Form Shc-1500 - Motion And Affidavit To Modify Custody, Visitation And/or Child Support Page 7

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You must use black ink to fill out this form.
3.
Change in Child(ren)’s Medical Expenses or Insurance
4.
Other
_______________________________________________________________________
C. NOTICE OF CHILD SUPPORT SERVICES DIVISION (CSSD) INVOLVEMENT
1. Is Child Support Services Division (CSSD) enforcing your current order?
Yes
No
2. Has anyone applied for public benefits (ATAP, TANF, Food stamps etc.) to support
this child?
No
Yes, who?
D. HEARING REQUEST
I
do
do not want a hearing on this Motion to Modify.
E. SUMMARY OF ATTACHMENTS – You must attach the following:
1.
Notice of Motion, SHC-1630
Word
|
PDF
2.
Confidential Information Sheet,
DR-314
3.
Copy of current custody order AND copy of current child support order
4.
Child Custody Jurisdiction Affidavit,
DR-150
5.
Child Support Guidelines Affidavit,
DR-305
[Fill-In PDF]
6.
Shared
(DR-306
[Fill-In PDF]), Divided
(DR-307
[Fill-In PDF]) or Hybrid
(DR-308
[Fill-In PDF]) child support calculation
(NOTE: If you are proposing something other than
all child(ren) spending at least 256 nights/year with one parent, you will need one of these
forms. Please contact the Family Law Help Line at 907-264-0851 or 866-279-0851 for more
information or read on-line at )
7.
Order for Modification of Child Support,
DR-301
[Fill-In PDF]
8.
Order for Modified Custody & Visitation, SHC-1124
Word
|
PDF
9.
$75 filing fee OR Request for Exemption from Payment of Fees,
TF-920
10.
Other
(please list)
MOTION TO MODIFY
Page 7 of 9
Docket: DR705 or DR705UISFA
SHC-1500 (02/18)

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