Form 3F002e "Request for Review" - Texas

What Is Form 3F002e?

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

Form Details:

  • Released on November 1, 2014;
  • The latest edition provided by the Texas Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form 3F002e by clicking the link below or browse more documents and templates provided by the Texas Courts.

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Download Form 3F002e "Request for Review" - Texas

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Dear Parent:
Re: Your Request for Review
Thank you for your inquiry regarding a review of your child support order. Please sign this form and return it with the completed
Child Support Review Questionnaire to the child support office that is handling your case. You can find the address by calling 1-
800-252-8014, or selecting “Child Support Interactive” from the child support section of the Attorney General=s Web site at
www.texasattorneygeneral.gov.
Name:
Social Security #:
OAG Case #:
I request the Child Support Division of the Office of the Attorney General to conduct a review of my child
support order. I understand the following:
$
The attorneys of the Office of the Attorney General represent the State of Texas. They will provide me
with child support services, but do not represent me or any other individual.
$
A review addresses only child support and medical support.
$
The non-custodial parent may be required to provide medical insurance for the child(ren).
$
A review of a child support order will determine if the order complies with the Texas child support
guidelines.
$
A request for a review may be withdrawn by the requestor.
Please list the reason you are requesting a review:
____________________________
__________________________
Signature
Date Signed
Within three weeks of receiving all of the necessary information from you, we will determine if a review of your
child support order is appropriate and we will notify you of our decision. If it is determined that a review should
be conducted, the other party named in your child support order will be asked to complete a questionnaire. Thank
you for your cooperation.
Office of the Attorney General
Child Support Division
An Equal Employment Opportunity Employer ⋅ Printed on Recycled Paper
November 2014
Form 3L015ae-online
Dear Parent:
Re: Your Request for Review
Thank you for your inquiry regarding a review of your child support order. Please sign this form and return it with the completed
Child Support Review Questionnaire to the child support office that is handling your case. You can find the address by calling 1-
800-252-8014, or selecting “Child Support Interactive” from the child support section of the Attorney General=s Web site at
www.texasattorneygeneral.gov.
Name:
Social Security #:
OAG Case #:
I request the Child Support Division of the Office of the Attorney General to conduct a review of my child
support order. I understand the following:
$
The attorneys of the Office of the Attorney General represent the State of Texas. They will provide me
with child support services, but do not represent me or any other individual.
$
A review addresses only child support and medical support.
$
The non-custodial parent may be required to provide medical insurance for the child(ren).
$
A review of a child support order will determine if the order complies with the Texas child support
guidelines.
$
A request for a review may be withdrawn by the requestor.
Please list the reason you are requesting a review:
____________________________
__________________________
Signature
Date Signed
Within three weeks of receiving all of the necessary information from you, we will determine if a review of your
child support order is appropriate and we will notify you of our decision. If it is determined that a review should
be conducted, the other party named in your child support order will be asked to complete a questionnaire. Thank
you for your cooperation.
Office of the Attorney General
Child Support Division
An Equal Employment Opportunity Employer ⋅ Printed on Recycled Paper
November 2014
Form 3L015ae-online
CHILD SUPPORT REVIEW QUESTIONNAIRE
INSTRUCTIONS
Please type, print, or write clearly. Answer all questions as completely and accurately as you can. Please return the completed form along
with copies of your income tax returns for the past two years, and your two most recent pay stubs. If you do not have these items, please
send us your W-2 Forms for the past two years.
Date:
OAG Case Number:
INFORMATION ABOUT YOU (Please Print All Information)
Important S afety Information
If you have concerns about your child(ren)’s safety, there are some protections available in the child support process.
Do you have concerns about any of the following?
the other parent or other individuals having access to your physical contact information?
negotiating in person with the other parent?
contact with the other parent during exchange of the child(ren) for visitation?
GYes G No
If yes, please explain. ___________________________________________________________________________
Do you have a protective order, police report, or other supporting document? GYes G No If possible attach a copy of any documentation.
If you answered YES to either of the previous questions, you will be sent an Affidavit of Nondisclosure.
Name (Last, First, Middle)
Social Security No.
Date of Birth
Relationship to Child(ren)
Address: Street Address
Apt. #
City
State
ZIP Code
Home Telephone No.
Work Telephone No.
Do you have custody of the child(ren)?
YES
NO
Employer
Employer’s Telephone No.
Employer’s Address: Street Address
City
State
ZIP Code
INFORMATION ABOUT THE OTHER PARTY
Name (Last, First, Middle)
Social Security No.
Date of Birth
Relationship to Child(ren)
Address: Street Address
Apt. #
City
State
ZIP Code
Current Employer
Employer’s Telephone No.
Home Telephone No.
Employer’s Address: Street Address
City
State
ZIP Code
INFORMATION ABOUT THE CHILD(REN)
(List only your children with the other party named above.)
Name (Last, First, Middle)
Sex
Social Security Number
Date of Birth
Place of Birth
November 2014
Page 1
Form 3F002e
FINANCIAL INFORMATION
INFORMATION AT TIME OF
CURRENT INFORMATION
LAST SUPPORT ORDER
YOUR GROS S (before any deductions) MONTHLY INCOME FROM:
AMOUNT
AMOUNT
Salary and Wages (including commissions, bonuses, and overtime)
Self-Employment
Pensions and Retirement
Social Security Benefits
Unemployment Benefits
Disability and Workers’ Compensation Benefits
Dividends and Interest
Net Rentals
Other (specify):
TOTAL MONTHLY INCOME
INFORMATION AT TIME OF
CURRENT INFORMATION
LAST SUPPORT ORDER
YOUR MONTHLY DEDUCTIONS FOR:
AMOUNT
AMOUNT
Union Dues
Health Insurance You Pay For Your Child(ren) On This Order
Insurance Company
Policy Number
Child(ren) Covered
TOTAL MONTHLY DEDUCTIONS
INFORMATION AT TIME OF
CURRENT INFORMATION
LAST SUPPORT ORDER
YOUR AS S ETS :
AMOUNT
AMOUNT
Cash On Hand
M oney in Checking Accounts
M oney in Savings Accounts
M oney in Any Other Accounts
Retirement or Pension Funds
Life Insurance Cash Value
Stocks, Bonds, or Other Investment Securities
Real Estate
Other Assets (please specify)
TOTAL VALUE OF ALL AS S ETS
INFORMATION AT TIME OF
CURRENT INFORMATION
LAST SUPPORT ORDER
CHILDREN:
NUMBER
NUMBER
Children you are legally obligated to support either in your home or by court order.
November 2014
Page 2
Form 3F002e
Read the statements below. Check the box next to those you believe are true, and explain why.
The other parent’s income has substantially (check one)
increased
decreased since the date of the current child support order.
By how much? $
per
Explain why
Do you have any other children, not already mentioned in this questionnaire, who currently live with you?
Yes
No
If “yes”, complete the box below. Do not include stepchildren.
Name (Last, First, M iddle)
S ex
S ocial S ecurity #
Date of Birth
Place of Birth
Do you have any other children, not already mentioned in this questionnaire, whom you are legally obligated to support?
Yes
No
If “yes”, complete the box below.
Please attach copies of your court orders, if available.
Name (Last, First, M iddle)
S ex
S ocial S ecurity #
Date of Birth
Place of Birth
Is there any other information we should consider that has not been covered in this questionnaire? For example; Special needs of the children subject to
this order.
Explain
By my signature below, I certify that the information provided by me in this form is true and correct to the best of my knowledge.
Texas Government Code § 559 gives you the right to review and request correction of information on this form.
Signature
Date Signed
November 2014
Page 3
Form 3F002e
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