State of Alabama
Unified Judicial System
Form CS-47 Rev. 7/98
Appendix to Rule 32.1
CHILD SUPPORT INFORMATION SHEET
Case Number
IN THE _______________________________________ COURT OF _____________________________________, ALABAMA
(Circuit or District) (Name of County)
__________________________________________ v. ______________________________________________
Plaintiff Defendant
Information Concerning the Parties:
______ Not applicable. No minor child(ren) a party to or subject to this action.
Plaintiff (Mother, Father, Other ____________)or
Other party (Specify) (________________________)
Address (including city, state, and zip code):
____________________________________________
____________________________________________
____________________________________________
Home Telephone No:__________________________
Social Security No: Date of Birth:
_________________________ _________________
Sex: _____________
Place of Employment (if applicable) and Address of
Employer (including city, state, and zip code):
____________________________________________
____________________________________________
____________________________________________
Work Telephone No: __________________________
Defendant (Mother, Father, Other ______________)or
Other party (Specify) (_________________________)
Address (including city, state, and zip code):
____________________________________________
____________________________________________
____________________________________________
Home Telephone No:__________________________
Social Security No: Date of Birth:
_________________________ _________________
Sex: _____________
Place of Employment (if applicable) and Address of
Employer (including city, state, and zip code):
____________________________________________
____________________________________________
____________________________________________
Work Telephone No: __________________________
Information Concerning the Minor Child(ren):
Name(s) Address(es) sex(es) Date(s) of Birth Social Security Number(s)
__________________________ ___________________________ _____ __________ _________________
__________________________ ___________________________ _____ __________ _________________
__________________________ ___________________________ _____ __________ _________________
__________________________ ___________________________ _____ __________ _________________
T
HE CHILD SUPPORT REFORM ACT OF 1997, CODIFIED AT § 30-3-190, ET SEQ., ALA.CODE 1975, REQUIRES THAT THE DEPARTMENT OF
HUMAN RESOURCES MAINTAIN THE ABOVE INFORMATION IN THE RECORD FOR ALL PARTIES IN DOMESTIC RELATIONS, SUPPORT, OR
PATERNITY ACTIONS.
THIS INCLUDES GRANDPARENTS OR OTHERS WHO MAY EITHER INITIATE AN ACTION OR INTERVENE IN AN EXISTING
ACTION.
Completed By________________________________________ Date Completed: ___________________________________
(Print Name)
Daytime Phone No.: ________________________________
