Lenawee County, MI · Lenawee County

No notary required

Child Support Services Application/Referral

Parents and caretakers use this application to request child support services through the Michigan Office of Child Support.

At a glance

Issued by
City of Lenawee County · Lenawee County, Lenawee County, Michigan
Notarization
Not required: file this form without a notary.
Official source
lenawee.mi.us
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This application requests child support services, including all services, locate-only services for custodial parents and caretakers, or medical-support-only services for Medicaid cases. Applicants provide information about themselves, the other parent, children, marital status, and benefits. Attach copies of relevant family court orders and, when applicable, children’s health coverage cards. The form states that applying is voluntary for non-assistance applicants.

Who needs it

A custodial parent, non-custodial parent, alleged father, or other caretaker requesting child support services can complete this application.

How to submit it

Return the completed application to Michigan Office of Child Support, Central Functions Unit, P.O. Box 30744, Lansing, MI 48909.

About notarization

This application is signed and dated without a notary; the form requests copies of court orders and health coverage cards, but does not say they must be notarized.

How to submit this form

  1. 1

    Download the Application

    Download the Child Support Services Application/Referral PDF.

  2. 2

    Complete the Applicable Sections

    Choose your relationship to the children and complete the sections required for your applicant type.

  3. 3

    Gather Requested Attachments

    Include copies of relevant family court orders and children’s health coverage cards, when applicable.

  4. 4

    Sign and Date the Form

    Sign and date the application; the form does not include a notary block.

  5. 5

    Mail the Application

    Send it to Michigan Office of Child Support, Central Functions Unit, P.O. Box 30744, Lansing, MI 48909.

Frequently asked questions

Who can apply for child support services?
Custodial parents, non-custodial parents or alleged fathers, and other caretakers may complete the application. The form gives different section instructions based on the applicant’s relationship to the children.
What information and attachments does the application request?
It asks for information about the applicant, the other parent, children, marital status, and certain benefits. Attach copies of relevant court orders and, for children’s health coverage, copies of the front and back of insurance cards.
Do I need a notary for the Child Support Services Application/Referral?
No. The application requires the applicant’s signature and date, but has no notary block. It requests copies of court orders and health coverage cards without saying they need notarization.
How do I submit the Child Support Services Application/Referral?
Mail the completed application to Michigan Office of Child Support, Central Functions Unit, P.O. Box 30744, Lansing, MI 48909, as directed on the form.

Need something notarized?

This Child Support Services Application/Referral doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.