Child Support And Welfare Party Identification Sheet - Clark County
ADVERTISEMENT
1
2CSPI
District Court
Family Division, Clark County, Nevada
)
)
Plaintiff/Petitioner
vs.
)
Case No.
File Stamp
)
)
Department No.
Defendant/Respondent
)
)
CHILD SUPPORT AND WELFARE PARTY IDENTIFICATION SHEET
‘ ‘
‘ ‘
CUSTODIAL PARENT
NON-CUSTODIAL PARENT
Name:
Residential Address:
Apt. #
Mailing Address:
Apt. #
City:
St.
Zip
Telephone Number (
)
-
Social Security Number:
-
-
Date of Birth:
/
/
Driver’s License #:
State
‘ ‘ Yes
‘ ‘ No
Are you employed?
Name of Employer:
Business Address:
City:
St.
Zip
Telephone Number (
)
-
Ethnicity:
‘ ‘
‘ ‘
‘ ‘
White (Not Hispanic)
Hispanic (Hispanic Surname)
American Indian/Alaskan Native
‘ ‘
‘ ‘
‘ ‘
Black (Not Hispanic)
Asian or Pacific Islander
Other
CHILD(REN) INVOLVED IN THIS CASE
Name:
SSN:
/
/
DOB
/
/
Name:
SSN:
/
/
DOB
/
/
Name:
SSN:
/
/
DOB
/
/
Name:
SSN:
/
/
DOB
/
/
Name:
SSN:
/
/
DOB
/
/
If more than 5 children qualify, list their names on a separate sheet of paper and attach.
‘ ‘ Yes ‘ ‘ No
Does this case involve family violence?
‘ ‘ Yes ‘ ‘ No
Are you requesting IV-D services?
rev9/99/jb
PLEASE SEE REVERSE SIDE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Motion For Civil Contempt/enforcement Of Final Judgment Of Injunction For Protection - Child Support And/or Visitation Form - Pinellas County, Florida
Legal
Petition To Modify Legal Decision Making, Parenting Time And Child Support Form - Superior Court Of Arizona, Mohave County
Legal
Related Categories
Parent category: Legal