Application for Child Support Services - Nevada

FOR OFFICIAL USE ONLY DATE STAMP
DATE APPLICATION REQUESTED __________________________
DATE APPLICATION PROVIDED __________________________
DATE APPLICATION RECEIVED __________________________
DIVISION OF WELFARE AND SUPPORTIVE SERVICES
APPLICATION FOR CHILD SUPPORT SERVICES
CASE NUMBER: ____________________
PLEASE CAREFULLY READ THE FOLLOWING INFORMATION.
Child Support Enforcement (CSE) Program Services:
Locate all noncustodial parents and/or sources of income and/or assets;
Enforce financial and medical support;
Establish paternity (determine who is the father of the child(ren));
Review and adjust existing child support orders;
Establish financial and medical support; ● Collect and distribute financial and medical support payments.
The CSE program:
must provide all the above services to all individuals, unless the individual is a Medicaid recipient and the
Medicaid recipient notifies the CSE program in writing they only want medical support services;
has sole discretion in determining which legal remedies are used to provide the above services and cannot
guarantee success;
may request assistance of another state and, thereby, be subject to the laws of that state. It may take ninety
(90) days, or more, after the other state receives the request for services before any information is available;
does not provide services involving custody, visitation or unpaid medical bills. However, these services may
be available through a private attorney;
will close your cases upon written request from you or when your case meets closure rules established by
federal and state regulation.
Important Information You Should Know:
The CSE program:
will impose a $25 annual fee in each case where an individual has never received TANF cash assistance and
for whom the State has collected at least $500 of child support.
represents the State of Nevada when providing services and no attorney-client privilege exists;
is authorized to endorse and cash checks, money orders and/or other forms of payment made payable to you
for support payments;
child support payments will be made as a direct deposit into your bank account, or by a Nevada Debit Card.
A Nevada Debit Card will be issued to you unless you request payments by direct deposit. For more
information regarding direct deposit, please call toll free to the Child Support Customer Service Unit at
(800) 992-0900 or check the Child Support Enforcement State Collections and Disbursement Unit (SCaDU)
website at
https://dwss.nv.gov/pdf/CS_SCaDU-DirDepReq.pdf
to print a Direct Deposit Authorization
Agreement.
may collect past-due support by intercepting an IRS tax refund or other federal payment. If a tax intercept
occurs, the CSE program has the authority to hold a joint tax refund for a period of six (6) months before
distributing the funds. No interest is paid on the held funds. Funds collected from tax intercept are applied
first to pay off any past-due support assigned to the State of Nevada. A nonrefundable fee is deducted by the
federal government for any tax or federal payments intercepted by the CSE program.
By accepting cash or medical assistance for yourself or the child in your custody, you have made an assignment to the
Division of Welfare and Supportive Services of all rights to support from any person. Any unpaid support assigned to the
State of Nevada may be enforced and collected until paid in full.
(Page 1 of 7) 4000 – EC (7/15)
Page 1/7
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Application for Child Support Services - Nevada PDF

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