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NAME OF PERSON APPLYING NAME OF ABSENT CHILD TEEN PARENT INFORMATION Street City County State and Zip Code PATERNITY ESTABLISHED DO YOU PAY CHILD SUPPORT court order Paternity Acknowledgement Child Support Order Good Cause Form LDSS-4279 IV-D Attestation LDSS-4281 LRR Letter/Questionnaire Other Support Death Certificate Divorce Decree VA Benefits Order of Filiation/Paternity CTHP CSS Application LDSS-2521 IV-D LDSS-2860 Paternity TEEN PARENT Spou.

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