SFN 443, "Notice of Right to Claim 'Good Cause'" 510-05-100-45

(Revised 6/01 ML #2590)

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The front of the form briefly summarizes the legislative intent of the IV-D Program and the applicant’s or recipient’s obligation to cooperate with Child Support. The back of the form describes in some detail the circumstances under which cooperation may be "against the best interests" of the child and provides examples of the kinds of evidence necessary to substantiate a claim.

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms . (34 kb pdf)

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