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

Direct Deposit Request

Request for a First-Level Desk Review…

Affidavit of Net Worth

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

5171 إقرار النسب

طلب مراجعة إدارية لشهادة نفقة إعالة الطفل الواجبة السداد لتعويض استرداد الضريبة/ رفض إصدار جواز السفر

বাঙালি (Bengali)

5143  শিশু সহায়তা পরিষেবার জন্য আবেদন

5143A  শিশু সহায়তা সম্পর্কে তথ্য

5143B অশতশিক্ত শিশুি তথ্য

5171 বংশপরিচয়ের স্বীকৃতি

ট্যাক্স রিফান্ড অফসেট/পাসপোর্ট প্রত্যাখ্যানের জন্য প্রদেয় সাপোর্টের শংসায়নের প্রশাসনিক পর্যালোচনার অনুরোধ করা

中文 (Chinese)

5143 儿童撫養費服务 申请书

5143A 有關兒童撫養服務的重要資訊

5143B 附加兒童資訊（申請）

5171 親子關係確認書

申請針對退稅抵消/護照拒批之撫養費欠款認證進行行政複審

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

5171 Rekonesans Lyen Parante

Demann Pou Revizyon Administratif pou Sètifikasyon Pansyon Alimantè Egzijib pou Rediksyon sou Ranbousman Taks/Refi pou Paspò

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

Richiesta di verifica amministrativa del Certificato di mantenimento dovuto per compensazione del rimborso fiscale / rifiuto del passaporto

한국어 (Korean)

5143 아동 지원 서비스 신청

5143A 아동 지원 서비스에 대한 중요 정보

5143B 추가 아동 정보(신청서)

5171 친자 확인서

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)

5171  Uznanie rodzicielstwa

Wniosek o kontrolę administracyjną zaświadczenia o alimentach z tytułu potrącenia zwrotu podatku/odmowy wydania paszportu

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

Запрос административного рассмотрения заявления о задолженности по алиментам для взыскания налоговых возвратов/отказа в выдаче паспорта

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

Solicitud de Revisión Administrativa de la Certificación de la Deuda de Sustento de Menores con Motivo de una Retención Compensatoria de Reembolsos Tributarios / Denegación de Pasaporte

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

פארלאנג פאר אדמיניסטראטיווע איבערזיכט פון די סערטיפיקאציע פון סאפורט וואס
עס קומט פאר טעקס ריפאנד אומבאלאנסירונג/פאספארט אפזאג

Child Support Brochures

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Employer Brochures

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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.