Alabama > Statewide > Child Support
Complaint For Paternity And Child Support CS-12 - Alabama
| Complaint For Paternity And Child Support Form. This is a Alabama form and can be used in Child Support Statewide . |
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State of Alabama Unified Judicial System COMPLAINT FOR PATERNITY Case Number AND CHILD SUPPORT CS-12 Page 1 of 2 Rev. 7/92 IN THE ________________________________ COURT OF _______________________________ COUNTY, ALABAMA STATE OF ALABAMA, ex rel. _____________________________________________ v. __________________________________________________ ( ) ( ) Address: __________________________________________ Address: ______________________________________________________________________________________ ____________________________________________ Comes now the State of Alabama ex rel. _______________________________ and shows unto the Court as follows: 1. 99 who is now delivered of the minor child(ren) hereinafter named; OR 99 who is now pregnant and expects to give birth to a child (or children) on or about the dayof , , OR 99 who is guardian/legal custodian of the minor child(ren) born to (name of mother);OR 99 who is the child and who is represented by and through a next friend has named the defendant _______________________ as father of the child(ren). Name of Child Date of Birth 2. (a) 99 The plaintiff is now receiving or has received public assistance toward the support of the above-named minor child(ren) from the State of Alabama, Department of Human Resources, and has assigned, by operation of law, support rights in regard to the child(ren) to the State of Alabama, Department of Human Resources, the payments being an obligating due to the State of Alabama OR (b) 99 Is now receiving services from the State of Alabama for the enforcement of support pursuant to Title IV-D of the Social Security Act, as amended. 3. The plaintiff is now receiving or has received medical benefits from the State of Alabama, Department of Human Resources, the medical benefits being an obligation due to child(ren). 4. The defendant is the person charged with the legal duty of supporting the child(ren) and has not supported the child(ren). The defendant is able to pay for the support and maintenance of the child(ren). <<<<<<<<<********>>>>>>>>>>>>> 2CS-12 Page 2 of 2 Rev. 7/92 COMPLAINT FOR PATERNITY AND CHILD SUPPORT (Continued)5. No support payments have been previously ordered pursuant to a decree of divorce. WHEREFORE, the premises considered, the plaintiff moves this Honorable Court as follows:1. To enter an order setting a hearing on the Plaintiffs complaint to establish the paternity of and the amount of support due on behalf of the child(ren) named above; 2. To enter an order adjudicating the paternity of the child(ren) named above and directing the Defendant to pay a reasonable sum toward the support and maintenance of the minor child(ren), and enter a withholding order.3. To require the payments to be made payable to the Clerk of this Court or to the appropriate agency designated by the Court to be transmitted to the State of Alabama, Department of Human Resources, Montgomery, Alabama, where applicable; 4. To require the Defendant, wherever employed, to include the child(ren) named above on any medical insurance policy of medical insurance coverage at his or her place of employment or to include the child(ren) named above on any medical insurance policy or medical insurance coverage which the Defendant may purchase and to provide the evidence of such coverage to the State of Alabama, Department of Human Resources. 5. To require the Defendant to reimburse the State of Alabama $ for public assistance previously paid; 6. To require the Defendant to reimburse the State of Alabama $ for medical benefits previously paid; 7. To require the child support payments to be made payable to at (Address) Date Plaintiff/District AttorneyName and Address of Attorney Telephone Number
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