State of Alabama
Unified Judicial System
CS-8, Rev. 7/2019
Page 1 of 2
SUPPORT AGREEMENT
Court Case Number
IN THE ______________ COURT OF __________________ COUNTY, ALABAMA
STATE OF ALABAMA, ex rel.
v.
(Plaintiff)
(Defendant)
WHEREAS, the Plaintiff is now receiving Family Assistance toward the support of the below-named child(ren) from
the State of Alabama, Department of Human Resources, and has assigned, by operation of law, support rights in
regard to the child(ren) to the State of Alabama, Department of Human Resources; OR
The Plaintiff is now receiving services from the State of Alabama for the enforcement of support pursuant to Title IV-
D of the Social Security Act, as amended; OR
The Plaintiff is not receiving services from the State of Alabama for the enforcement of support pursuant to Title IV-D
of the Social Security Act, as amended.
WHEREAS, the Defendant in this cause has acknowledged that (s)he is the parent of the child(ren) named as follows:
, and the Defendant has acknowledged that (s)he has a legal duty to support the
child(ren).
WHEREAS, the Defendant in the cause has acknowledged that (s)he is the spouse/former spouse of _________ ,
and the Defendant acknowledges that (s)he has a legal duty to support the spouse/former spouse.
WHEREAS, the Defendant and the State of Alabama/Plaintiff or Plaintiff have reached an agreement in regard to
the amount and method of the payment.
WITH EACH OTHER AS FOLLOWS:
1. The Defendant shall pay the following:
$___ per ___ commencing on ____ for the support and maintenance of the child(ren) named above.
$___ representing retroactive child support to be paid at the rate of $____ per ____ commencing ___ .
$ ___ representing previous medical support to be paid at the rate of $____ per ___ commencing ___ .
$___ representing child support arrearage owed as of _____ under the prior Court’s order to be paid at the
rate of $_____ per _____ commencing on _______ .
$____ per ____ commencing on _______ for the support of the spouse/former spouse named above as
previously ordered by the ________ Court of ____________ County.
$ ______ representing spousal support arrearage owed as of __________ under the prior Court’s order to be
paid at the rate of $ _______ per _______ commencing on ________ .
$________ representing interest which has accrued on the above arrearages.
2. These sum(s) are to be reduced to a judgment for which let execution issue. Interest will continue to accrue on the
child support arrearage until the judgment has been satisfied in full as provided in Ala.Code 1975, Section 8-8-10.
3. The support payments shall be made payable to Alabama Child Support Payment Center at P.O. Box 244015,
Montgomery, AL 36124-4015.
COURT RECORD
ATTORNEY
DEFENDANT
State of Alabama
Unified Judicial System
CS-8, Rev. 7/2019
Page 2 of 2
SUPPORT AGREEMENT
Court Case Number
4. The Defendant OR the Plaintiff, wherever employed, shall include the child(ren) named above on any health
care coverage policy at his or her place of employment and shall provide proof of the coverage within thirty (30)
days of the date of this agreement to the other party in non Title IV-D cases OR to the ____________
County
Department of Human Resources in Title IV-D cases.
The Defendant OR the Plaintiff shall include the child(ren) named above on any health care coverage policy
which he or she shall purchase and shall provide proof of the coverage within thirty (30) days of the date of this
agreement to the other party in non-Title IV-D cases OR to the _________
County Department of Human
Resources in Title IV-D cases.
The Defendant shall pay __ % and the Plaintiff shall pay __ % of all unreimbursed health expenses. The
parties must submit within 30 days any unreimbursed health expenses to the other party and payment of the
expenses must be made within 30 days of submission.
The Defendant shall pay the sum of $____ per ____ commencing on ____ for the medical support of the
child(ren) named above, as health care coverage is not accessible, not available, or is not available at a
reasonable cost.
Other arrangements regarding health care coverage:
5. This agreement may be incorporated into any order or judgment of the court regarding support of the above-named
child(ren) and spouse/former spouse.
6. The Defendant agrees to notify _________
as to any change in address, employment, or lapse or change in
health care coverage affecting dependent children.
7. The Defendant acknowledges and understands that an immediate income withholding order will be entered by the
Court.
8. The Defendant understands that when the support payments are ordered paid directly to the Clerk of this Court, there
shall be paid an additional $1.00 administrative fee as provided in Ala.Code 1975, Section 12-19-26, with each
periodic payment.
9. The agreement of child support made herein was determined by application of the Child Support Guidelines
established by Rule 32, Alabama Rules of Judicial Administration. The Child Support Guidelines (CS-42) and the
Child Support Obligation Income Statement/Affidavit (CS-41) forms have been filed herein and are made a part of the
record in this case.
10. The costs of these proceedings shall be taxed as follows : against Plaintiff, for which let execution issue;
against Defendant, for which let execution issue; waived.
11. Other: .
Defendant’s Signature Plaintiff’s Signature
By
day of , .
Address
Notary Public Telephone Number
My commission expires:
Sworn to and subscribed before me this
day of ,
.
Notary Public
My commission expires:
COURT RECORD
ATTORNEY
DEFENDANT