Free child support agreement 24Free child support agreement 24Free child support agreement 24
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102

Child
Support
Agreement

Office Use Only

When to use this form



To
To
To
To

Case Number

make a child support Agreement
lodge a child support Agreement with CSA
replace an existing child support Agreement
end an existing child support Agreement

Date of Receipt

LP Surname

How to complete this form
Step 1
Step 2
Step 3
Step 4

Read the information notes at the end of this form. If you have any
Eligibility (Y/N)
questions please contact CSA on 131 272.
Either complete The Agreement on this form (pink section), or attach
CP DSS Payment (Y/N)
a copy of a written Agreement signed by both parties.
CSA Collection (Y/N)
If possible the payee should complete and sign the section called
Information from the payee (blue section).
LP TFN
Complete the Application for Acceptance of the Agreement
(green section) so CSA can register your Agreement. Either party
CP to
TFN
the Agreement can complete this section.

IMPORTANT

• A child support Agreement is a binding contract between the