State of Alabama
Case Number
Appendix to Rule 32.1
Unified Judicial System
CHILD SUPPORT INFORMATION SHEET
Form CS-47
Rev. 7/98
IN THE _______________________________________ COURT OF _____________________________________, ALABAMA
(Circuit or District)
(Name of County)
__________________________________________
v.
______________________________________________
Plaintiff
Defendant
Information Concerning the Parties:
______ Not applicable. No minor child(ren) a party to or subject to this action.
Plaintiff (Mother, Father, Other ____________)or
Defendant (Mother, Father, Other ______________)or
Other party (Specify) (________________________)
Other party (Specify) (_________________________)
Address (including city, state, and zip code):
Address (including city, state, and zip code):
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Home Telephone No:__________________________
Home Telephone No:__________________________
Social Security No:
Date of Birth:
Social Security No:
Date of Birth:
_________________________
_________________
_________________________ _________________
Sex: _____________
Sex: _____________
Place of Employment (if applicable) and Address of
Place of Employment (if applicable) and Address of
Employer (including city, state, and zip code):
Employer (including city, state, and zip code):
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Work Telephone No: __________________________
Work Telephone No: __________________________
Information Concerning the Minor Child(ren):
Name(s)
Address(es)
sex(es)
Date(s) of Birth
Social Security Number(s)
__________________________
___________________________
_____
__________
_________________
__________________________
___________________________
_____
__________
_________________
__________________________
___________________________
_____
__________
_________________
__________________________
___________________________
_____
__________
_________________
T
C
S
R
A
HE
HILD
UPPORT
EFORM
CT OF 1997, CODIFIED AT § 30-3-190, ET SEQ., ALA.CODE 1975, REQUIRES THAT THE DEPARTMENT OF
HUMAN RESOURCES MAINTAIN THE ABOVE INFORMATION IN THE RECORD FOR ALL PARTIES IN DOMESTIC RELATIONS, SUPPORT, OR
T
PATERNITY ACTIONS.
HIS INCLUDES GRANDPARENTS OR OTHERS WHO MAY EITHER INITIATE AN ACTION OR INTERVENE IN AN EXISTING
ACTION.
Completed By________________________________________
Date Completed: ___________________________________
(Print Name)
Daytime Phone No.: ________________________________