20.E  - Notice of Confidentiality Packet

Notice of Confidential Information 

In order to ensure the privacy of all parties, please list all confidential information i.e.  social security numbers and dates of birth, on this cover page rather than in the UIFSA  Transmittal. In some situations, the Child Support UIFSA Transmittal is filed in the court  file or sent to the parties. The information below is for IV-D use only. Please DO NOT  file this cover page with the court or otherwise release it, unless your court requests it. 


Obligee Name 

[ ] Mother [ ] Father [ ] Caretaker

Obligee Alias


Obligee Address


Obligee SSN


Obligee Date of Birth 


Obligor Name 

[ ] Mother [ ] Father

Obligor Alias


Obligor Address


Obligor SSN


Obligor Date of Birth Caretaker Name


Caretaker Address


Caretaker SSN


Caretaker Date of Birth




Child(ren) Name Child(ren) SSN Child(ren) Date of Birth



Cross Reference

None

Version Number:  1

Last Revised Date:  July 1, 2013

Last Reviewed:  March 13, 2024