Instructions for completing Review and Adjustment Request Form
NOTE: You must be a client of our agency to apply for modification. If you are not, you must complete the application for Child Support Enforcement services.
The Review and Adjustment form, which requires Acrobat Reader 5.0, may be filled out on your PC and then printed. However, you will not be able to save it to your hard drive with the filled-in data intact. If you want a copy for your own files, you must print an extra copy. One copy must then be mailed or hand delivered to the CSE office that manages your case. Please look at our Frequently Asked Questions page that provides more information about the review and adjustment process.
Please complete the form as thoroughly as possible by entering the following:
- your name
- your social security number
- the name of the other party and their social security number, if known
- your case number, if known
- sign , print your name, date and fill in your current information, as we may need to contact you at some point during the process
If your order date or last review date was less than three (3) years ago, you must provide written proof that a substantial change of circumstances has occurred. Examples would include: pay stubs, childcare statements, proof of disability (for the child and/or the parent), documentation of special needs of the child such as educational or medical not anticipated and/or addressed in your original court order, written statement or proof that the other party's financial situation has changed substantially, etc.
As a rule, the process, from request for review through order modification, should be completed within six months. However, the length of time could be affected by many factors including the number of requests we receive and the availability of court dates.
If you have question or need additional information, please feel free to contact our Customer Service Unit at 1 (800) 622-KIDS (5437).