Transcription of CHILD SUPPORT ENFORCEMENT TRANSMITTAL …
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CHILD SUPPORT ENFORCEMENT TRANSMITTAL …
IV-D Case: [ ] TANF [ ] IV-E Foster Care [ ] Medicaid Only [ ] Former Assistance [ ] Never Assistance _____ CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1 -INITIAL REQUEST The information on this form may be disclosed as authorized by law. File Stamp If you are not the intended recipient, you are hereby notified that any use, disclosure, distribution, or copying of this form or its contents is strictly prohibited.
CHILD SUPPORT ENFORCEMENT TRANSMITTAL #1 - INITIAL REQUEST, PAGE 2. Section II. Case Summary (Continued): Date of support o rder State and county, t ribe, or foreign country issuing o rder Tribunal number
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