Fillable Modication Form Child Support Application (The Tulalip Tribes)

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Modication Form Child Support Application (The Tulalip Tribes)

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The Modication Form Child Support Application (The Tulalip Tribes) form is 4 pages long and contains:

  • 3 signatures
  • 8 check-boxes
  • 18 other fields

Country of origin: US
File type: PDF

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1
TDS-32894 | Rev.02/2020
TCSP Case Number:
P: 360-716-4556 F: 360-716-0309
2828 Mission Hill Rd, Tulalip, WA 98271
For Mailing: 8825 34th Ave NE, Suite L-545, Tulalip, WA 98271
Instructions
1. Complete this form if you wish to have your child support obligation
reviewed/modified.
2. Complete a Tulalip Child Support Worksheet—which you can get from a
Tulalip Child Support Program (TCSP) staff member.
3. Attach copies of your last two federal income tax returns and a current
pay stub, if any.
Child Support Application
Modification Form
Request For Review Of Child Support Order
TCSP may require other sufficient verification for income
and expenses that do not appear on tax returns or pay stubs.
Return all completed forms and documents to the TCSP Office.
2
TDS-32894 | Rev.02/2020
TCSP Case Number:
Request For Review Of Child Support Order
I am requesting that TCSP review my child support order. I believe my order needs to be modified because:
The gross income of one or both parents involved in my case has changed substantially (at least a 15%
increase/decrease) since the current child support order was established.
There has been a change in the custody of the child, in that the child:
Has changed residences
Is no longer a dependent
Other (explain below):
There has been a change in the Tulalip Child Support Guidelines and Schedule:
I have become disabled or incarcerated since the order was entered.
At least two years have elapsed since the last modification.
Other substantial change in circumstance that justifies a modification, explain reasons
(give detail below):
P: 360-716-4556 F: 360-716-0309
2828 Mission Hill Rd, Tulalip, WA 98271
For Mailing: 8825 34th Ave NE, Suite L-545, Tulalip, WA 98271
3
TDS-32894 | Rev.02/2020
TCSP Case Number:
Statement of Understanding
Any modification of my support order will be effective from the date the petition to modify
is filed with the Court, not from the day I requested a review.
I understand that TCSP and its attorney do not, and will not, represent me or the other party in my child support order.
Both parties to the support order have the right to have an attorney represent them in court. TCSP may ask a court to
modify my child support order.
I understand that TCSP may use information I provide to establish, modify, or enforce child support. TCSP shares this
information with other governmental agencies only for those purposes. TCSP may deny my request to adjust or modify
my support order if my order does not meet legal standards or review requirements.
I have the right to pursue a modification of my support order on my own.
A modification request may result in an order that requires a higher or a lower support amount than my current order
requires.
WARNING: TCSP and its attorney may share any documents you submit with the other party to your support order,
and may file the documents in the Court’s files. The other party to your support order has a right to see your financial
information. Please remove your personal identification information (address, birth date, social security number) from
these documents before you submit them. (Note: If all parties, including both parents, agree to a specific modification,
or if you have made a full and complete disclosure of your finances to TCSP, and TCSP certifies to the Court that it has
reviewed your financial information, then no financial information needs to be filed with the Court.)
Date Signature
Print Name
P: 360-716-4556 F: 360-716-0309
2828 Mission Hill Rd, Tulalip, WA 98271
For Mailing: 8825 34th Ave NE, Suite L-545, Tulalip, WA 98271
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4
TDS-32894 | Rev.02/2020
TCSP Case Number:
Zero Income Affidavit
By signing this form you are stating you receive no income and currently not employed.
Print Name: (Last, First, MI)
Address: Social Security Number: Phone Number:
Date: Signature:
**If you are an enrolled Tulalip Tribal Member**
Do you receive your per capita? How much of it do you receive?
Yes No $
Anyone in household over the age of 18 years old with no income must complete a form.
For TCSP Employees Only:
Employee Name:
Date: Employee Signature:
P: 360-716-4556 F: 360-716-0309
2828 Mission Hill Rd, Tulalip, WA 98271
For Mailing: 8825 34th Ave NE, Suite L-545, Tulalip, WA 98271
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Modication Form Child Support Application (The Tulalip Tribes)

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Completed 20 July 2020

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