B. NEW YORK STATE CASE REGISTRY FILING FORM:
Information about child support orders must be filed with the State Case Registry by filing a New York State Registry Filing Form. If a party to the order is receiving child support services from the support collection unit (known as a IV-D case), the support collection unit will report the information. A case is receiving support collection services if: 1) the County Department of Social Services (or, in New York City, HRA) is a party to the order because a child is receiving public assistance benefits, Medicaid or is in foster care; or 2) a party has applied for services including collection and enforcement of the support order. If you are unsure whether the case is receiving child support services, contact the court clerk.

You MUST complete and submit the State Case Registry form:
a) if your case involves child support or combined spousal and child support and the Court issues an Income Withholding Order/Notice for Support that requires the employer to remit payments to the NYS Child Support Processing Center; or
b) if the court determines that immediate income withholding is not required by statute and payments are made directly to the custodial party/obligee.

Note: If your support order is generated (or prepared) by Family Court, the court will take care of filing the form, but if your support order is from Supreme Court, you must complete and use the form posted on the Divorce Resources website at: http://www.nycourts.gov/divorce/forms_instructions/case-reg.pdf

You should NOT complete and submit the State Case Registry form:
a) if your case involves spousal support only; or
b) if a party to the order is applying for, or receiving, support services from, a local Support Collection Unit pursuant to the child support enforcement program.

If you are required to complete and submit the State Case Registry Form, follow the instructions below:

Name of Court
Enter either “Supreme Court” or “Family Court.”

County Name
Enter the name of the County entering the support order

Index/Docket #
Enter the Index or Docket Number.

Child Support Payor
Enter, at a minimum, the first and last name of the child support payor. If there is more than one child support payor, use a separate form to record the information for the additional child support payor.

Social Security Number
Enter the full Social Security number of the child support payor. Enter “None” if the court record indicates that the individual has not been issued a Social Security number. Enter “Not on Record” if the Social Security number is not in the court record. Redaction is not allowed. An entry of “N/A,” “not available,” or “not applicable” is not allowed.

Date of Birth (Payor)
Enter the date of birth of the child support payor in the format MM/DD/YYYY.

Child Support Payee
Enter, at a minimum, the first and last name of the child support payee. An entry of “guardian” or other title is not allowed. If there is more than one child support payee, please use a separate form to record the information for the additional child support payee.

Social Security Number (Payee)
Enter the full Social Security number of the child support payee. Enter “None” if the court record indicates that the individual has not been issued a Social Security number. Enter “Not on Record” if the Social Security number is not in the court record. Redaction is not allowed. An entry of “N/A,” “not available,” or “not applicable” is not allowed.

Date of Birth (Payee)
Enter the date of birth of the child support payee in the format MM/DD/YYY.

Child Name
Enter, at a minimum, the first and last name of each child covered by the order. If more than three (3) children are covered by the order, use a separate form to record the information for the additional children.

Social Security Number (Child)
Enter the full Social Security number of each child covered by the order. Enter “None” if the court record indicates that the individual has not been issued a Social Security number. Enter “Not on Record” if the Social Security number is not in the court record. Redaction is not allowed. An entry of “N/A,” “not available,” or “not applicable” is not allowed.

Date of Birth(Child)
Enter the date of birth of each child covered by the order in the format MM/DD/YYYY.

Order Expiration Inquiry
Provide the expiration date for the child support order. You may either check the first box to indicate that the order expires on the youngest child’s 21st birthday or you may check the second box and provide any alternative date provided for under the terms of the support order. Provide the expiration date in the format MM/DD/YYYY.

Family Violence Inquiry
Check the appropriate box to indicate whether a Temporary or Final Order of Protection has been granted on behalf of either party to the order. If “yes” is selected, check the appropriate box to indicate which party has been granted the Order of Protection.

Confidentiality Inquiry
Check the appropriate box to indicate whether a request for confidentiality of address has been granted on behalf of either party. If “yes” is selected, check the appropriate box to indicate the party on whose behalf the confidentiality authorization was made.