20.B Affidavit in Support of Good Cause Request


Below is the Affidavit in Support of Domestic Violence.  To use the form, please click the link below and download. Then, fill in the blanks and save the document. For the signature, you can type your name or use an electronic signature.  Please provide this document to your child support case manager.


Click Here to Download the Affidavit In Support of Good Cause Request Form 

Affidavit in Support of Good Cause Request Fillable - 05.10.2024.pdf

Version Number: 1

Last Revised:  May 1, 2022

Last Reviewed:  November 1, 2023