Free child support agreement 30
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Child Support Letter
Today’s Date:_________________________
Healthy Families/Medical for Families
P.O. Box 138005
Sacramento, CA 9581-8005

Dear Healthy Families and Medi-Cal fro Families,
I,____________________________________________ pay child support for the child(ren) listed below,

_____________________
(child’s name)

$__________________
(amount child receives)

___________________
(how often it is paid)
[Weekly, every 2 weeks
Twice a month, monthly]

_____________________
(child’s name)

$__________________
(amount child receives)

___________________
(how often it is paid)
[Weekly, every 2 weeks
Twice a month, monthly]

_____________________
(child’s name)

$__________________
(amount child receives)

___________________
(how often it is paid)
[Weekly, every 2 weeks
Twice a month, monthly]

_____________________
(child’s name)

$__________________
(amount child receives)

___________________
(how often it is paid)
[Weekly, every 2 weeks
Twice a month, monthly]

Sincerely,

____