After considering this matter carefully, I request that COUNTY OF SAN DIEGO DEPARTMENT OF
CHILD SUPPORT SERVICES close the case and stop all efforts to establish, enforce, or collect
support from . I understand that COUNTY OF SAN DIEGO
DEPARTMENT OF CHILD SUPPORT SERVICES will keep this case open to pursue collection for any
amounts that may be owed to COUNTY OF SAN DIEGO DEPARTMENT OF CHILD SUPPORT
SERVICES or to the State of California.
The child(ren) in the case is/are:
I am making this request because
I certify that I am making this request voluntarily, and I am doing so by my own choice.
I understand that in closing my case I will no longer receive assistance from the Department
of Child Support Services to:
Establish or disestablish paternity.
I understand COUNTY OF SAN DIEGO DEPARTMENT OF CHILD SUPPORT SERVICES will no
longer be a party to court proceedings regarding this order.
DATE
I understand that I may reopen this case at any time in the future as long as current or past due support
is owed. However if the child(ren) in this case has emancipated it is possible the case may not be
reopened.
PRINT NAME
Locate the noncustodial parent or any assets of the noncustodial parent.
Intercept federal or state tax refunds to enforce collection.
Guide me in enforcing my order or serving documents on the noncustodial parent.
Revoke the noncustodial parent's passport or any business or operating licenses to enforce
collection.
DEPARTMENT OF CHILD SUPPORT SERVICES
VOLUNTARY CASE CLOSURE REQUEST
DCSS 0432 (09/13/05)
CSE Case Number:
My name is . I am the custodial party in the support action
against
. The child(ren) listed below is not currently receiving public assistance
and no application for public assistance is pending.
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
Electronic Signature Agreement
By selecting the "I Accept" button,
you are signing the Agreement
electronically.
I Accept
