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CHILD SUPPORT APPLICATION

(For Existing WAUPACA County Court Cases Only)

If you are involved in a family court action in WAUPACA County, you may apply for services from the WAUPACA County Child Support Agency (CSA). Our agency can help you:

You can get more information about the child support program at www.childsupport.wisconsin.gov

There is no fee to apply for child support services. If you are interested, please complete and return the form below to:
WAUPACA COUNTY CHILD SUPPORT AGENCY
811 HARDING ST
WAUPACA WI 54981
OR
Submit the form to the WAUPACA COUNTY Child Support Agency by clicking on the Submit button at the end of the form below.

Please note the following regarding Child Support services:


I have received information that describes IV-D services available, individual rights and responsibilites, and fees/costs.
Please enter your full name and todays date. By entering in your name and date it is equivalent to a signature.

Please enter your full name and todays date. By entering in your name and date it is equivalent to a signature.

STATEMENT OF UNDERSTANDING

Please read the statements below, then sign.

I understand that a child support action will be started for my child(ren), and that my cooperation with the Child Support Agency is necessary. I understand that I must cooperate by:

If I am receiving public assistance and fail to cooperate, I understand that the Child Support Agency will notify the economic support agency. I understand that unless I have established good cause for not cooperating, I and/or my family will be ineligible for public assistance.

If I am not receiving public assistance and fail to cooperate, I understand that the Child Support Agency will close my case and stop efforts to collect support for my child(ren).

I understand that the child support attorney who appears at a child support hearing represents the State of Wisconsin, not the individual parents. Child support services provided by this attorney do not create an attorney/client relationship. I understand that the interests of the State of Wisconsin, the child(ren) for whom support is sought, and the parents are not necessarily the same and may be in conflict. In addition, I understand that any information received as a result of child support investigation or proceeding may be used by the State of Wisconsin in related investigations or proceedings. I understand that the Child Support Agency staff cannot become involved in disputes over child custody or physical placement (visitation), and cannot offer me legal advice. I understand that if I want legal advice, I should consult a private attorney.

I hereby acknowledge that I have read and understand this information.

Please enter your full name and todays date. By entering in your name and date it is equivalent to a signature.

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