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It mandates signatures from both the custodial and non-custodial parents to attest to the agreement's accuracy, while including strict warnings regarding the legal consequences of providing false information. The form requires comprehensive details, including child identification, payment frequency, and specific support amounts, ensuring compliance with the organization's administrative requirements for determining eligibility for child care assistance.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/informal-child-support-form-workforce-solutions-golden-crescent/284311/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/informal-child-support-form-workforce-solutions-golden-crescent/284311.png","ImageObject",442,249,{"name":42,"@type":43},"Stanford","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who must sign this form?","Question",{"text":63,"@type":64},"Both the custodial parent and the non-custodial parent must complete and sign this form to validate the informal child support arrangement.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Are there restrictions on how to correct mistakes on the form?",{"text":68,"@type":64},"Yes. CCS will not accept forms corrected with liquid paper or white-out; mistakes must be crossed through and initialed by the individual.",{"name":70,"@type":61,"acceptedAnswer":71},"What is the purpose of this form for the custodial parent?",{"text":72,"@type":64},"The form serves as a verification of a voluntary child-support agreement, which is necessary for the applicant to potentially obtain child care benefits.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},284311,1791320595,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":4},2336477552062,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","120 South Main, Suite 110 Victoria, Texas 77901 Phone: 361-578-0341  \nFax: 361-580-0762  \nThis form is only for situations where the child’s parents have an informal child support arrangement.  \nNote 1: Both the custodial parent (who the children legally live with) and the non-custodial parent must complete and sign this form.  \nNote 2: CCS will not accept forms corrected with liquid paper or “white-out”. All boxes must be completed. If you make a mistake, cross through the mistake and initial by the mistake.  \nInformal Child Support Form  \nNON-CUSTODIAL PARENT  \n\n| Name of Non-custodial Parent | Home Phone/ Cell Phone | Address |\n| --- | --- | --- |\n| Social Security Number | Work Phone | City, State Zip |\n\nI am the non-custodial parent of the following children:  \n\n| Child’s Name | Child’s Date of Birth |\n| --- | --- |\n| 1. |  |\n| 2. |  |\n| 3. |  |\n| 4. |  |\n| 5. |  |\n| 6. |  |\n\n\n| Specific Support Provided | Amount Paid or\u003Cbr>Value of Item? | Please check how often paid? | Payment made to: |\n| --- | --- | --- | --- |\n| 􀂆 CASH | $ | 􀂆Weekly 􀂆Every 2 Weeks\u003Cbr>􀂆Twice a Month 􀂆Monthly |  |\n| 􀂆 IN-KIND | $ | 􀂆Weekly 􀂆Every 2 Weeks\u003Cbr>􀂆Twice a Month 􀂆Monthly |  |\n\nComments:  \nSignature of Non-Custodial Parent: Date  \nCUSTODIAL PARENT  \nI confirm that I have a voluntary child-support agreement with the non-custodial parent listed above for my child/children. I receive the Informal Child Support documented above. I understand there are criminal, civil, or administrative penalties for providing false information for the purpose of obtaining Child Care benefits for which I am not entitled to and must notify CCS within 10 days of changes to my household income.  \nPrinted Name of Custodial Parent/Applicant:  \nSignature of Custodial Parent/Applicant: Date  \nAuxiliary Aids/Services for Disabled upon Request. TX Relay: English 800-735-2989 Spanish 800-662-4954 or 711 10/2014","cbCaioy4yftlUpcl","https://ap.wps.com/l/cbCaioy4yftlUpcl","pdf",503973,"English","# Non-Custodial Parent Information\n## Children and Support Details\n# Custodial Parent Declaration\n## Legal Compliance and Signatures","[{\"question\":\"Who must sign this form?\",\"answer\":\"Both the custodial parent and the non-custodial parent must complete and sign this form to validate the informal child support arrangement.\"},{\"question\":\"Are there restrictions on how to correct mistakes on the form?\",\"answer\":\"Yes. CCS will not accept forms corrected with liquid paper or white-out; mistakes must be crossed through and initialed by the individual.\"},{\"question\":\"What is the purpose of this form for the custodial parent?\",\"answer\":\"The form serves as a verification of a voluntary child-support agreement, which is necessary for the applicant to potentially obtain child care benefits.\"}]","Informal Child Support Form - Workforce Solutions Golden Crescent | PDF",1789628571]