Wyoming Confidential Statement for Child Support Order FormWyoming Confidential Statement for Child Support Order Form
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STATE OF WYOMING
COUNTY OF ________________

)
) ss
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Plaintiff:____________________________, )
(Print name of person filing)
)
)
vs.
)
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Defendant:__________________________. )

IN THE DISTRICT COURT
_______________ JUDICIAL DISTRICT
Civil Action Case No. __________

CONFIDENTIAL

(Spouse) (Print name)

CONFIDENTIAL STATEMENT FOR CHILD SUPPORT ORDER

Pursuant to the requirements of Wyo. Stat. §20-2-309(b), the following
information is confidential and may only be accessed by the parties, their attorneys, or the
Department of Family Services to the extent necessary to enforce the Child Support
Enforcement Act and the Uniform Interstate Family Support Act. Other persons or
entities may examine this statement only if permitted by court order.
1.

Information for each parent:
Name of Plaintiff:
Address:
Plaintiff’s Social Security Number:
Date of Birth:
Place of Birth:
Plaintiff’s Employer:
Employer’s Address:

Name of Defendant:
Address:
Defendant’s Social Security Number:
Date of Birth