INQUIRY FORM FOR
INCARCERATED PARENTS
Read the section below carefully before completing this form. If you have multiple cases, use one form for each case.
(Photocopies are acceptable).
(Please print)
NAME (Last, first, middle): _______________________________________________ INMATE#: _________________________
FACILITY NAME: __________________________________________________________________________________________
FACILITY ADDRESS: ___________________________________________________ CITY/ZIP CODE: ________________________
SOCIAL SECURITY NUMBER: _______________________________________________________________________________
ATTORNEY GENERAL CASE NUMBER: _________________________________________________________________________
COURT CAUSE NUMBER & COUNTY OF JURISDICTION: _____________________________________________________________
OTHER PARENT'S NAME: __________________________________________________________________________________
NAME OF CHILD(REN): ____________________________________________________________________________________
DATE OF ENTRY:______________________________________________DATE OF RELEASE: ______________________________
PLEASE CHECK ONLY THE LINES YOU WANT US TO RESPOND TO:
____ I would like the address and phone number of the child support office handling my case.
____ I have a child support case, and I am requesting that it be reviewed to see if I qualify for a lower monthly child support payment.
____ I was not married to the mother/father of my child _____________________________ (child’s name) and would like to
establish paternity (legal fatherhood ) for this child.
NOTE: Requests for information not listed above will not be answered. State and federal law limits the release
of certain information on child support cases.
SIGNATURE _______________________________________________________________DATE __________________________
MAIL TO:
Office of the Attorney General
Child Support Division
Mail Code 038
P. O. Box 12017
Austin, TX 78711-2017
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