Get Ms Mdhs-cse-675 2023-2025

Filling out the MS MDHS-CSE-675 form online is a crucial step in applying for child support services in Mississippi. This guide will provide you with clear and detailed instructions to ensure a smooth and efficient application process.

Follow the steps to complete your application effectively.

1. Click the ‘Get Form’ button to access the form and open it for completion.
2. Begin by entering your personal information in the designated fields at the top of the form, including first, middle, last name, and any maiden names.
3. Provide information regarding each child involved. You will need to enter the child's name, date of birth, Social Security number, sex, ethnicity, and city and state of birth. If there are additional children, complete the supplemental information form as necessary.
4. Indicate whether the children have health insurance coverage by selecting 'Yes' or 'No'. If yes, specify the provider and provide the group or policy number.
5. Fill out the custodial parent (CP) information section. This includes your name, contact details, and your relationship status with the parent responsible for support.
6. Complete the information regarding the parent responsible for support (PRFS). Include their personal details, including Social Security number, date of birth, sex, and citizenship status.
7. If applicable, fill out the section for the other biological parent (OBP) or legal parent information. Provide similar personal details as required in previous sections.
8. Choose the type of service you request from MDHS by checking the appropriate box for locating services, income withholding disbursement, or full services.
9. If there are safety concerns, check the relevant boxes to disclose any potential issues regarding your circumstances.
10. Review and complete the statement regarding 'Good Cause' for not cooperating with the child support agency, if applicable.
11. Sign and date the application to affirm that all provided information is true.
12. Finally, save your changes and download the form, ensuring you send the completed application along with any necessary fees to the specified MDHS address.

Start filling out your MS MDHS-CSE-675 form online today to ensure your application for child support services is submitted correctly.