CSY Quick App

Logo- Seal for Colusa, Sutter, Yolo Regional Child Support Agency  

Child Support Quick App

Please complete this brief form to ask the Colusa Sutter Yolo Child Support Agency to open a child support case for your family.

Which language do you prefer? / ¿Qué idioma prefieres?
How do you prefer that we contact you?

Standard text message data rates may apply.
Check with your wireless carrier for more information.

Where did you find this form?
Do you have a court order for child support?

About the Other Person/Parent

DO NOT ENTER YOUR OWN INFORMATION IN THIS SECTION

About Your Child(ren)

Who do these children live with?
Clear

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Child 7

Child 8

Child 9

Child 10

Even if you prefer to be contacted via text or email, we may call to discuss your case or complete required interviews. Whenever possible, we will do our best to contact you at the days and times you tell us work well for your schedule.
Preferred days for a phone call Select all that apply
Best time to call All times are Pacific Standard Time (PST)

Beginning October 1, 2020, the Department of Child Support services may assess a $35 Annual Service Fee for each case that has never received public assistance.  
This fee will be assessed one time each year on October 1st for each case with over $550 collected the prior (Federal Fiscal) year.  The fee will be automatically deducted from payment(s) issued to the person ordered to receive support after October 1st until $35 has been recovered in full. 
If less than $550 is collected on your case, there is no fee charged for the services provided that year.

I want the local child support agency to help me get a court order to establish paternity and/or child support, or to enforce a court order I already have.

I will let the child support agency know right away:

  • When each child marries
  • When each child reaches age 18 years and is no longer attending high school, or 19 years, whichever  happens first
  • If my home address, mailing address, or telephone number changes
  • If my employer, including name, address, and telephone number changes
  • If my income changes
  • If my status, cost, or availability of health insurance coverage changes
  • If any information regarding the whereabouts of the other parent(s) changes
  • If the other parent moves back in the same home as the children
  • If there is any change in custody, childcare or visitation

I understand: 

  • The local child support agency does not represent me, the other parent, or the children in this case.  
  • No attorney-client relationship currently exists between the local child support agency and me, the other parent, or the children.  
  • No attorney-client relationship will be created if the local child support agency provides the support services I have requested. 
  • I am requesting these services from Child Support Services Program under Title IV-D of the Social Security Act.

I declare under penalty of perjury that I have read, understand, and agree to all of the terms specified above.

DO WE WANT/NEED? LANGUAGE IS PLACEHOLDER FROM OTHER APPLICATIONS/FORMS AND CAN BE MODIFIED TO WHATEVER CSY OR THE COURTS WANT

NOTICE

This Case Opening Interest Form was designed to help parents interested in receiving child support services to access our *NEW* Simplified Enrollment Process. 

Don't worry - we won't use the information you provide for any purpose other than communicating directly with you about enrollment options, or a pending or complete enrollment for child support services.

If you don't consent to receiving enrollment information via text or email, please ask the nearest child support representative for other options, or call 866-901-3212.

Applicant is the