Utah Department of Human Services Utah Human Services
1_1_8   Sat Jun 24 12:48:39 PM 2017

Office of Recovery Services

Child Support Services Application

 
 
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INSTRUCTIONS FOR CHILD SUPPORT SERVICES APPLICATION:

Important: Plan ahead to have sufficient time to complete this application. Depending on your situation, required time to complete this application varies from 30 minutes to over an hour. It is suggested that you gather all required information before starting the online application process. You will be able to save your work if you cannot complete your application in one session. Your work will be saved for 30 days.

Do not use the "Back" button on your browser; use only the "Back" and "Continue" buttons provided on each page.

Click on the link below to download a free copy of the latest version of the Acrobat Reader.

Download Adobe Acrobat Reader

You will have the opportunity to print your completed application at the end of this application.

1. Click on the "Notice of Services" link below. Read and print a copy of this document for your records.

Notice of Services

2. Determine how many applications you must complete. Each "family group" requires a separate application. For example:

  • I have two children with the same father and mother: I need to complete ONE application.
  • I am the mother of two children, but each has a different father: I need to complete TWO applications.
  • I am the father of three children, but one has a different mother: I need to complete TWO applications.
  • I am the mother of one child, but there are two men who could possibly be the father: I need to complete TWO applications.
  • I am taking care of two grandchildren. Each has a different father and mother. I need to complete TWO applications.
    IF YOU HAVE QUESTIONS ABOUT HOW MANY APPLICATIONS TO COMPLETE, PLEASE CALL THE TELEPHONE NUMBER LISTED BELOW.

3. Complete the application for services. Be sure that your application is complete and submitted successfully. Incomplete applications can delay opening your child support case and can delay approval of your cash assistance or medical assistance. If your application is not complete, you may be requested to submit a new application and new supporting documents. ORS will not receive your application if your confirmation page does not show a successful submission. You will need to resubmit your application if the submission was unsuccessful.

4. Submit COPIES of the following documents. Once you have completed your online application, print the Confirmation of Submission page that includes the assigned application number. Mail the confirmation page and the following supporting documents to the address listed below.

  1. COPIES of all support orders for these children.
  2. COPIES of each child's birth certificate if the child was not born in Utah. (If your child(ren) was born in Utah, ORS will obtain the birth certificate for you.)
  3. COPIES of paternity establishment documents if paternity has already been legally established for any of the children. (If paternity was established by a Utah Voluntary Declaration of Paternity, ORS will obtain a copy of that document for you.)
  4. A COPY of the death certificate or obituary if either parent is deceased.

DO NOT SUBMIT ORIGINAL DOCUMENTS. KEEP ALL ORIGINAL DOCUMENTS WITH YOUR PERSONAL RECORDS. ORS CANNOT BE RESPONSIBLE FOR KEEPING OR RETURNING ORIGINAL DOCUMENTS.

5. Mail your confirmation page and copies of all documents to:

Office of Recovery Services
Child Support Services
PO Box 45033
Salt Lake City, UT 84145-0033

Telephone: (801)536-8500


I acknowledge that I have read the above information pages 


        

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APPLICATION NUMBER:

Record this Application Number. It is required to re-enter the application and must be used in correspondence with ORS regarding the application.

APPLICATION NUMBER:

Record this Application Number. It is required to re-enter the application and must be used in correspondence with ORS regarding the application.

ORS/CSS Online Application Information

Each page on the application has a timeout of 15 minutes.

A popup warning will be issued 3 minutes before timing out.

When the application times out, the browser is directed to the ORS homepage.

Each time the 'Continue' button is clicked, the information entered in the application will be saved.

The applicant's last name, date of birth, and application number is required to return to and finish a saved application.

Click the 'Cancel' button to cancel the application and delete all saved data.

Once the application has been submitted, an option to View/Print the completed application will be available on the confirmation of submission page.

Upon closing or leaving the confirmation of submission page, the application will no longer be available online.

This online application is secured with SSL 128-bit encryption to keep personal information safe.

If you have questions about this application, please contact us at (801)536-8500.