| The Montgomery County Child Support Enforcement Agency has provided the Forms listed below for your easy access. All Forms have been created in Adobe Acrobat PDF format for easy viewing and printing. We have also made each form enterable from your computer. Once you have downloaded the form, simply click on the first enterable field and start filling in your information. Once you have filled out all your information on the form you can print the form to be mailed. |
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| Once the form has been completed and signed please mail all forms to: |
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Montgomery County - CSEA 14 W. Fourth Street PO Box 8744 Dayton, Ohio 45401-8744 |
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Address Change |
| Any change in address shall be reported to Montgomery County Child Support Agency. This form must be signed and sent to the Montgomery County CSEA, 14 W Fourth Street, PO Box 8744 Dayton, OH 45401 |
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Adjustment Request |
| Your child support order will qualify for a review every three years to determine if a level increase is applicable based upon your income. Adjustment reviews are conducted upon request. To initiate a review of your child support order, you may send this form to Montgomery County CSEA, 14 W Fourth Street, PO Box 8744 Dayton, OH 45401. |
Application for Child Support Services (IV-D Application)  |
| The Application for Child Support Services (IV-D Application) is your first step in acquiring assistance from the Montgomery County Child Support Enforcement Agency with your child support case. Application to the program provides for establishment of a support order, enforcement of a support order, location, modification, income tax offset, and other related services. Information may be mailed to Montgomery County CSEA, 14 W Fourth Street, PO Box 8744 Dayton, OH 45401. |
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Direct Credit Affidavits  |
| Credit may be granted by the Domestic Relations Court on a case by case basis for payments of support direct to the Obligee. A notarized affidavit may be prepared and submitted to the court for approval. This form must be filled out in its entirety, and is subject to review by the legal staff |
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Direct Deposit  |
| Direct Deposit is a convenient method to automatically deposit your child support/spousal support payments to the Financial Institution of your choice.
To enroll for this direct deposit service: |
- Download the Direct Deposit form.
- Include voided check or deposit slip from your checking or savings account
from your bank, savings and loan, or credit union to the form.
- Returning the form and voided check or deposit slip to Ohio CSPC at the
address provided on the form. |
| CSPC must receive your signed, original form and a voided check or deposit slip, before direct deposit can be implemented. Enrollment may take up to three weeks for processing. |
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Obligor Notification  |
| The Obligor Notification Form is to serve as notification to the Montgomery County CSEA of any change in circumstances that will impact your support order. Change in financial status is to be reported to the Montgomery County CSEA. Information may be mailed to Montgomery County CSEA, 14 W Fourth Street, PO Box 8744 Dayton, OH 45401. You will receive an acknowledgment from this office confirming receipt of the information that you have submitted. |
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Request for Termination of Administrative Order  |
The Obligee can request to terminate an administrative order for support by completing a notarized form that also erases arrearages owed to the Obligee. The Obligee cannot be receiving Cash (previously known as OWF) or Medical benefits at the time the form is completed. Arrearages owed to the State of Ohio, that accrued from any period of time during which the Obligee received Public Assistance (OWF), cannot be forgiven by the Obligee. The Child Support Enforcement Agency is authorized to collect those arrearages. The form is reviewed and accepted or denied by the Montgomery County Child Support Enforcement Agency's Hearings Unit
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