- Application for IV-D Services JFS 07076 (pdf)
This application may be used to apply for Title IV-D child support services.
- Rights and Responsibilities JFS 07012 (pdf)
This form describes your rights and your responsibilities as part of the child support services you receive.
- Report Changes Form (pdf)
This form may be used to report any changes to the Wayne CSEA, including a change in address, phone number, employment, etc.
- 3rd Party Consent Form (pdf)
The Wayne County CSEA follows strict guidelines concerning the confidentiality of case information. However, you may request that the CSEA allow another individual to assist you with your child support case. You may use this form to designate another person to receive information or to discuss your child support case with us, such as a current spouse or a family member.
- Request to Terminate Support (pdf)
You may use this form to notify the Wayne CSEA that a circumstance has occurred that may result in the termination of the support obligation. Upon receipt of this notification, the Wayne CSEA will conduct an investigation to determine whether the support obligation should terminate or continue. The CSEA will issue a written recommendation notifying the parties of the CSEA’s findings and recommendations.
- Seek Work List (pdf)
If the obligor is currently unemployed, he/she may be ordered to seek work and to provide proof that he/she has applied for employment with a minimum of 10 employers per month.
- Seek Work Attendance Form (pdf)
If the obligor is currently unemployed, he/she may be ordered to seek work and to provide proof that he/she has attended a local Employment Training Center and complied with their programs to become gainfully employed.
- Abatement Request (pdf)
Some visitation/parenting time orders in Wayne County may include a visitation/parenting time abatement for extended periods of visitation/parenting time. If your order includes this, you may use this form to notify the Wayne CSEA that the parenting time occurred and to request that the credit be applied.
- Release of Injured Spouse Claim Affidavit (pdf)
When an obligor and his/her current spouse file a joint federal tax return, the entire tax refund may be seized by the child support program if the obligor owes over $500 in arrears(back due support), and otherwise qualifies for the tax offset program. The current spouse may file an IRS form 8379 Injured Spouse Allocation to request that his/her portion of the tax refund be returned. Please refer to www.irs.gov or see your tax preparer for tax advice and information. If the current spouse is not going to file an injured spouse claim, the current spouse can request that the CSEA release the money to the child support case before the 6 month hold expires. You may also refer to Ohio Office of Child Support’s tax offset information at http://jfs.ohio.gov/Ocs/pdf/InjSpsFAQs.pdf for more information.
- Release of Information Form (pdf)
If you are requesting information from your child support case about the other party or child, you may use this form. The Wayne CSEA will notify you within 30 days whether it can release the information to you.
- Request to Negotiate (pdf)
Recently, the State of Ohio, issued a policy allowing for the waiver and compromise of some arrears owed to the State of Ohio. If you would like to talk to the Wayne CSEA about whether or not your case qualifies, you may use this form. Please see the Waiver and Compromise Fact Sheet on our website for more information.
- Request for an Administrative Review of the Child Support Order, JFS 01849
Either parent or guardian can ask the CSEA to review and adjust (modify) a support order every 36 months or sooner if there is a qualifying change in circumstances.
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