Notice Of Determination Of Controlling Order Page 2

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NOTICE OF DETERMINATION OF CONTROLLING ORDER, PAGE 2
6.
A copy of this notice was sent to all tribunals listed in the table above together with a certified copy of the controlling order
determination and arrears reconciliation order.
Check to confirm that the notice and order were also sent to:
[ ]
IV-D agencies in all states listed in the table above
[ ]
Obligee
[ ]
Obligor
[ ]
The following entities:
(If additional space is needed, attach a separate sheet.)
(Entity name, state)
_________________________________________________________________________________________
(Entity name, state)
_________________________________________________________________________________________
_________________________________________________________________________________________
(Entity name, state)
(Entity name, state)
_________________________________________________________________________________________
Encryption Requirements:
When communicating this form through electronic transmission, precautions must be taken to ensure the security of the data. Child
support agencies are encouraged to use the electronic applications provided by the federal Office of Child Support Enforcement.
Other electronic means, such as encrypted attachments to e-mails, may be used if the encryption method is compliant with Federal
Information Processing Standard (FIPS) Publication 140-2 (FIPS PUB 140-2).
________________________________________________________________________________
Notice of Determination of Controlling Order
Page 2 of 2

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