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NOTE For purposes of this form the custodial parent may also be the employee when the State opts to enforce against the custodial parent. Issuing Agency Notice Date CSE Agency Case Identifier Telephone Number FAX Number Employer/Withholder s Federal EIN Number Custodial Parent s Name Last First MI Child ren s Mailing Address if different from Name and Telephone of a Representative of the Child ren Child ren s Name s Gender DOB SSN RE Court or Adm...
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The NMSN form, also known as the National Medical Support Notice form, is a legal document that is used to enforce medical support obligations in child support cases.
The NMSN form must be filed by the custodial parent or their representative, and it is typically served on the noncustodial parent's employer to enforce medical support payments.
The NMSN form can be filled out by providing the necessary information about the child, the custodial and noncustodial parents, and the employer. It is important to accurately fill out all the required fields to ensure proper enforcement of medical support obligations.
The purpose of the NMSN form is to ensure that children receive the necessary medical support by requiring employers to provide health insurance coverage for the child and deducting the associated premiums from the noncustodial parent's income.
The NMSN form requires information such as the child's name and Social Security Number, the custodial and noncustodial parent's names and contact information, and the employer's information.
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