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Plete this form Fill in each blank. If there are boxes, check the box or boxes that fit your situation. Complete a separate form for each parent or alleged parent other than yourself. If you need another form, ask your worker for one. FOR OFFICE USE ONLY CASE NUMBER WORKER PHONE NUMBER Booklet Please read the booklet Understanding Child Support: A Handbook for Parents (DHS-3393) before signing. The booklet explains information about the child support services you may be receiving. Chec.
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