Good Cause Claim

Document Number:  DWSP-2019

Description:  This form is used for when individuals want to claim good cause for not cooperating with child support.  This form is used in the W-2, Child Care, Medicaid and FoodShare programs.   

Document Attachments:

DWSP-2019  (English Print Version - pdf/22 KB)

DWSP-2019-H  (Hmong Print Version - pdf/26 KB)

DWSP-2019-S  (Spanish Print Version - pdf/23 KB)

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Updated July 01, 2008