Forms

LDSS-4279
33Notice of Responsibilities and Rights for Support (LDSS-4279)

LDSS-4882
Information about Child Support Services and Application/Referral for Child Support Services (LDSS-4882)

DOH-5106
Employer Sponsored Health Insurance Request for Information

DOH-5085
Authorized Representative Designation Form

DOH-5087
Authorized Representative Identity Verification Form

DOH-5231
Appeal Request

DOH-5232
Appoint a Representative for My Appeal