Fillable rd of Support Order Reco Figure: 1 TAC (Attorney General of Texas)

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rd of Support Order Reco Figure: 1 TAC (Attorney General of Texas)

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Figure: 1 TAC §55.121
Post Office Box 12017, Austin, Texas 78711-2017 Tel: (512)460-6000 1-800-252-8014
email: csd-sdu@oag.texas.gov or visit the Office of the Attorney General’s website (www.texasattorneygeneral.gov).
Form 1828 August 2021
Reco
rd of Support Order
This completed form must be submitted to the county’s clerk of the court to set up the child support account. (See Texas Family Code §105.008)
Note to Clerks: Send the completed form to the State Case Registry/County Contact Team by fax 877-924-6872, e-mail csd-sdu@oag.texas.gov, or
mail to TxCSDU, P.O. Box 659400, San Antonio, TX 78265, or use the TXCSES Web Portal to provide this information in lieu of forwarding the
document to the TXSDU.
Order Information
County Name:
Court Number:
Cause Number:
Attorney General Case Number:
Date of Hearing:
Order Sign Date:
Order Type:
New Order Modified Order
Payment Location:
State Disbursement Unit (SDU) Other:
Obligee/Payee/Custodial Parent Information
Family Violence Protection (FV) (Check if individual below is a victim of family violence)
Name:
Date of Birth:
Social Security Number:
Address:
City:
State:
Zip:
Sex: Male Female
Driver’s License Number:
Cell Phone:
Email:
Relationship to Child(ren):
Employer Name:
Address:
City:
State:
Zip:
Figure: 1 TAC §55.121
Post Office Box 12017, Austin, Texas 78711-2017 Tel: (512)460-6000 1-800-252-8014
email: csd-sdu@oag.texas.gov or visit the Office of the Attorney General’s website (www.texasattorneygeneral.gov).
Form 1828 August 2021
Attorney Information
Obligee Attorney:
Phone:
Obligor Attorney:
Phone:
Prepared by:
Phone:
Date:
County Name:
Court Number:
Cause Number:
Obligor/Payor/Non-Custodial Parent Information
Family Violence Protection (FV) (Check if individual below is a victim of family violence)
Name:
Date of Birth:
Social Security Number:
Address:
City:
State:
Zip:
Sex: Male Female
Driver’s License Number:
Cell Phone:
Email:
Relationship to Child(ren):
Employer Name:
Address:
City:
State:
Zip:
Dependent Information
Family Violence Protection (FV) (Check if dependent below is a victim of family violence)
Name:
Sex:
Male Female
Date of Birth:
Social Security Number:
Family Violence Protection (FV) (Check if dependent below is a victim of family violence)
Name:
Sex:
Male Female
Date of Birth:
Social Security Number:
Family Violence Protection (FV) (Check if dependent below is a victim of family violence)
Name:
Sex:
Male Female
Date of Birth:
Social Security Number:
Family Violence Protection (FV) (Check if dependent below is a victim of family violence)
Name:
Sex:
Male Female
Date of Birth:
Social Security Number:
If there are more children, attach an additional page listing the above information for each additional child.
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rd of Support Order Reco Figure: 1 TAC (Attorney General of Texas)

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Completed 11 May 2022

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