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Child Support Arrears Calculation Request Packet - Arizona
| Child Support Arrears Calculation Request Packet Form. This is a Arizona form and can be used in Other Superior Court Pinal Local County . |
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CHAD A. ROCHE, CLERK OF THE SUPERIOR COURT PINAL COUNTY, STATE OF ARIZONA Child Support Arrears Calculation Request packet The Pinal County Clerk of the Superior Court's Child Support Financial Team is responsible for maintaining system and records integrity wit all court orders including, but not limited to; all orders of the court pertaining to monthly obligations, judgments, fees and interest. Among the services provided to the constituency by the Clerk's Child Support Financial Team are debt reviews. Concerned parties, for example; the non custodial parent (NCP), custodial parent (CP), an attorney for either party or State IV-D agency, may at anytime request a review of the debts by the Child Support Financial Team. As of August 1, 1999, any request for an arrearage calculation must be in writing and must include pertinent information to assist in the identification and location of the proper court file. For your convenience, an Arrears Calculation Request form is attached. The arrearage calculation request form will be reviewed an audit prepared in the order it is received. Time allowance for a response is approximately four (4) to six (6) weeks, depending on the number of requests solicited from the court. We ask that you do not call to inquire about the status of your request, as this will only result in further delays. Once the arrearage calculation is complete, you will receive a status report that will include outstanding balances fees and any interest that may be due. If you disagree with our determination, you may call the team supervisor, who will explain any misunderstanding that may have occurred and the procedures used to calculate the accrued arrearage. The Pinal County Clerk's Office experiences a very high volume of requests. If after (6) weeks, you have not received the results of your inquiry, please feel free to contact the Clerk's office at (520) 866-5300 and inquire with Child Support Department. We will be happy to discuss any circumstances creating the response delay. Pursuant to ARS 12-284 subsection A Class E, a fee will be assessed as follows: · · · A letter of arrearage determination must include a self-addressed stamped envelope. A complete copy of arrears calculation including a payment history * $26.00 A complete copy of arrears calculation including a certified payment history * $52.00 No fee will be assessed for a "Notice of Determination of Child Support Arrearage"; however, you must submit a self-addressed stamped envelope with your request. REQUESTS SHOULD BE MAILED TO: Chad A. Roche, Superior Court Clerk Child Support Financial Team P.O. Box 628 Florence AZ 85132 Page 1 of 3 DO_CSA_COSCPinal_09.08.11 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com CHAD A. ROCHE, CLERK OF THE SUPERIOR COURT PINAL COUNTY, STATE OF ARIZONA Child Support Arrear Calculation Request Packet Requester's Information: Name: Address: City: Phone Number: Social Security No: Your Relationship to Case: ( ) State: Zip: Case Information: Non Custodial Parent: Custodial Parent: Case Number: Atlas Number: DO -OR-OR- SE Children: Date(s) of Birth: Projected Graduation Date(s): Reason for Request: Page 2 of 3 DO_CSA_COSCPinal_09.08.11 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com PLEASE CHECK ONE: A Letter of Arrearage Determination (A self-addressed stamped envelope must be provided) Complete Arrear Calculation (Includes a copy of payment history) Complete Arrears Calculation (Includes a certified copy of payment history) $ $ $ NO CHARGE 26.00 52.00 Please include Check or Money Order payable to Clerk of the Superior Court, with your request. If you are only requesting a letter of arrearage determination, you MUST provide a self-addressed stamped envelope. By signing this request you are giving the Clerk permission to: Retain a complete arrear calculation worksheet as a permanent part of the courts case record, Issue to any requesting party, a copy of the court's determination and Make the calculation available to all requesting parties. Signature Printed Name Date Signed Page 3 of 3 DO_CSA_COSCPinal_09.08.11 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Cse-1129AFORPF (10-05) ARIZONA DEPARTMENT OF ECONOMIC SECURITY Division of Child Support Enforcement Arizona State Disbursement Unit ELECTRONIC PAYMENT AUTHORIZATION Check applicable box(es): New Direct Deposit Authorization New Electronic Payment Card Changes to Account Information Only If you fail to provide all the information requested on this form, your request will not be processed and this form will be returned to you. IV-D cases (If you receive or have received cash assistance in the past, and/or have applied for IV-D services, or if you have an open case with DCSE, then your case is considered a IV-D case.) Non IV-D cases (ALL NON-DCSE IV-D cases where only the local court is involved) COURT ORDER NUMBER NAME (Last, First, M.I.) CURRENT MAILING ADDRESS (No., Street, P.O. Box, City, State, Zip) DO# ATLAS CASE NUMBER SOCIAL SECURITY NUMBER CONTRACT'S TELEPHONE NUMBER ( ) - CUSTODIAL PARENT'S DATES OF BIRTH (MM/DD/YYYY) I herby authorize the Arizona State Disbursement Unit (SDU) or its agent designated to initiate credit entries and, if necessary, debit entries and adjustments for any credit entries made in error to my (our) Checking, Savings Account indicated below, to credit and/or debit the same to such account for the purpose of support payments. IMPORTANT! DIRECT DEPOSIT ONLY Please attach a copy of a voided check from your account or a letter from your financial institution if a check is not available. ACCOUNT NUMBER FINANCIAL INSTITUTION'S NAME BANK ROUTING NUMBER 1ST NAME ON ACCOUNT (Last, First, M.I.) 2ND NAME ON ACCOUNT (Last, First, M.I.) All of your child support payments and, if applicable, spousal maintenance will go through direct deposit. They will be deposited into one account only, which can be a savings or checking account. If you wish funds to be deposited to your checking account, please must attach a personal check marked "VOID" and complete the following information. If you wish funds to be deposited to your savings account, please provide a letter from your financial institution with your routing and account number. This authority is to remain in full force and effect until DCSE has received written notification from me of its termination in such time and in such manner as to afford DCSE a reasonable oppor
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