Get Child Support Help

Online Application

Phone: Toll Free (877) 770-7500
E-mail: info@getchildsupport.com

Custodial Parent's Information

First Name          Last Name

Address        Phone Number

City                      State                    Zip Code

Social Security Number       Date of Birth        E-mail Address

Emergency Contact Name/ Relationship       Phone Number

Child's Information

Child's Name Child's SSN Child's Date of Birth

Non-Custodial Parent's Information

First Name          Last Name

Address       Phone Number

City                State                            Zip Code

Social Security Number                           Date of Birth

Is the parent in jail? Yes No

Employment Information

Employer's Name
Present Last Known

Address/City/State/Zip How Long Phone Number

Information About Your Child Support Case (This Section needs to be Filled Out Completely)

Case Number County State

Effective Date of Court Ordered Child Support

Amount of Court Ordered Monthly Child Support Per Child

Number of Children Covered by Court Order

Amount of Back Child Support Owed

How did you arrive at this amount??

Program Qualifying Questions:

Do you have a court order awarding you child support and/or spousal support (alimony)?

Are you owed at least $2,000 in past-due child support and/or spousal support?

Are you receiving public assistance such as welfare or TANF

If you have received public assistance such as welfare or TANF,
please list the states and the approximate dates you received..

State which you have of public assistance

Approximate Date

P.O. Box 771077 Orlando, Florida 32877-1077 Toll Free (877) 770-7500
E-mail: info@getchildsupporthelp.com