Good Cause Notice

Document Number:  DWSP-2018

Description:  This form describes an individual's requirement to cooperate with child support and the various good cause reasons for not cooperating.  This form is used in the W-2, Child Care, Medicaid and FoodShare programs.

Comments:  The forms are protected from modification; and should be printed and completed by hand.

Document Attachments:

DCF-F-DWSP2018  English Print Version - (pdf/17 KB)

DCF-F-DWSP2018-H  Hmong Print Version - (pdf/21 KB)

DCF-F-DWSP2018-S  Spanish Print Version - (pdf/18 KB)

***Should you require the necessary software to view the above attachment, please go to the Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.

Updated May 06, 2010

The Department of Children and Families, protecting children, strengthening families, building communities.