support Enforcement Transmittal #1 will require the responding State to open a IV-D case and provide services. An interstate referral should be made in cases where a State is relatively sure that the noncustodial parent is in a specific State. HEADING/CAPTION: # # Identify the petitioner and respondent in the appropriate spaces. Check the appropriate space to identify the type of case: IV-D Non Public Assistance; IV-D Non Public Assistance Medicaid (indicate whether receiving Full Services or Medical Services Only); IV-D Public Assistance; IV-E Foster Care; or Non IV-D. IV-D means the case is being worked by the State or local child support enforcement agency (i.e., IV-D agency). Public Assistance means the obligee's family receives IV-A cash payments [IV-A was formerly called Aid to Families with Dependent Children (AFDC) and is now called Temporary Family Assistance]. A IV-D Non Public Assistance Medicaid case is a case where the obligee's family receives Medicaid but does not receive Public Assistance (IV-A cash payments). In the space marked "To:", list the name and address (street, city, State, and zip code) of the central registry or agency where you are sending the Locate Data Sheet. In the appropriate spaces, if applicable and if known, enter the Responding jurisdiction's FIPS code, State, IV-D case number, and docket number. Under "docket number", you may enter the docket number, cause number, or any other appropriate reference number that the responding State may use to identify the case, if known. In the space marked "From:", list a contact person, agency name, address (street, city, State, zip code), phone number (including extension), fax number, and Internet address. In the appropriate spaces, enter the Initiating jurisdiction's FIPS code, State, IV-D case number, and docket number. Under "docket number", you may enter the docket number, cause # # # # Instructions for Locate Data Sheet--Page 1 2001 © American LegalNet, Inc. number, or any other appropriate reference number which the initiating tribunal or agency has assigned to the case. # Check the appropriate box to indicate whether the initiating jurisdiction uses the Uniform Reciprocal Enforcement of Support Act (URESA) or the Uniform Interstate Family Support Act (UIFSA). BODY OF FORM: # Check the appropriate box to indicate whether the locate information pertains to the "Non Custodial Parent" or "Custodial Parent". Check the box for "Possibly Dangerous" if the party may be dangerous. Provide as much information about the party as possible. For "Full Name", enter the party's complete name (First, Middle, Last). Provide "Social Security Number" if known; this information is vital. Enter the party's "Alias", "Maiden Name", or "Mother's Maiden or Father's Name" if known and check the appropriate box to identify the type of name provided. When listing a party's race, select from the following: 1) White (non-hispanic), 2) Black (nonhispanic), 3) Hispanic, 4) American Indian - Alask
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