Forms

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➲ Forms

Affidavit & Request for Nondisclosure of Identifying Information (04-0502)

Alaska New Hire Reporting Form (04-1050)

Child Support Guidelines Affidavit (04-1901)

Confidentiality of Information for Domestic Violence Victims (04-0500A)

CSSD Check Reissue Request (04-1013)

Direct Deposit Authorization

General Testimony | General Testimony Instructions

Hardship Request for Lower Withholding (04-0009)

Information Locate Sheet (04-1423)

Key2Benefits Pre-Acquisition Disclosure and Fees

Paternity Information Locate Sheet (04-1423A)

Paternity Witness Statement (04-1604D)

Power of Attorney (04-0007)

Request for Modification of an Alaskan Administrative Child Support Order (04-1686A)

Request for Release of Joint Federal Tax Refund (04-1806)

Settlement Financial Statement (04-1888A)

Statement of Support Paid - 3 year version (04-1606D)

Statement of Support Paid - 12 year version (04-1606C)

Statement of Support Received - 3 year version (04-1606B)

Statement of Support Received - 12 year version (04-1606A)

Vacating an Administrative Order -Default Review Packet (04-1907)

Withdrawal of Application for Services (04-1090)

Mission:

To collect and disburse child support payments.

Vision Statement:

We strive to ensure children receive their support through cooperation and collaboration using innovation to drive our success with the communities, partners, and families we serve.

Alaska Department of Revenue

CHILD SUPPORT SERVICES DIVISION

550 W 7th Ave, Suite 310
Anchorage AK 99501-6699
Phone: 907-269-6900
Fax: 907-787-3220

American with Disabilities Act (ADA) Accommodation Requests:
If you require an accommodation to access our services due to a disability, please contact our Anchorage Office.