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This authorization shall expire on. I understand that if I wish to revoke this authorization at any time before the expiration date I must submit a written notification of revocation to the California Department of Child Support Services or any Local Child Support Agency. CHILD SUPPORT PARTICIPANT INFORMATION Participant s Name Please Print Telephone Number CSE Case Number SSN last four digits Address City State and Zip Code Date of Birth AUTHORIZED PERSON INFORMATION Authorized Person s Name...
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Read the instructions on the form carefully before you start filling it out.
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Start by entering your personal information such as name, address, and contact details in the designated fields.
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What is case information with form?
Case information with form is a document that provides details about a particular legal case, including parties involved, key dates, and important facts.
Who is required to file case information with form?
The parties involved in a legal case, such as lawyers, plaintiffs, and defendants, are required to file case information with form.
How to fill out case information with form?
Case information with form can be filled out by providing accurate and up-to-date information about the legal case in the designated fields.
What is the purpose of case information with form?
The purpose of case information with form is to ensure that all relevant details about a legal case are properly documented and available for reference.
What information must be reported on case information with form?
Case information with form must include details about parties involved, case number, court jurisdiction, and key dates such as filing and trial dates.
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