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LDSS-5143 Application for Child Support Services

LDSS-5143 (Rev. 02/21) Application for Child Support ServicesA Program of the Office of Temporary and Disability (Rev. 02/21)Welcome!New York s Child Support Program works with parents and guardians to strengthen families and provide children with the financial and medical Support they start the Application process:1. Review the Important Information about Child Support Services , pages 1-4, and keep this document for your records. 2. Complete and sign Part A Application (pages A-1 through A-4). You must sign the Application to receive Child Support Services . 3. Complete Part B Child Information (pages B-1 through B-2) for each Child (up to two children) with the Other Party named in this Application .

• Filing a petition with the Family Court to have the court determine paternity and issue an Order of Filiation, or filing a petition for the court to determine parentage and issue a Judgment of Parentage. • By a surrogacy agreement, or in a record showing the consent of the parents to use assisted reproduction. LDSS-5143 (Rev. 02/21)

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  Support, Child, Petition, Child support, Paternity

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