Petition for De Novo Review of Child Support Program
Administrative Order and Instructions
STEP 1
Fill out the Petition for De Novo Review of Administrative Order (PETITION)
completely. Attach a copy of the administrative order to the Petition.
STEP 2
Make three copies of the Petition and order (one to mail to the administrative agency,
the second to mail to the other parent, and the third to keep for your records).
STEP 3
Mail a copy of the Petition to the administrative agency that initiated the case (this will
be either the Division of Child Support or the Family Law Division of the District Attorney’s
Office), and to the other parent using regular first class mail. Then fill out the Certificate of
Mailing form.
STEP 4
File both the original Petition and Certificate of Mailing with the court. There is a filing
fee for this court action. Check with the court clerk for the current fee schedule. You may
ask the court to waive or defer payment of this fee by filing an Application for Waiver or
Deferral of Fees
STEP 5
Attend all hearings. If you do not receive notice of a hearing, check with the court to find
out the status of your Petition.
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IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR COUNTY
I am
the Obligor Obligee in the above referenced action.
I request a hearing de novo to appeal all or part of the Administrative Child Support Order dated
, a copy of which is attached.
The administrative Child Support Order was filed with the court on (month/day) , 20
Not more than 60 days have passed since the Administrative Child Support Order was filed with
the court.
I request this appeal for the following reasons:
STATE OF OREGON,
Petitioner,
v.
Obligor,
And
Obligee.
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Court Case No.:
CSP Case No.:
PE
TITION FOR DE NOVO REVIEW OF
ADMINISTRATIVE ORDER [ORS
25.513(6)]
Page 1 of 4 PETITION FOR DE NOVO REVIEW OF ADMINISTRATIVE ORDER
CSF 02 5513 (Rev. 6/1/20)
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I will will not be represented by an attorney at the hearing.
Attorney Name:
Notice of the time and place of the hearing can be mailed to me at the address given
below.
Dated
Signatur
e of Obligor Obligee
Print N
ame
Address or Contact Address City/State/Zip Telephone or Contact Telephone
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Page 2 of 4 PETITION FOR DE NOVO REVIEW OF ADMINISTRATIVE ORDER
CSF 02 5513 (Rev. 6/1/20)
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IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR COUNTY
I certify that on (month/day) __________________ , 20 _____ , I placed a true copy of
the Petition for De Novo Review of Administrative Order [ORS 25.513(6)] in the above case in
the United States mail addressed to the Administrative Agency initiating the case (check one):
Oregon Department of Justice Division of Child Support
County District Attorney’s Office
at:
Address City/State Zip Code
In a sealed envelope with first class postage fully prepaid.
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STATE OF OREGON,
Petitioner,
v.
Obligor,
And
Obligee.
)
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Court Case No.:
CSP Case No.:
CERTI
FICATE OF MAILING
Page 3 of 4 PETITION FOR DE NOVO REVIEW OF ADMINISTRATIVE ORDER
CSF 02 5513 (Rev. 6/1/20)
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I certify that on (month/day) , 20 , I placed a true copy of the
Petition for De Novo Review of Administrative Order [ORS 25.513(6)] in the above case in the
United States mail addressed to
(N
ame of the other Party)
Addr
ess City/State Zip Code
In
a sealed envelope with first class postage fully prepaid.
I certify that on (month/day) , 20 , I placed a true copy of the
Petition for De Novo Review of Administrative Order [ORS 25.513(6)] in the above case in the
United States mail addressed to
(Name of the other Party)
Addr
ess City/State Zip Code
In
a sealed envelope with first class postage fully prepaid.
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Page 4 of 4 PETITION FOR DE NOVO REVIE
W OF ADMINISTRATIVE ORDER
CSF 02 5513 (Rev. 6/1/20)
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