Form KDOC-0014 "Kdoc Acknowledgement of Parental Obligation" - Kansas

What Is Form KDOC-0014?

This is a legal form that was released by the Kansas Department of Corrections - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2006;
  • The latest edition provided by the Kansas Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form KDOC-0014 by clicking the link below or browse more documents and templates provided by the Kansas Department of Corrections.

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Download Form KDOC-0014 "Kdoc Acknowledgement of Parental Obligation" - Kansas

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STATE OF KANSAS
KDOC
PAGE 1 OF 1
KDOC ACKNOWLEDGEMENT OF PARENTAL OBLIGATION
I am a parent of:
Name of Juvenile: ______________________________________________________________
Juvenile’s Date of Birth: _________________________________________________________
Under Kansas law, while my child is in the custody of the Secretary of KDOC, I must meet my child's financial and medical needs
according to my ability to pay. I have this duty as long as my child remains in KDOC custody. My support payments and insurance
benefits will help repay the KDOC for expenses they have paid for my child.
If I already pay support for my child, I understand that I must continue making those payments. The Clerk of the Court will send
them to KDOC.
If I receive benefits for my child such as insurance coverage, social security or veterans benefits, I must turn these over to KDOC.
If there is no court order for current support, the Child Support Services Program (CSS) of the Kansas Department of Children and
Families (DCF) will contact me for additional information and may ask the court to establish one using the Kansas Child Support
Guidelines. These guidelines consider, among other things, my income and family size.
I understand that I am expected to cooperate with CSS to establish this current support order. If I do not cooperate a support order
may be set up without my input. The court could also order me to repay 100% of the cost of my child's care.
If I do not pay my support, CSS can use any available legal action to collect support. That could include using income withholding or
garnishment of my wages, taking my federal and state tax returns, or keeping part of my unemployment insurance compensation. If
you have questions concerning this legal obligation, you should consult with an attorney of your choosing.
Parent Name: _______________________________________________________________________________________
(PLEASE PRINT)
Parent Signature: _________________________________________________ Date: _____________________________
Community Supervision Officer Statement: When one or both parents have not signed above. (Check the items that apply)
1) On __________________ I gave a copy of this to ________________________________ who refused to sign.
(Date)
2) On __________________ I mailed a copy of this to (Give complete name and address):
(Date)
____________________________________________
____________________________________________
____________________________________________
Community Supervision Officer Signature: ___________________________________________ Date: ______________
Distribution: 1) Parent (s); 2) Case File;
Form: KDOC-0014 Rev. 5/06
STATE OF KANSAS
KDOC
PAGE 1 OF 1
KDOC ACKNOWLEDGEMENT OF PARENTAL OBLIGATION
I am a parent of:
Name of Juvenile: ______________________________________________________________
Juvenile’s Date of Birth: _________________________________________________________
Under Kansas law, while my child is in the custody of the Secretary of KDOC, I must meet my child's financial and medical needs
according to my ability to pay. I have this duty as long as my child remains in KDOC custody. My support payments and insurance
benefits will help repay the KDOC for expenses they have paid for my child.
If I already pay support for my child, I understand that I must continue making those payments. The Clerk of the Court will send
them to KDOC.
If I receive benefits for my child such as insurance coverage, social security or veterans benefits, I must turn these over to KDOC.
If there is no court order for current support, the Child Support Services Program (CSS) of the Kansas Department of Children and
Families (DCF) will contact me for additional information and may ask the court to establish one using the Kansas Child Support
Guidelines. These guidelines consider, among other things, my income and family size.
I understand that I am expected to cooperate with CSS to establish this current support order. If I do not cooperate a support order
may be set up without my input. The court could also order me to repay 100% of the cost of my child's care.
If I do not pay my support, CSS can use any available legal action to collect support. That could include using income withholding or
garnishment of my wages, taking my federal and state tax returns, or keeping part of my unemployment insurance compensation. If
you have questions concerning this legal obligation, you should consult with an attorney of your choosing.
Parent Name: _______________________________________________________________________________________
(PLEASE PRINT)
Parent Signature: _________________________________________________ Date: _____________________________
Community Supervision Officer Statement: When one or both parents have not signed above. (Check the items that apply)
1) On __________________ I gave a copy of this to ________________________________ who refused to sign.
(Date)
2) On __________________ I mailed a copy of this to (Give complete name and address):
(Date)
____________________________________________
____________________________________________
____________________________________________
Community Supervision Officer Signature: ___________________________________________ Date: ______________
Distribution: 1) Parent (s); 2) Case File;
Form: KDOC-0014 Rev. 5/06