___________________. Tennessee public policy encourages a relationship between a child and both parents. Has the primary residential parent (PRP) / caretaker ever been married to the alternate residential parent (ARP)? Furnish name of ARP along with the maiden name and alias if any. Davidson County Child Custody Forms. Were the parents married to each other at the time of birth? Tennessee child custody laws allow for joint custody and grandparents' visitation rights, while emphasizing the child's own wishes when considering custody decisions. They will make sure you go to the court with a mistake-free petition … Mention the city, county, and state of the birth of the child. • You must notify us immediately if you move or change your telephone number. - Divorce forms-with children General Sessions Civil Court forms (Supreme Court approved) Juvenile Court forms Mediation forms Non-IV-D Child Support forms Order of Protection Parenting Plan forms Trial & General Sessions Court forms Based on section 466(a)(13) of the Social, Security Act [42 U.S.C. Are you under age 18 and unmarried? This section has information about child custody in Tennessee, including the best interest factors that a judge will consider, whether a parent who has committed domestic violence or child abuse can get custody, and how military deployment affects a custody order. Nothing will occur in the modification action until a change that affects the welfare of the child has been proven. • Guarantee that our attempts to establish or enforce child support will be successful, • Handle matters that are not related to child support such as divorce, visitation or custody disputes, or. D. The Child Support office has the Social Security number (SSN) of the alternate residential parent (ARP). Part 2 - Uniform Child Custody Jurisdiction and Enforcement Act 36-6-216 - Jurisdiction to make custody determination. • Make every effort to provide the needed service. PETITION FOR CUSTODY AND/OR VISITATION . Court samples are copies of actual pleadings or documents filed in a Court proceeding or … Continue furnishing the relationship of ARP with the child (ren) on the following line. Provide the name of parole/probation officer name and address if the ARP is on probation or parole. Mention your role from selecting between the choices between PRP/Caretaker or ARP. Is the alternate residential parent (ARP) self-employed? Filling these details is necessary when you record your response yes of the court order for child support. If you are the primary residential parent (PRP) or caretaker of the child(ren), provide the following information about yourself. Ferrell Law Firm: Sample Divorce Complaint, Public Library of Mount Vernon and Knox County: Motion to Modify Custody, Southeast Tennessee Legal Services: Instaguide to Family Law in Tennessee. Some situations that can result in overpayment are: the State receives a child support payment by personal check or other payment method, that is later dishonored; the State must return amounts to the IRS because the alternate residential parent (ARP)’s spouse filed an amended, tax return; the State sends me a duplicate payment to replace a payment I did not receive, then I receive both payments; or, the State sends, me any payment that I am not entitled to receive. 3. (a) Except as otherwise provided in § 36-6-219, a court of this state has jurisdiction to make an initial child custody … Furnish the information about your parent/guardian name, address, and phone numbers in section 2 in case you are unmarried and under the age 18. If such issues are raised in this case, I understand that I must secure other representation. The divorce petition is the document that lets the court know what you are seeking. I declare that I understand it fully and agree with the terms. Furnish the date/duration of service and branch if ARP served in armed forces. Changing or modifying your parenting plan or otherwise changing custody in Tennessee after a divorce requires asking the … Other contacts for the alternate residential parent (ARP). Johnson has also taught legal research and writing, music business law and entertainment law. I need those forms or petition whatever you call them. JC-15 - Petition to modify order: For children's cases ; JC-17 - Notice to appeal ; JC-17A - Appeal bond ; JC-21 A&B - Petition for Custody and/or Visitation; JC-21C - Petition for contempt; JC-26A - Petition for child … Reviewing the forms ahead of time can ease the stress. 10. Enter the first, middle, and last name of PRP followed by the maiden name if any. Therefore, we want to give you some. Enter home, work and cell phone numbers of ARP in the spaces provided for the same along with the area code as applicable. HS-2912, Tennessee Application For Child Support Services is a comprehensive document requiring information about various persons and factors pertaining to the child(ren) and the subject of the request. NOTE: Each individual’s Social Security number (SSN) is a critical part of case processing. 14. They will be used by. • Give your case priority over any other cases we have. What is the caretaker’s relationship to the child(ren) (mother / father / grandmother / etc.)? Furnish the copy of clarification of the benefits from the, Provide information if you have submitted unpaid. D. The State has the right to withhold amounts from future IRS offsets if I do not voluntarily repay amounts paid to me in error. Who will get custody of our child? • You must return any money sent to you in error. Leave blank if your response is no. I swear or affirm that the information I have provided in support of this application is correct to the best of my knowledge, information, and, belief. Login. Most courts now offer at least some materials and forms to help you understand and manage your child custody … INFORMATION ABOUT THE APPLICANT FOR CHILD SUPPORT SERVICES, The PRIMARY RESIDENTIAL PARENT (PRP) / CARETAKER of the child(ren) for whom services are requested. Determining child custody can be a very stressful process. Petition for Child Custody … 666(a)(13)], you are required to disclose Social Security numbers to the child support agency. Describe. 11. Petition, you may have to pay for things such as . 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. These forms often require you to fill in the details, but contain the specific language needed to meet the legal requirements for a change in custody. Name: ____________________________________________________________________________________________________________, Phone number: (________)___________________________________________________ Relationship: ____________________________, III. It is advised to use a method in which you can prove the other parent received notice of your complaint and summons, such as certified mail or the sheriff's service of process. 2. Child’s Last Name _____________________ First Name _______________________ Middle Name ____________, 6. the State’s child support enforcement program to locate individuals for the purposes of establishing paternity and establishing, modifying, and enforcing support obligations. Furnish current/ last known mailing and living address of ARP and specify if it is a good address or not. 5. Under Tennessee child custody law in general, the petition to adjudicate parentage is the legal process by which a parent, putative father, or government seeks to legally establish who the child’s father is. Attach a copy of the birth certificate of each child along with HS-2912 form. Yes __ No __ (If no, provide the other party a copy of the unpaid bills, Do the child(ren) have any recurring medical expenses not covered by Yes __ No __, List below each of the children of the other parent shown on this application for whom you are requesting child support services. orders, establishing paternity, and in some limited cases, obtaining spousal support. Mark your choice yes for the court order if any. Is this alternate residential parent (ARP) on probation or parole? 1. 8. If you send the modification papers via regular mail, there is no way to prove whether or not your former spouse received it. 12. Mention carrier name, policy number, and insured’s name. … Mention arrearage amount if any. also check this box if the child(ren) for whom you are requesting services resides/reside with you exactly 50% of the time. 2. Changing custody and modifying your parenting plan after a Tennessee divorce. Attend a threshold hearing. Do you want this case to be managed by a child support office located in a county other than the one in which you live? 2. B. Yes No In which other state(s) did you receive these benefits? 14. If the child(ren) in this case receive Medicaid or TennCare, I must tell the Child Support office immediately. Yes No, If yes, please explain: __________________________________________________________________________________________________, ___________________________________________________________________________________________________________________, 4. Tennessee child custody attorneys provide answers to frequently asked questions with regards to Tennessee child custody laws and custody in Tennessee. Mention the Social Security Number/s of all individuals related to the child. The information requested in this application must be provided by every applicant for child support services, regardless of whether they are, the primary residential parent / caretaker or the alternate residential parent of the child(ren). Enter child’s last, first, and middle name in the spaces provided for the same. Separation is for married parents who aren't ready to divorce … Yes No If yes, provide the following information about your parent or guardian: Last Name: _______________________________________ First Name : ________________________ Middle Name: ____________________, Address: _____________________________________________________________________________________________________________, City: _______________________________________________ State: ____________________________ Zip: ________________________, Phone (Home): (______)____________________________ (Cell): (______)_____________________ (Work): (_____)___________________, 3. Enter the name of the entity/individual followed by address. There is no guarantee that money will be collected on my behalf. Child’s Last Name _____________________ First Name _______________________ Middle Name ____________, 3. C. The alternate residential parent (ARP) must owe at least $500.00 past due child support under such order. Distinguishing marks Known disabilities Other information. Serve your spouse with the complaint and summons. Divorce cases are for parents who want to end their marriage. If money is collected through this process and a joint return is involved, the State has the right to hold the refund for six months before, C. If I have received TANF or Families First benefits, the State will keep part or all of the refund to repay any TANF/Families First. Primary residential parent (PRP)’s / caretaker’s employer: ____________________________________________________________________, Address: ____________________________________________________________________________ Phone: (______)__________________, City: ______________________________________________________ State: ____________________________ Zip: ______________, 5. Tennessee Child Custody Form. NOTE: Any application for child support services will result in this agency taking action as needed to enforce support obligations. the other state requires for my case to proceed. Payment due date, Date and amount of the last payment/collection Amount of the arrearage, V. Use the area below to provide any additional information about your case that you think the child support office may need, including the names, of any other possible fathers of the child(ren) for whom you are applying. See FindLaw's article for state-specific court forms and related materials for child custody… You current Child … That custody of said minor child(ren) be changed from the Respondent to the Petitioner. 1. To establish paternity for the child(ren)? These services do not include actions involving custody. Specify the relationship of caretaker with the child. Mention name, address, and phone number. The services provided by the Child Support agency only include enforcing rights to child support, obtaining and enforcing health insurance. This fee will be deducted before I receive any. Mark your choice between yes or no in section 3 and proceed by furnishing supporting information in the space provided in subsequent lines in case response you mark is yes. This hearing is for the sole purpose of determining whether there has been a material change in circumstances since the existing custody order was established. Mention the identifying information of PRP like date of birth, social security number, sex followed by mailing and living address including phone numbers at both addresses. Yes No, c. If this child was born out of wedlock, has paternity been established? Attach additional sheets if needed. voluntary acknowledgment, court order, other (please specify): e. Is this child covered by the alternate residential parent (ARP)’s health/medical insurance policy? E. The IRS charges a fee up to $25.00 for each collection made through the offset program. They will help provide you with child support services, but they do not. pay back any money that I get through fraud. 36-6-116 “CHILD CUSTODY PETITION” You are hereby notified that upon … If the Child Support. ... Tennessee. General information about the alternate residential parent (ARP), Social Security number Birthplace (city/county/state) Date of birth, Approximate age Driver’s license number (include state) Sex. • Establish and enforce court orders for child support payments, unpaid medical bills, and/or medical insurance, • Review and modify child support orders, and. ), Have you presented the unpaid medical bills to the insurance company? INFORMATION ABOUT THE ALTERNATE RESIDENTIAL PARENT (ARP). • Case information will be given out only for child support purposes. Child’s Last Name _____________________ First Name _______________________ Middle Name ____________, I, ____________________________, am applying for Child Support services provided by the Child Support Agency of the Tennessee. Also, there must be a copy of the court’s, payment record on file in the Child Support office. 4. 2. Mention names of mother, father, friends, and relatives along with their addresses. The information that I supply is the source for any petition filed for me. Do you have reason to believe that the ARP might try to harm you or the child(ren) if we try to contact him/her, or as the result of any action we, might take on your child support case? • Collect child support arrears using a variety of enforcement methods, including intercepting federal income tax refunds. Yes No If yes, in what occupation? Is any other agency or attorney involved in pursuing child support at this time? For help by phone, dial 211 for Tennessee’s community services help line or visit the 211 website. A copy of the order, and any changes to the order, are on file in the Child Support office. 13. Information about the Applicant For child support services, Information about the Primary Residential Parent (PRP) / Caretaker, Information about the Alternate Residential Parent (ARP). ______________________________, 7. It is within the divorce complaint that you will ask for either joint or sole custody. Mark your choice yes, if ARP receives a pension and/or benefits from the federal government. I understand and acknowledge the following: 1. Your case will be reviewed based upon the Tennessee Child Support Guidelines. Refund Offset Program is only possible if the alternate residential parent (ARP) files a tax return and is due a refund from the IRS. Use a separate line to mention the name/s of each child. Alternate residential parent (ARP)’s current employer: ______________________________________________________________________, Address: _____________________________________________________________________ Phone number: (______)________________, City: _______________________________________________ State: ___________________________ Zip: _______________________, Alternate residential parent (ARP)’s previous employer:______________________________________________________________________, Address: _____________________________________________________________________ Phone number: (______)_________________, City: _______________________________________________ State: ____________________________ Zip: _______________________, 8. Attend pretrial mediation. I am looking for child custody forms to fill out to turn into the court. Furnish any additional information you feel relevant during seeking the child support. Tick mark in the appropriate box. Yes No. If I give any information or testimony that a court finds to be false, the State may prosecute me for perjury. Fill, sign and download Child Custody Form online on Handypdf.com. Give any information you have, even if it is incomplete: Mother (first/middle/last name) Phone number: Father (first/middle/last name) Phone number: Friend or other relative (first/middle/last name) Phone number: Is there a court order for child support for the child(ren) for whom child support services are requested? Identifying information for the primary residential parent (PRP) / caretaker, Date of Birth: ______/______/________ Social Security Number: ________-________-________ Sex: ______________, Address of the primary residential parent (PRP) / caretaker, MAILING address: __________________________________________________________________________________________________, City: ______________________________________ State: ______________ Zip: _______________ County: _______________________, Phone (Home): (_____)______________________ (Cell): (_____)_______________________ (Work): (_____)_______________________, LIVING address: ___________________________________________________________________________________________________, 4. (through court, IV-D agency, or directly to caretaker) Amount of support ordered, Pay frequency ordered (weekly, monthly, other, etc.) Enter the name of the county other than the one you dwell in case you mark your option yes instead of no. Yes No, b. Enter your name in the space provided on line 1 of the application. AFTER WE RECEIVE YOUR COMPLETED APPLICATION, WE WILL, • Decide the proper action to take on your case, and. If you are the alternate residential parent (ARP), enter information about the primary residential parent / caretaker in Section II and enter. Your county clerk will typically have blank pre-printed forms you may use. The application is divided into 7 major sections followed by the application. Also, the State may require me to. Description - Tennessee Petition To Register Foreign Custody Order This is a Court Sample and NOT a blank form. (Add a separate sheet if needed), VI. child, provide all of the necessary information and a copy of that child’s birth certificate. Kid Central is a one-stop shop for Tennessee … Select between yes or no to state whether the child’s parents were married at the time of the birth of the child. After a breakup or divorce in Tennessee, couples with children must come to a child custody agreement that describes which parent the children will live with, how visitation will be scheduled, and how the non-custodial parent will pay child support.. Select the appropriate choice between voluntary acknowledgment, Mark your choice of yes or no if the health/. affidavit of the amount owed by the alternate residential parent (ARP). 13. Yes No If yes, which branch? will be kept by the State to repay the TANF/Families First benefits I have received. Tennessee courts are also required to provide caretakers with information regarding potential resources and funding from the Department of Child Services. This brochure from Memphis Area Legal Services provides helpful information about filing custody rights in Juvenile Court. Appellate Court forms Divorce forms-no children (Supreme Court approved) NEW!! Read the undertaking carefully and proceed with signing at the bottom in acceptance of the undertaking followed by entering the date to complete and submit form HS-2912, Application For Child Support Services to the Department of Human Services, State of Tennessee. Custody is … My case will be submitted to the IRS Treasury Offset Program if it meets the following conditions: A. In addition, I will sign any agreement required by the, Department of Human Services for repayment of any such overpayments. • Locate a parent whose whereabouts are unknown. I agree to allow the State to recover any overpayments, without notice to me, by, withholding the overpaid amount from future child support that is processed. For example, a parent could have become terminally ill or developed a drug addiction. Some of the factors considered by Tennessee in child custody cases include the child… Online templates, containing worksheet examples and sample forms, provide parents the legal guidance needed to create a sole, shared, or joint TN child custody … Child’s Last Name _____________________ First Name _______________________ Middle Name ____________, 5. may close your case if you do not cooperate. Attach copies of the orders and payment records, if available. Yes __ No __ (If yes, provide itemized detail and copies of all bills. Filling details in the respective fields is necessary. Type the social security number and date of birth of the child in the space on the following line. Before you file legal papers, take some time to familiarize yourself with the resouces offered by your local court. _______________________, Dates of service: From: ________________________ To: ________________________________________________________________, Is the alternate residential parent (ARP) retired from the military or in the reserves? In addition, provide information about. • All child support payments will be processed through the Central Payment Processing site in Nashville, Tennessee. A Tennessee (TN) Child Custody Agreement is a legal document family law uses to ensure single, separated, and divorced parents have a comprehensive TN Co-Parenting Agreement and Parenting Schedule. 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. In Tennessee, this particular legal action can be filed by the mother, child, father, putative father, … Name and phone number of a person we can contact if we are not able to reach you. Specify if a photograph of ARP is provided. When I look at the form that says child custody it takes me to child support services. It is this agency’s desire to act in the best interest of you and your child(ren) at all times. Describe any assets the alternate residential parent (ARP) may own. If yes, provide any information you have about the existing court order(s). I further understand that if my case is submitted for the IRS Treasury Offset Program: A. Tennessee Code Section 36-2-303 grants unmarried mothers automatic custody rights to a child born out of wedlock. More Info... Get Help With Tennessee Child Custody. INFORMATION ABOUT THE PRIMARY RESIDENTIAL PARENT (PRP) / CARETAKER. Yes No. Yes No. The Department of Human Services, State of Tennessee is the body in charge of the entire process. Mention the employment status of ARP followed by the nature of occupation. If you are the primary residential parent. Should a parent receive sole physical custody of the child … • We will contact you if we need additional information from you, and to inform you of appointments and court hearing, • Your signature on the application form indicates your agreement that the agency may file a legal action in your case and. above-mentioned child(ren), who reside or are currently located in Roane County, Tennessee, is a dependent and neglected child(ren) as defined in Tennessee Code Annotated § 37-1-102, and in further accordance with the conditions set forth in Tennessee … Continue with entering the information about the current and previous employer along with phone numbers in the respective fields. Mother __________ Father __________ Both _________ Neither __________, Carrier name (excluding TennCare): ___________________________________________________________________________________________, Policy number: ____________________________________________ Insured’s name: _____________________________________________, Monthly insurance premium: _________________________________ Number of family members covered by policy: _____________________, Name(s) of the child(ren) who are covered by this policy, _________________________________________________________ ______________________________________________________, Do the child(ren) have any unpaid medical bills? Mention the names of possible father/s if any. Parenting Plan Forms Pursuant to Public Chapter 127, amending T.C.A. That the Respondent be ordered to pay child support pursuant to the Tennessee Child Support Guidelines and … For each. More Info... Family Court Fee. Shannon Johnson graduated from Mercer University School of Law in 2000. Enter the monthly. The ALTERNATE RESIDENTIAL PARENT (ARP) of the child(ren) for whom services are requested, (The ARP is the parent with whom the child(ren) resides less than 50% of the time), If you are the ALTERNATE RESIDENTIAL PARENT (ARP), are you applying for, A review and modification of your support order, or. Specify whether the ARP retired from the military or reserves by selecting the appropriate box. benefits previously provided by the State. Yes No. 6. B. visitation, or similar issues. If I have received TANF or Families First benefits in the past, any support collected each month above the current support owed each month. Federal tax the Petitioner further, I swear or affirm that I. have read this and. Further, I will cooperate with the child born out of wedlock subsection you... Medical support, obtaining spousal support pursuing child support office in the (! Us immediately if you are ARP for parents who want to end their marriage Medicaid, or you. … 2 seek action against me to child support your COMPLETED application, we will •... _________________________________ to: ___________________________________________, Did you receive these benefits in Tennessee the.... Last known mailing and living address of the petition and time limit filing! Decided by the, Department of Human services, state of motor vehicles owned by.! In Nashville, Tennessee state may charge me with fraud, for.. Make, model, year, color, license plate number, and relatives along with the has. To properly identify that parent for the same along with their addresses and name parole/probation! Affidavit of the child or petition whatever you call them currently writes for several legal and non-legal online publications or... Disclose SSN to child support services desire to Act in the matter date if ARP served in forces. 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