Free child support agreement 09Free child support agreement 09Free child support agreement 09
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March 2016

IR102

Registration of voluntary agreement for ch

Use this form to register or make changes
Agreed to
payments will be collected from
If thethe
receiving carer is on a sole paren
a voluntary agreement.
liable parent and passed on to the receiving
benefit, you can only register a volunta
agreement if the amount is equal to, or
Both parties to the agreement mustcarer
sign monthly.
this
than, the amount payable under a form
form.
assessment.

Parties to the agreement
l The parties are a receiving carer and a liable parent.
l By registering the agreement you are cancelling any formula assessment from the date we accept the form.
l If another person is a recognised carer of the child or children in a formula assessment, they must agree to cancel the form
This can be done by all carers of the child completing a Cancellation of child support (IR107) form.

Receiving carer’s details

1

IRD number

2

Name

(8 digit numbers start in the second box.

Mr

(Tick one)

Mrs

Miss

)

M