Application For Child Support Services
HS-2912, Application For Child Support Services is a comprehensive document requiring information of various persons and factors pertaining to the child and the subject of the request. The Department of Human Services, State of Tennessee is the agency in charge of the entire process. The application is divided into 7 major sections followed by the application. Filling details in the respective fields is necessary. Mention the Social Security Number/s of all individuals related to the child. As per section 466(a)(13) of the Social Security Act [42 U.S.C. 666(a)(13)], you must disclose SSN to Child Support Agency.
Information About The Applicant For Child Support Services
• Mention your role from selecting …show more content…
Continue furnishing the relationship of ARP with the child(ren) in the following line.
• Enter home, work and cell phone numbers of ARP in the spaces provided for the same along with the area code as applicable.
• Furnish current/ last known mailing and living address of ARP and specify if it is a good address or not.
• Mention the employment status of ARP followed by the nature of occupation.
• Continue with entering the information about the current and previous employer along with phone numbers in the respective fields.
• Furnish general information about ARP like SSN, birthplace, date of birth, age, driver’s license number and state, sex, race, height, weight, hair color, eye color, distinguishing marks, known disabilities, and any other relevant information. Specify if a photograph of ARP is provided.
• Specify the name and address of the institution along with the expected release date if ARP is in jail or prison.
• Provide name of parole/probation officer name and address if the ARP is on probation or parole. Mark your selection by selecting the appropriate box.
• Furnish the date/duration of service and branch if ARP served in armed forces. Specify whether the ARP retired from the military or reserves by selecting the appropriate …show more content…
Use a separate line to mention the name/s of child(ren).
• Provide itemized details of unpaid medical bills if any along with copies of the bills.
• Furnish the copy of clarification of the benefits from the insurance company if you have submitted the unpaid medical bills to insurance company.
• Provide information if you have submitted unpaid medical bills to any other party. Provide a copy of unpaid medical bills to the other party immediately.
• Mention the details of any recurring medical expenses not covered under the health insurance after selecting yes from the options. Leave blank if you select no.
Information About The Child(Ren)
Section VII of the HS-2912, Application For Child Support Services requires input of each child in a separate section for whom you are seeking child support services. Attach a copy of the birth certificate of each child along with HS-2912 form. You may choose to attach additional sheets if necessary.
• Enter child’s last, first, and middle name in the spaces provided for the same.
• Type the social security number and date of birth of the child in the space on the following
HS-2912, Application For Child Support Services is a comprehensive document requiring information of various persons and factors pertaining to the child and the subject of the request. The Department of Human Services, State of Tennessee is the agency in charge of the entire process. The application is divided into 7 major sections followed by the application. Filling details in the respective fields is necessary. Mention the Social Security Number/s of all individuals related to the child. As per section 466(a)(13) of the Social Security Act [42 U.S.C. 666(a)(13)], you must disclose SSN to Child Support Agency.
Information About The Applicant For Child Support Services
• Mention your role from selecting …show more content…
Continue furnishing the relationship of ARP with the child(ren) in the following line.
• Enter home, work and cell phone numbers of ARP in the spaces provided for the same along with the area code as applicable.
• Furnish current/ last known mailing and living address of ARP and specify if it is a good address or not.
• Mention the employment status of ARP followed by the nature of occupation.
• Continue with entering the information about the current and previous employer along with phone numbers in the respective fields.
• Furnish general information about ARP like SSN, birthplace, date of birth, age, driver’s license number and state, sex, race, height, weight, hair color, eye color, distinguishing marks, known disabilities, and any other relevant information. Specify if a photograph of ARP is provided.
• Specify the name and address of the institution along with the expected release date if ARP is in jail or prison.
• Provide name of parole/probation officer name and address if the ARP is on probation or parole. Mark your selection by selecting the appropriate box.
• Furnish the date/duration of service and branch if ARP served in armed forces. Specify whether the ARP retired from the military or reserves by selecting the appropriate …show more content…
Use a separate line to mention the name/s of child(ren).
• Provide itemized details of unpaid medical bills if any along with copies of the bills.
• Furnish the copy of clarification of the benefits from the insurance company if you have submitted the unpaid medical bills to insurance company.
• Provide information if you have submitted unpaid medical bills to any other party. Provide a copy of unpaid medical bills to the other party immediately.
• Mention the details of any recurring medical expenses not covered under the health insurance after selecting yes from the options. Leave blank if you select no.
Information About The Child(Ren)
Section VII of the HS-2912, Application For Child Support Services requires input of each child in a separate section for whom you are seeking child support services. Attach a copy of the birth certificate of each child along with HS-2912 form. You may choose to attach additional sheets if necessary.
• Enter child’s last, first, and middle name in the spaces provided for the same.
• Type the social security number and date of birth of the child in the space on the following