12E-1.040. Intergovernmental Forms  


Effective on Thursday, September 14, 2023
  • 1(1) 2Federally approved forms.

    5(a) As the st9a10t11e12’s Title 14IV15-16D 17a18g19e20n21c22y 23und24e25r S27ec28t29i30o31n 32409.255733(341), 35F36.37S38., the 40D41e42p43a44rtm45e46nt 47m48ust use 50f51e52d53e54r55a56l57l58y 59a60ppro61v62e63d f65o66rms in 68in69t70e71r72g73ov74e75rnm76e77ntal 78ca79s80e81s 82invo83l84ving 85c86hi87l88d support p91r92ogr93a94ms 95i96n other 98stat99e100s, fo102r103e104i105g106n 107c108ou109n110tri111e112s, 113and t115r116ibes, 117a118s 119r120e121quir122e123d 124b125y 12645 C128F129R 303.7131(132a133)134(1354136).

    137(b) 138The 139D140e141p142a143rtm144e145nt uses the 148G149e150n151e152r153a154l T156e157st158i159mo160n161y form 163(164C165S166-167I168S16921) 170to obtain 172a 173st174a175tem176e177nt under penalty of perjury 182a183bout 184t185he 186info187r188mation a190n191d f193a194c195ts 196of 197the 198ca199se 200f201r202om a 204p205e206rson s208ee209ki210n211g to establish p215a216te217r218ni219t220y, 221support, or p224a225te226r227ni228t229y 230a231nd 232support, or review or modification of a support order in an inte244r245g246o247v248e249r250n251ment252a253l c255a256s257e258. The Department requests information needed to prepare the General Testimony form from the petitioning parent. T275h276e 277D278e279p280a281r282t283ment p285r286ovides the 288G289e290n291e292r293a294l T296e297st298i299mo300n301y form 303to 304t305he 306other 307g308o309v310e311r312n313ment314315s 316c317hi318l319d support p322r323o324g325r326a327m328. 329F330orm 331CS332-333I334S33521, (337http:/338/339w340w341w.342f343lrul344e345s.o346r347g348/G349a350te351w352a353y354/355r356e357f358e359r360e361n362ce363.364a365sp?366No367=368R369e370f-15873371), is h374e375re376b377y 378inco379r380p381or382a383ted 384b385y r387e388fer389e390n391c392e, 393e394f395fe396c397t398i399ve 40009/23401.

    402(c) The 404D405e406p407a408rtm409e410nt uses 412the 413Declaration in Support of Establishing Parentage forms (C421S-422I423S42426 and CS-IS26a) to obtain a 430p431a432te433r434ni435t436y 437a438f439f440ida441v442it 443f444r445om a p448e449rson s451e452e453king 454e455stabli456s457hment of 459p460a461te462r463n464i465ty 466or 467p468a469te470r471ni472t473y 474a475nd support in an inte480r481g482o483v484e485r486n487ment488a489l c491a492s493e494. T496h497e 498D499e500p501a502r503t504ment p506r507ovides Form 509C510S511-512I513S51426 or CS-IS26a to 518t519he 520other 521g522ov523e524rnm525e526nt’s 527c528hi529l530d sup532p533ort p535r536ogr537a538m. Form 540CS-IS26 is system-generated and populated with data previously obtained by the Department from the petitioning parent or governmental entity where the petitioning parent resides or applies for services. Form CS-IS26a is blank and includes Instructions for Completing the Declaration in Support of Establishing Parentage (Form CS-IS26i). 586F587orm 588CS589-590I591S59226, 593(594http:/595/596w597w598w.599f600lrul601e602s.o603r604g605/G606a607te608w609a610y611/612r613e614f615e616r617e618n619ce620.621a622sp?623No624=625R626e627f-15874628), is h631e632re633b634y 635inco636r637p638orated 639b640y r642e643fer644e645n646c647e, effective 09/23. 650Form CS-IS26a, (653http:/654/655w656w657w.658f659lrul660e661s.o662r663g664/G665a666te667w668a669y670/671r672e673f674e675r676e677n678ce679.680a681sp?682No683=684R685e686f-15875687), is h690e691re692b693y 694inco695r696p697orated 698b699y r701e702fer703e704n705c706e, effective 09/23. 709Form CS-IS26i, 711(712http:/713/714w715w716w.717f718lrul719e720s.o721r722g723/G724a725te726w727a728y729/730r731e732f733e734r735e736n737ce738.739a740sp?741No742=743R744e745f-15876746), is h749e750re751b752y 753inco754r755p756orated 757b758y r760e761fer762e763n764c765e, effective 09/23.

    768(2) Establishment of paternity and support or modification to add a child to a support order.

    784(a) The Department seeks information from the petitioning parent to complete Forms CS-IS21 and CS-IS26 when paternity or support is needed for a child when the alleged father does not reside in Florida.

    817(b) The Department uses the Information Needed to Establish a Support Order in Another State form (CS-IS72) to obtain information from the petitioning parent. Form CS-IS72, (844http:/845/846w847w848w.849f850lrul851e852s.o853r854g855/G856a857te858w859a860y861/862r863e864f865e866r867e868n869ce870.871a872sp?873No874=875R876e877f-15877878), is hereby incorporated by reference, effective 09/23.

    886(c) When requesting establishment of paternity, the Department uses the Declaration in Support of Establishing Parentage form (CS-IS26a) to obtain information from the petitioning parent.

    911(d) Forms CS-IS72 and C916S-917I918S91926a are mailed to the petitioning parent for completion. The petitioning parent has 30 days after the date form CS-IS72 is mailed to complete and return it to the Department and, if requested by the Department, to complete and return Form CS-IS26a.

    961(e) If the petitioning parent does not timely return Form CS-IS72, or when requested Form CS-IS26a, the Department takes the following action:

    9831. If the petitioning parent receives cash assistance for the child and Form CS-IS26a is not requested, the 1001De1002p1003ar1004t1005m1006e1007nt 1008prepares 1009the General Testimony (CS-IS21) form, signs for 1016the petitioning parent and requests services from the child support agency in a state with personal jurisdiction over the responding parent.

    10372. If the petitioning parent receives cash assistance for the child and Form CS-IS26a is requested or the petitioning parent does not receive cash assistance for the child, but receives Medicaid or food assistance, the 1072De1073p1074a1075rtm1076e1077nt reports non1080c1081oop1082e1083r1084a1085t1086i1087on 1088to the 1090De1091p1092a1093rtm1094e1095nt of Ch1098i1099ldr1100e1101n 1102a1103nd 1104Fa1105m1106i1107l1108i1109e1110s 1111a1112s r1114e1115quir1116e1117d 1118b1119y 1120S1121e1122c1123t1124i1125on 1126409.2572 1127F1128.1129S1130. In addition, the Department initiates case closure, unless there is a support order for another child on the case the Department is enforcing.

    11543. If the petitioning parent does not receive public assistance, the Department initiates case closure, unless there is a support order for another child on the case the Department is enforcing.

    11854. If a case is closed because the petitioning parent does not complete and return forms required under (2)(d), the Department will not re-open the case or provide services until the required forms are completed and returned to the Department. 

    1225(f) The Department prepares the General Testimony form (CS-IS21) using the information provided by the petitioning parent and mails it to them. When establishment or modification of a support order is requested, the Department includes Review and Sign Forms Needed to Obtain a Child Support Order (CS-IS73) with Form CS-IS21. If paternity is needed and Form CS-IS26a provided by the petitioning parent is incomplete, contains extraneous information or stray marks, the Department prepares Form CS-IS26 with the information provided by the petitioning parent and mails it to them. The petitioning parent has 30 days after the date Form CS-IS73 is mailed to review, correct, complete, sign and return the forms to the Department. 1338F1339orm 1340CS1341-1342I1343S73, 1344(1345http:/1346/1347w1348w1349w.1350f1351lrul1352e1353s.o1354r1355g1356/G1357a1358te1359w1360a1361y1362/1363r1364e1365f1366e1367r1368e1369n1370ce1371.1372a1373sp?1374No1375=1376R1377e1378f-158781379), is h1382e1383re1384b1385y 1386inco1387r1388p1389or1390a1391ted 1392b1393y r1395e1396fer1397e1398n1399c1400e, 1401effective 09/231403.

    1404(g) If the petitioning parent does not sign and return the forms within 30 days after the date of mailing by the Department, the team member signs the forms and forwards them to the other 1439g1440o1441v1442e1443r1444n1445ment14461447s 1448c1449hi1450l1451d support p1454r1455o1456g1457r1458a1459m.

    1460(3) Review of support order in accordance with Rule 12E-1.041, F.A.C.

    1471(a) The Department uses the Information Needed for Support Order Review in Another State form (CS-IS75) to obtain information from the petitioning parent. Form CS-IS75, (1497http:/1498/1499w1500w1501w.1502f1503lrul1504e1505s.o1506r1507g1508/G1509a1510te1511w1512a1513y1514/1515r1516e1517f1518e1519r1520e1521n1522ce1523.1524a1525sp?1526No1527=1528R1529e1530f-158791531), is hereby incorporated by reference, effective 09/23. The petitioning parent has 30 days after the date Form CS-IS75 is mailed to them to complete and return the form to the Department.

    1563(b) If the petitioning parent does not timely return Form CS-IS75, the Department stops the review and notifies the petitioning parent by mailing them the Support Order Review Update form (CS-POBA) incorporated by reference in Rule 12E-1.041, F.A.C.

    1601(c) When the petitioning parent does not receive public assistance, the Department prepares the General Testimony form (CS-IS21) using the information provided by the petitioning parent and mails it to them with the Review and Sign Forms Needed to Review a Child Support Order form (CS-IS74). The parent has 30 days after the date Form CS-IS74 is mailed to them to review, correct, complete, sign and return the General Testimony form (CS-IS21) to the Department. 1676F1677orm 1678CS1679-1680I1681S74, 1682(1683http:/1684/1685w1686w1687w.1688f1689lrul1690e1691s.o1692r1693g1694/G1695a1696te1697w1698a1699y1700/1701r1702e1703f1704e1705r1706e1707n1708ce1709.1710a1711sp?1712No1713=1714R1715e1716f-158801717), is h1720e1721re1722b1723y 1724inco1725r1726p1727or1728a1729ted 1730b1731y r1733e1734fer1735e1736n1737c1738e, 1739effective 09/231741.

    1742(d) If the petitioning parent does not return a signed Form CS-IS21 within 30 days after the date the form is mailed to them, the Department may sign the form for the petitioning parent.

    1776(e) The Department sends Form CS-IS21 to the child support agency in the state with continuing, exclusive jurisdiction, as determined under Section 179888.2051 F.S., 1800to conduct a review of the support order and to modify the order, if appropriate.

    1815Rul1816e1817ma1818k1819ing Authority 1821409.2557 FS. 1823Law I1825m1826ple1827m1828e1829nted 183088.3111(2), 183188.3071(1)(a), 1832409.2557, 1833409.2561 1834FS. 1835History–N1836e1837w 9-19-17, Amended 6-9-22, 10-26-22, 9-14-23.