State Referral: Federal Criminal Prosecution For Non-Support Form - Project Save Our Children - Office Of Child Support Enforcement Page 4
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7STATE REFERRAL FEDERAL CRIMINAL PROSECUTION
FOR NON-SUPPORT (18 U.S.C. §228)
Instructions
Before referring a case for federal criminal prosecution for non-support, the IV-D agency must:
•
Determine that the case meets the statutory criteria for federal prosecution under 18 U.S.C. §228,
including that the referral is part of an investigation for an interstate child support case.
•
Exhaust all available and reasonable alternative enforcement remedies.
Upon receipt of the referral, the OCSE PSOC Coordinator will log the referral, issue a notice of receipt to the referring agency
and immediately forward it to the appropriate Office of Inspector General (OIG) regional office for investigation and pursuit of
prosecution. The referring state will receive updates from the OCSE PSOC Coordinator as they are received from the OIG
and/or the US Attorney. In some instances, the OIG and/or the US Attorney will contact the referring state agency directly for
additional information or to provide status and case disposition.
This template and instructions will assist you in filling out the PSOC referral quickly and easily. You may still choose to print
this form and handwrite the referral if you wish. If you handwrite, please print legibly.
This referral is in a template form. Please refrain from altering the form. The areas marked with an asterisk (*) are required
fields.
TOP SECTION – STATE REFERRAL FOR FEDERAL CRIMINAL PROSECUTION FOR NON
SUPPORT
State:*
Enter the abbreviation for the state that is submitting the referral.
County:
If the referral originated from a county, enter the name of the county.
IV-D Case
Number:*
Enter the state IV-D case number.
SECTION 1 – PAYER INFORMATION
Name of
Payer:*
Enter the last name, enter the first name, then enter the middle initial.
Social Security
Number:*
Enter the SSN in the format of 000-00-0000.
Date of
Birth:*
Enter the month, day and year in MM/DD/YYYY format.
(Example: March 14, 1957 should be 03/14/1957.)
Place of Birth:
Enter the name of the city and state where the payer was born, if known.
Last Known Address:
Enter the last known address for the payer. Enter the street address and
apartment number.
Telephone Number:
Enter the last known telephone number of the payer. Format 000-000
0000.
City:
Enter the last known city of residence.
State and Zip Code:
Enter the state’s abbreviation and zip code of the last known address of the
payer.
Was the address verified?
If address was verified through mail coverings, post office verifications, etc.,
enter the verification date. Format MM/DD/YYYY.
Employer Name:
Enter the payer’s last known employer or company name.
Employer Address:
Enter the employer’s address to include city, state and zip code, if known.
Telephone Number:
Enter the employer’s telephone number, if known.
Wage/Income
History:*
Enter income/wage history (verified).
Date
Verified:*
Enter the date annual wage i nformation was verified.
Source of Verification
*
Enter the source(s) of verification.
Occupation:
Enter the payer occupation (e.g., construction, sales.)
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