Notice Of Determination Of Controlling Order Page 4

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In the “NOTE:” section, check any of the following that apply:
Check “This form sent through EDE” if this form was sent through the Electronic Document Exchange (EDE).
The following options are available for making IV-D requests and sending information on IV-D cases:
1. CSENet transactions are the recommended method for making requests or sending information to another
state. If CSENet is not listed as an option on the form, then it cannot be used to convey any of the
requests for information or IV-D requests provided on the form. Supporting documentation should be sent
through EDE, whenever possible. If certified copies are needed, hard copies should also be sent by mail.
Mail or fax may also be used for all documents when EDE is not available.
2. If CSENet transactions are not available in your state, EDE is the next preferred method for transmitting
your request or information. Both your state and the receiving state must be using the EDE application to
use this communication method.
3. If the EDE application is not available in your state or the receiving state, then mail or fax must be used to
communicate your request.
MAIN BODY OF FORM:
In the first blank in item 1, enter the date that the determination of controlling order was made. In the second blank, enter
the name, county, and state of the tribunal that made the determination.
For each order that was considered in the controlling order determination, list in the table in item 1 the county, state, date
of order, IV-D case identifier, tribunal number (enter docket number, cause number, or other appropriate reference
number), and order type (e.g., de novo support, modification, dissolution, parentage). Include any order issued or
modified by this tribunal in the present action.
Check the box in item 2 that applies. If the first box is checked, enter the number from the table (first column) of the order that
was determined to be the controlling order for prospective support. If the tribunal determined that none of the existing orders
were controlling and issued a new support order in accordance with UIFSA, check the second box and attach a certified copy
of the new order, which is now the controlling order.
In the blank in item 3, enter the name of the state that issued the controlling order and whose law permanently governs the
duration of the support obligation.
In the blanks in item 4, enter the dollar amount of current support in the first blank and the payment frequency in the second
blank to identify the current support amount.
In the blanks in item 5, enter the dollar amount of the reconciled arrears determined by the tribunal in the first blank, and enter
the “as of” date in the second blank. Attach a certified copy of the tribunal order reconciling arrears.
Item 6 confirms that, as required by UIFSA, 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 all appropriate
boxes to confirm that the notice was also sent to: all the IV-D agencies in the states listed in the table above, the obligee,
and the obligor. If notice was sent to an additional entity, check the box and provide the name of the entity and state. If
additional space is needed, attach the information on a separate sheet.
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).
The Paperwork Reduction Act of 1995
Public reporting burden for this collection of information is estimated to average 0.25 hours per response, including the time for
reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number.
________________________________________________________________________________
Notice of Determination of Controlling Order
Page 2 of 2

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