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Child Support Enforcement Transmittal 3 - Request For Assistance-Discovery (UIFSA) - Alabama
| Child Support Enforcement Transmittal 3 - Request For Assistance-Discovery (UIFSA) Form. This is a Alabama form and can be used in Child Support Statewide . |
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CHILD SUPPORT ENFORCEMENT TRANSMITTAL #3 - REQUEST FOR ASSISTANCE/DISCOVERY Petitioner Name, SSN IV-D Case: Respondent Name, SSN, Verified Address [ [ [ [ [ ] TANF ] IV-E Foster Care ] Medicaid Only ] Former Assistance ] Never Assistance Non-IV-D Case: [ ] File Stamp Children's Legal Names To: (Agency/Tribunal Name and Address) Responding FIPS Code Responding IV-D Case No. Responding Tribunal No. From: (Contact Person, Agency, Address, Phone, Fax, E-mail) Initiating FIPS Code Initiating IV-D Case No. Initiating Tribunal No. Response Needed by _____________________(Date) State State I. Action 1. [ ] Provide/Obtain Copies of Documentation [ ] Certified Copies of Orders [ ] Financial Statement [ ] Payment Records [ ] Other 2. [ ] Provide Assistance with Service of Process (See Attached) (See Section II and/or Attached) 3. [ ] Provide Assistance with Genetic Testing 4. [ ] Obtain Answers for Interrogatories (See Attached) 5. [ ] Provide Assistance with Teleconference for Hearing or Deposition (See Attached) (See Section II and/or Attached) 6. [ ] Obtain Financial Data/Proof of Respondent's Income 7. [ ] Obtain Party Signature on Attached Form (See Attached) 8. [ ] Provide Assistance with a Lien (See Attached) 9. [ ] File a Notice of Determination of Controlling Order with An Order-Issuing Tribunal 10. [ ] Other: ___________________________________________________________________________ Please Return the Acknowledgment Attached II. Additional Information [ ] Nondisclosure Finding Attached [ ] Verified Address of Employer: ___________________ Date Fax: _______________________________________ Initiating Contact Person (Print or Type) (_________)______________________ Telephone Number & Extension (_________)_______________________________ E-mail:______________________ Child Support Enforcement Transmittal #3 - Request for Assistance/Discovery OMB No. 0970 - 0085 Expiration Date: 01/31/2008 Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com CHILD SUPPORT ENFORCEMENT TRANSMITTAL #3 - REQUEST FOR ASSISTANCE/DISCOVERY Petitioner Name, SSN IV-D Case: [ ] TANF [ ] IV-E Foster Care [ ] Medicaid Only Respondent Name, SSN, Verified Address [ ] Former Assistance [ ] Never Assistance Non-IV-D Case: [ ] File Stamp To: (Agency Name and Address) Responding FIPS Code Responding IV-D Case No. Responding Tribunal No. From: (Contact Person, Agency, Address, Phone, Fax, E-mail) Initiating FIPS Code Initiating IV-D Case No. Initiating Tribunal No. State State ACKNOWLEDGMENTS [] [] [] To be Completed by Responding Agency and Returned to Initiating Agency Request Received and No Additional Information is Necessary Additional Information Needed (See Remarks) Remarks/Response [] Your Case has been Forwarded for Action to: Name of Worker Agency Name Address, FIPS Code Phone & Extension Fax ( Date Fax: ) Telephone Number & Extension Person Completing Form (Print or Type) ( ) E-mail: Child Support Enforcement Transmittal #3 - Request for Assistance Discovery Return This Page to the Initiating Jurisdiction Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com INSTRUCTIONS FOR CHILD SUPPORT TRANSMITTAL #3 - REQUEST FOR ASSISTANCE/DISCOVERY PURPOSE OF THE FORM: The CSE Transmittal #3-Request for Assistance/Discovery is designed for use when the requesting jurisdiction is working its case locally (e.g., by long-arm jurisdiction) and needs limited assistance from another jurisdiction, but does not want the other jurisdiction to open a IV-D case. Sections 316 and 318 of the model version of UIFSA contain specific provisions that allow a tribunal to receive evidence from another State and to obtain discovery through a tribunal of another State. The form may be sent electronically using the appropriate CSENet transaction. When a jurisdiction receives a CSE Transmittal #3-Request for Assistance/Discovery from another jurisdiction, it should not open a IV-D case; it should only provide the limited assistance requested. By contrast, the CSE Transmittal #1-Initial Request is designed for use when the initiating State is requesting the responding State to open a IV-D case. HEADING/CAPTION (Pages 1 & 2): The jurisdiction requesting assistance/discovery determines the heading. Note that the heading appears on both page 1 of the Child Support Enforcement Transmittal #3 and on page 2, the Acknowledgment page. Identify the petitioner and respondent name and Social Security number in the appropriate spaces. The jurisdiction requesting assistance/discovery should include a verified address for the respondent, if necessary for responding to the request, or if known. Enter the children's legal names to assist the responding State in discussing the request with the noncustodial parent. Check the appropriate space to identify the type of case: TANF; IV-E Foster Care, Medicaid only; former assistance, never assistance, or Non-IV-D. TANF means the obligee's family receives IV-A cash payments. A Medicaid only case is a case where the obligee's family receives Medicaid but does not receive TANF (IV-A cash payments). In the space marked "To:", list the name and address (street, city, State, and zip code) of the agency or court where you are sending the CSE Transmittal #3. In the appropriate spaces, if applicable and if known, enter the Responding jurisdiction's FIPS code, State, IV-D case number, and tribunal number. Under "IV-D case number", enter the number/identifier identical to the one submitted on the Federal Case Registry, which is a left-justified 15-character alphanumeric field, allowing all characters except asterisk and backslash, and with all characters in uppercase. Under "tribunal 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. The "responding" jurisdiction is the jurisdiction that receives the request for assistance. In the space marked "From:", list a contact person, agency name, address (street, city, State, zip code), phone number (including extension), fax number, and e-mail address. In the appropriate spaces, enter the Initiating jurisdiction's FIPS code, State, IV-D case number, and tribunal number. Under "IV-D case number", enter the number/identifier identical to the one submitted on the Federal Case Registry, which is a left-justified 15-character alphanumeric field, allowing all characters except asterisk and backslash, and with all characters in uppercase. Under "tribunal number", you may
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