Request For Review

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Dear Parent:
Re: Your Request for Review
Thank you for your inquiry regarding a review of your child support order. Please sign this form and return it with the completed
Child Support Review Questionnaire to the child support office that is handling your case. You can find the address by calling 1-
800-252-8014, or selecting “Child Support Interactive” from the child support section of the Attorney General=s Web site at
Name:
Social Security #:
OAG Case #:
I request the Child Support Division of the Office of the Attorney General to conduct a review of my child
support order. I understand the following:
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The attorneys of the Office of the Attorney General represent the State of Texas. They will provide me
with child support services, but do not represent me or any other individual.
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A review addresses only child support and medical support.
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The non-custodial parent may be required to provide medical insurance for the child(ren).
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A review of a child support order will determine if the order complies with the Texas child support
guidelines.
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A request for a review may be withdrawn by the requestor.
Please list the reason you are requesting a review:
____________________________
__________________________
Signature
Date Signed
Within three weeks of receiving all of the necessary information from you, we will determine if a review of your
child support order is appropriate and we will notify you of our decision. If it is determined that a review should
be conducted, the other party named in your child support order will be asked to complete a questionnaire. Thank
you for your cooperation.
Office of the Attorney General
Child Support Division
An Equal Employment Opportunity Employer ⋅ Printed on Recycled Paper
November 2014
Form 3L015ae-online

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