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Signature of Notary Public My commission expires Signature Date Name of Requesting Agency DHR Contract if available Phone Number Address of Requesting Agency DHR-CHC-2175 Revised February 2009. 44. 25 Fee Required Criminal History Information Release Form Mail Release Form Fingerprint Cards and Mandatory History Notice to Send Money Order Cashier s Check or Certified check payable to Alabama Dept. of Human Resources Office of Criminal History Checks P. O. Box 304000 Montgomery Alabama...
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The DHR CHC 2175 form is a document used for reporting certain information related to child support or custody matters in the context of Department of Human Resources (DHR) cases.
Individuals involved in child support, custody disputes, or those receiving state assistance may be required to file the DHR CHC 2175 form.
To fill out the DHR CHC 2175 form, individuals should provide accurate personal information, details regarding the child or children involved, and any relevant financial information as required by the form.
The purpose of the DHR CHC 2175 form is to collect information necessary for the state to assess child support obligations and custody arrangements.
The information reported on the DHR CHC 2175 form typically includes personal identification details, information about the children involved, financial circumstances, and any obligations related to child support.
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