Effective Date: 
7/2004

Documents

Instructions

Updated: 5/2003

PURPOSE

To provide a way for staff to request information from absent parents concerning the support they provide when verification is not otherwise available.

PROCEDURE

When to Prepare

Use this form to verify child support provided by an absent parent.

Number of Copies

Give or mail the form directly to the absent parent or to the client with an addressed, stamped envelope.

Transmittal

File the completed form on the right side of the case folder with the appropriate application or change form.

Retention

See the Texas Works Manager's Guide.

DETAILED INSTRUCTIONS

Enter the

  • name and address of the person providing the assistance;
  • date, advisor name, office address, and telephone/fax number;
  • case name and number;
  • name of the person receiving the assistance and the children he/she is receiving the assistance for; and
  • date the form is due.

The absent parent providing support completes the remainder of the form.

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