Form Csf 03 0574 - Application For Child Support Services Oregon Child Support Program Page 4
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4or a caretaker.
The state keeps the money if the child(ren) is in the care and custody of the state.
If the child(ren) is receiving TANF benefits, the state may send some of the money to the family, and
keep the rest of the payment. This is a pass-through, as defined in OAR 137-055-6010.
For general disbursement information, see Oregon Administrative Rule (OAR) 137-055-6021.
4 Fees for services
A one-time fee of $1 for processing your application will be deducted from the first collection made.
The program also charges fees for some other services. Fee amounts can change each year, so
they are not included on this form. The CSP can give you more information about fees. For example,
the CSP works with the Internal Revenue Service and the Oregon Department of Revenue to obtain
tax refunds claimed by parents who owe child support. Fees for these services are deducted from
the money collected. These tax refund actions are automatically performed by the program. If tax
refunds cannot be collected by the program, no fee is charged.
5 Annual fee
The CSP will collect a $25 fee from some obligees. Charging a fee is required by federal law (45
CFR 302.33). The fee will be charged each year that the CSP has sent to the family at least $500 in
a federal fiscal year (October 1 through September 30). The fee will be collected only in cases in
which the obligee, the child, or a child attending school has never received Acash assistance@ from
any state. ACash assistance@ means only TANF (Temporary Assistance to Needy Families) or AFDC
(Aid to Families with Dependent Children). It does not include food stamps, housing subsidies,
general assistance, or Social Security Administration or Veterans= Administration benefits.
If the child support program does not collect at least $500 in a federal fiscal year, there is no fee for
that year.
6 Grievance process
The CSP is committed to providing quality service in a professional manner. If you have a dispute
with a child support office, please try to resolve it with the office staff or management. If you cannot
resolve the matter, you may complete and file a grievance form. Grievance forms are available by
calling one of the following numbers.
From the Salem area:
From other areas of the state:
503-378-5567
1-800-850-0228
The Child Support Program (CSP) provides services for the State of Oregon. We cannot represent
you or give you legal advice. You may contact your own lawyer at any time. Low cost legal services
may be available. For information, you may visit the CSP website at oregonchildsupport.gov.
Page 4 of 4 - APPLICATION FOR CHILD SUPPORT SERVICES
CSF 03 0574 (Rev. 11/07/12)
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