|
|
| CAUSE NUMBER: |
| CUSTODIAL
PARENT (M/F): |
SOCIAL SECURITY NUMBER: ______________ - _________ - ____________ | ||
| LAST NAME: | FIRST NAME: | MI: | |
| DATE OF BIRTH ____/____/____ |
F / M |
A B C I O R S U W |
|
| ADDRESS: | |||
| CITY: | STATE: | ZIP: | |
| NON-CUSTODIAL
PARENT (M/F): |
SOCIAL SECURITY NUMBER: ____________ - __________ - ___________ | ||
| LAST NAME: | FIRST NAME: | MI: | |
| DATE OF BIRTH ____/____/____ |
F / M |
A B C I O R S U W |
|
| ADDRESS: | |||
| CITY: | STATE: | ZIP: | |
| OTHER PERSON
WITH CUSTODY (M/F): |
SOCIAL SECURITY NUMBER: _____________ - ___________ - ___________ | ||
| LAST NAME: | FIRST NAME: | MI: | |
| DATE OF BIRTH _______/______/______ |
F / M |
A B C I O R S U W |
|
| ADDRESS: | |||
| CITY: | STATE: | ZIP: | |
|
|
SOCIAL SECURITY NUMBER: _______________ - ___________ - _____________ | ||
| LAST NAME: | FIRST NAME: | MI: | |
| DATE OF BIRTH ______/_______/_______ |
F / M |
A B C I O R S U W |
|
| ADDRESS: | |||
| CITY: | STATE: | ZIP: | |
|
|
SOCIAL SECURITY NUMBER: _______________ - _____________ - _____________ | ||
| LAST NAME: | FIRST NAME: | MI: | |
| DATE OF BIRTH _____/_____/_____ |
F / M |
A B C I O R S U W |
YES / NO |
| ADDRESS: | |||
| CITY: | STATE: | ZIP: | |
PURPOSE OF ISETS &
QUEST CASE INFORMATION FORM
The Federal Personal Responsibility and Work Opportunity Reconciliation Act of 1996 ("PRWORA") requires that Indiana---along with other states and American jurisdictions---establish a centralized state "case registry" as a part of a national automated child support information system. IV-D child support cases ( i.e., child support cases prosecuted by the state) as well as non IV-D child support cases (private or pro se cases) established or modified on or after October 1, 1998 must be a part of this registry. Ultimately a Federal registry will link all jurisdictions together for more effective nationwide child support enforcement.
Since 1997, the St. Joseph Probate Court has maintained some court records, including certain child support orders, on a computer system know as QUEST. Beginning in 1998, the QUEST system will also be used to maintain support records in cases involving children born out of wedlock. The St. Joseph County Clerk's Office will become a part of the Indiana central registry by going online with the ISETS computer system operated by the Indiana Family and Social Services Administration.
Effective immediately, in addition to the Appearance form required by Trial Rule 3.1, the St. Joseph County Circuit, Probate and Superior Courts require the full completion of the form on the reverse as a prerequisite to the filing by any attorney or pro se litigant of a request to establish, modify or enforce a child support order. To help the Clerk that types the required data into the ISETS and QUEST systems, it is requested that the information on this form be typed rather than hand written. Additional sheets may be used if necessary.
Further, if there is a protective or restraining
order affecting a party, or if there is an existing case number involving
child support for a child(ren) for whom support is an issue, the following
information must be provided:
| PERSON PROTECTED: | LOCAL CASE NUMBER(S): | ||
| LAST NAME: | FIRST NAME: | MI: | |
| EXISTING SUPPORT ORDER FOR: | LOCAL CASE NUMBER(S): | ||
| LAST NAME(S): | FIRST NAME: | MI: | |
| _________________________________________________ | __________________________________________________ | ____________ | |
| _________________________________________________ | __________________________________________________ | ____________ | |
| _________________________________________________ | __________________________________________________ | ____________ | |
98-QUEST\inf1.wpd (Form may be available on the Internet
at: http://users.michiana.org/probate; rev. 9/25/98)
