"Child Support Questionnaire Form" - Nevada

Child Support Questionnaire Form is a legal document that was released by the Nevada Department of Business and Industry - a government authority operating within Nevada.

Form Details:

  • Released on July 1, 2014;
  • The latest edition currently provided by the Nevada Department of Business and Industry;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nevada Department of Business and Industry.

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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
TAXICAB AUTHORITY
2090 E. Flamingo Road, Suite 200
Las Vegas Nevada
89119
Telephone (702) 668-4000 •
Fax (702)
668-4001 http://taxi.nv.gov
.
CHILD SUPPORT QUESTIONNAIRE
The Nevada Taxicab Authority Administrator must deny any permit application or application for renewal that
is submitted without an answer to one of the three responses below. In accordance with NRS 425.520, if the
applicant fails to answer the questions or sign this form, the application will be DENIED. If the applicant
reports that he is not complying with a support order or approved repayment plan, the Administrator shall not
issue or renew a permit. The applicant must then contact the local district attorney or the Welfare Division to
make arrangements for the payment of child support, or arrearages.
Name____________________________________ Social Security Number_____________________________
Please check only one response below:
_______ I am NOT subject to a court order for the support of a child.
_______ I AM subject to a court order for the support of one or more children and I am in compliance with a
plan approved by the district attorney or other public agency enforcing the order for repayment
in the amount owed pursuant to the order.
_______ I AM subject to a court order for the support of one or more children and I am not in compliance
with the order or plan approved by the district attorney or other public agency enforcing the
order for repayment in the amount owed pursuant to the order.
Address___________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature___________________________________________ Date___________________________________
Revised: 1 July 2014
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
TAXICAB AUTHORITY
2090 E. Flamingo Road, Suite 200
Las Vegas Nevada
89119
Telephone (702) 668-4000 •
Fax (702)
668-4001 http://taxi.nv.gov
.
CHILD SUPPORT QUESTIONNAIRE
The Nevada Taxicab Authority Administrator must deny any permit application or application for renewal that
is submitted without an answer to one of the three responses below. In accordance with NRS 425.520, if the
applicant fails to answer the questions or sign this form, the application will be DENIED. If the applicant
reports that he is not complying with a support order or approved repayment plan, the Administrator shall not
issue or renew a permit. The applicant must then contact the local district attorney or the Welfare Division to
make arrangements for the payment of child support, or arrearages.
Name____________________________________ Social Security Number_____________________________
Please check only one response below:
_______ I am NOT subject to a court order for the support of a child.
_______ I AM subject to a court order for the support of one or more children and I am in compliance with a
plan approved by the district attorney or other public agency enforcing the order for repayment
in the amount owed pursuant to the order.
_______ I AM subject to a court order for the support of one or more children and I am not in compliance
with the order or plan approved by the district attorney or other public agency enforcing the
order for repayment in the amount owed pursuant to the order.
Address___________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Signature___________________________________________ Date___________________________________
Revised: 1 July 2014