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Get KS Child Support Order Information Sheet 2010-2024

CHILD SUPPORT ORDER INFORMATION SHEET As per Supreme Court Administrative Order No. 168 amended all new or modified nonIVD support orders filed in the Kansas district courts must be accompanied by this child support order information sheet. To insure that processing of child support payments is not delayed the Kansas Payment Center must have all information listed on the form below. Who submits this information sheet The payee s attorney shall submit a child support order information sheet with any new or modified non-IVD support orders filed with the Clerk of the District Court. Case Number You must give the full accurate case number or payments may be delayed. The case number may be copied from the child support order. Date Trustee Fee Active or Inactive please check one Case Number Payer s Name Gender Male Date of Birth Female SSN If SSN or DOB not known give reason for unavailability Address City State Zip E-mail Address Phone Numbers mark primary Work Cell Home Revised date 11/2010 Amount Debt Type Start Date Obligation Frequency Weekly CS MN Bi-weekly OT Semi-Monthly Monthly Child 1 Name List additional children on a separate sheet. Third Party Payee Provide the following if payee is an individual reason for unavailability If SSN or DOB not known give Absent extenuating circumstances as determined by the Kansas Payment Center Payers and Payees Social Security Numbers and Dates of Birth must be provided on this form. Form Completed By. Purpose Federal law requires Kansas to process child support through a single location in the state. To insure that processing of child support payments is not delayed the Kansas Payment Center must have all information listed on the form below. Who submits this information sheet The payee s attorney shall submit a child support order information sheet with any new or modified non-IVD support orders filed with the Clerk of the District Court. Case Number You must give the full accurate case number or payments may be delayed* The case number may be copied from the child support order. Date Trustee Fee Active or Inactive please check one Case Number Payer s Name Gender Male Date of Birth Female SSN If SSN or DOB not known give reason for unavailability Address City State Zip E-mail Address Phone Numbers mark primary Work Cell Home Revised date 11/2010 Amount Debt Type Start Date Obligation Frequency Weekly CS MN Bi-weekly OT Semi-Monthly Monthly Child 1 Name List additional children on a separate sheet. Third Party Payee Provide the following if payee is an individual reason for unavailability If SSN or DOB not known give Absent extenuating circumstances as determined by the Kansas Payment Center Payers and Payees Social Security Numbers and Dates of Birth must be provided on this form* Form Completed By. Purpose Federal law requires Kansas to process child support through a single location in the state. To insure that processing of child support payments is not delayed the Kansas Payment Center must have all information listed on the form below.

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