Publications and Forms
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Child support forms and publications may also be ordered using the OTDA Publications Order form .
Forms in English
5143: Application for Child Support Services (PDF) (13 pages).
If you are requesting support for more than two (2) children with the Other Party named in this application, complete and submit LDSS-5143B Additional Child Information for each additional child.
5143B Additional Child Information
5143A Information about Child Support Services
Note: Keep pages 1-4 for your reference. These pages contain important information you need to know about child support services. Complete and submit Parts A, B, and C to your local child support office .
5171 Acknowledgment of Parentage
4515 Child Support Standards Chart
Request for a First-Level Desk Review… / Instructions and Guidance about requesting a First-Level Desk Review
Driver License Suspension Request or Challenge
Mistake of Fact and/or Exempt Money Claim
Request for Review of Additional Amount
Department of Taxation and Finance Challenge
Professional License Suspension Claim
Request for Administrative Review…for Tax Refund Offset/Passport Denial
Translated forms
If the form you need is not available in your language, please call 1-888-208-4485 (TTY: 1-866-875-9975).
For a translation of this site, visit Website Language Translations.
العربية (Arabic)
5143 طلب الحصول على خدمات إعالة الطفل
5143A معلومات حول خدمات إعالة الطفل
5143B معلومات إضافية عن الأطفال
نموذج الاشتراك في خدمة الإيداع المباشر
বাঙালি (Bengali)
5143 শিশু সহায়তা পরিষেবার জন্য আবেদন
5143A শিশু সহায়তা সম্পর্কে তথ্য
সরাসরি জমার তালিকাভুক্তির ফর্ম
中文 (Chinese)
Kreyòl Ayisyen (Haitian Creole)
5143 Aplikasyon pou Sèvis Pansyon Alimantè pou Timoun
5143A Enfòmasyon sou Sèvis Pansyon Alimantè pou Timoun
5143B Enfòmasyon Anplis sou Timoun
Fòmilè enskripsyon pou depo dirèk
Deklarasyon sou sèman valè nè a
Italiano (Italian)
5143 Domanda per servizi di mantenimento dei figli minorenni
5143A Informazioni importanti sui Servizi relativi al mantenimento dei figli minorenni
5143B Informazioni sull’altro figlio minorenne (Domanda)
5171 Riconoscimento di Filiazione
Modulo di registrazione per deposito diretto
Dichiarazione giurata del patrimonio netto
한국어 (Korean)
세금 환급금 상계/여권 거부에 대해 양육비 채무 증명에 대한 행정 심사 요청
Polski (Polish)
5143 Wniosek do Ośrodka Pomocy Społecznej dla Dzieci o pomoc społeczną dla dziecka
5143A Ważne informacje na temat świadczeń usług pomocy społecznej dla dzieci
5143B Dodatkowe informacje i dziecku (wniosek)
Formularz rejestracji bezpośrednich wpłat na konto
Oświadczenie o dochodach netto
РУССКИЙ (Russian)
5143 Заявление на получение услуг программы надзора за материальной поддержкой детей
5143A Важная информация об обслуживании в части организации содержания детей
5143B Дополнительная информация о ребенке (заявление)
5171 Признание статуса родителя
Бланк регистрации для прямого зачисления средств на счет
Официальное подтверждение чистой стоимости имущества
ESPAÑOL (Spanish)
5143 Solicitud de Servicios de Sustento de Menores
5143A Información Importante sobre los Servicios de Sustento de Menores
5143B Información Adicional del Menor (Solicitud)
5171 Reconocimiento de Filiación
Formulario de inscripción para Depósito Directo
Declaración jurada del patrimonio neto
יידיש (Yiddish)
5143-YI אפליקאציע פאר קינדאויסהאלט סערוויסעס
5143A-YI וויכטיגע אינפארמאציע וועגן קינדאויסהאלט סערווויסעס
5143B-YI נאך קינד אינפארמאציע (אפליקאציע)
5171-YI אנערקענונג פון עלטערן-שאפט
דיירעקט דעפּאַזיט איינשרייבונג בויגן
Child Support Brochures
Child Support Services (1950)
Support Your Child Financially and Emotionally (4944)
If Life Has Changed…So Can Your Child Support (4960)
A Driver's Manual for New Dads (4901)
Employer Brochures
ESPAÑOL: Guía de Referencia para Empleadores sobre Sustento de Menores
Quick Reference Guide for Employers and Income Withholders
Income Withholding Order/Notice for Support (IWO)
Lump Sum Payments and Child Support
Nondiscrimination Notice
New York State prohibits discrimination based on race, color, national origin, disability, age, sex, and in some cases, religion or political beliefs. New York State additionally prohibits discrimination based on gender identity, transgender status, gender dysphoria, sexual orientation, marital status, domestic violence victim status, pregnancy-related conditions, predisposing genetic characteristics, prior arrest or conviction record, familial status, and retaliation for opposing unlawful discriminatory practices.
To file a discrimination complaint relating to child support, the complaint must be made in writing and must include the following information:
- A description of the type of discrimination alleged
- When and where such discrimination took place
- Any pertinent facts and circumstances surrounding the alleged discrimination
Complaints must be signed by the person making the complaint and may be submitted by mail or email:
Mail:
Division of Child Support Services
40 N. Pearl Street, 13-C
Albany, NY 12243
Email:
otda.sm.nys.child.support@otda.ny.gov
Glossary of Child Support Terms
Check the federal OCSE's Glossary of Child Support Terms (PDF) for definitions of child support terms and acronyms.