State Referral: Federal Criminal Prosecution For Non-Support Form - Project Save Our Children - Office Of Child Support Enforcement Page 7

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STATE REFERRAL FEDERAL CRIMINAL PROSECUTION
FOR NON-SUPPORT (18 U.S.C. §228)
SECTION 7 – OTHER ELEMENTS
This section is used to summarize the efforts of the local/state CSE agency. The referring agency must describe the
enforcement efforts against payer. It also requires a description of information relevant to establishing that the obligor has
traveled interstate or internationally for the purpose of evading child support. Append supporting documentation, including any
tribunal order making such a finding.
This section can also be used to add additional information that was not requested previously but the referral source wants to
bring to the attention of the analyst.
SECTION 8 –
REFERRAL* (This section must be filled out completely.)
SIGNATURE OF AUTHORIZED OFFICIAL
This section certifies that the case is referred for the limited purpose of investigation and prosecution under the federal
criminal nonsupport statute. In this section, the agency certifies that the prerequisites set forth above have been met before
the case is referred.
The state official making the referral must sign; the referral will be made by the State PSOC Coordinators office.
Mail the referral via secured mail service (such as FedEx) to the following:
Lynnetta Thompson, OCSE PSOC Locate Coordinator
Office of Child Support Enforcement
330 C Street, SW,
5th Floor
Washington, DC 20201
Or
Fax: (202) 401-5553
Please be sure to provide a return fax number in your referral form.
Or
Using an encrypted email function, email to
PSOC@acf.hhs.gov.
DO NOT include Instructions
* MANDATORY – SECTION MUST BE COMPLETED
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