Division of Child Support Forms

Used by noncustodial parents to authorize DCS to deduct support payments from their account by Electronic Funds Transfer (EFT). Payments can be automatically deducted from a bank account. Search our FAQs to learn more about payments.

Used to obtain childcare costs to enforce or establish a childcare obligation.

Must be used with the Application for Non-assistance Support Enforcement Services (18-078) for case set-up.

Used as a continuation sheet for the DSHS 14-057 for cases involving more than three children.

Used by parents to provide the court confidential information in a modification process.

Used by parents as an addendum to the Confidential Information Form (INFO)

Used by Tribal employees who have access to SEMS, to agree to federal and state confidentiality requirements.

Used by legal or physical custodians to declare that children are in their lawful custody and can help expedite the establishment or enforcement of Child Support.

Used by the receiving parent to provide a record of child support payments received from the paying parent.

Used by parents to provide DCS with the details of uninsured health care expenses incurred.

Used by receiving parents to authorize direct deposit to their bank account.

Used to provide employers with information on how to remit child support payments and provides employees with a payment remittance form. This is a user fillable file.

Employers use this form to report termination of employee for whom they had a requirement to withhold child support or enroll the employee's children in a health insurance plan.

Used as a declaration of income and expenses.

Information about the New Hire Reporting Program.

Information to employers on how to report newly hired and rehired employees.

Division of Child Support policies and non-assistance cases information.

Use this application with both WSCSS Child Support Schedule Worksheets and the 16-107 Noncustodial Parent’s Rights and Responsibilities.

This is an overview of the Division of Child Support and its policies.

Use this form to serve a Notice of Support Owed – Medical Support to the obligated parent.

Formal petition to modify an administrative child support order.

Use to inform either parent that DCS may be able to collect uninsured health care expenses.

Conference boards provide a speedy, informal method of resolving grievances. Search our FAQ to learn more about enforcement and conference boards .

Use to ask the Division of Child Support for income information about the other party to your child support order.

Use to request a review and modification to a court order for child support.

Use to obtain educational institution graduation and enrollment information to determine eligibility for continued child support.

A paying parent completes this income and expense statement, usually to negotiate a payment plan.

DCS may offer a reduced or deferred repayment plan if the form is signed by the paying parent. The paying parent waives the right to raise a statute of limitations defense.

Medical insurance plan administrators use this form to respond to a National Medical Support Notice.

The Washington State Child Support Schedule (WSCSS) developed by the Administrator of the Courts for establishment or modification of a child support obligation. Search our FAQ to learn more about establishment and modification.

ESA