SFN 446, Request to Claim Good Cause 400-19-165-80

(Revised 6/1/10 ML #3218)

View Archives

 

 

SFN 446, Request to Claim 'Good Cause form, is the means by which an applicant or recipient formally advises the county social service office that they wish to claim an exemption from the requirement to cooperate with the child support enforcement effort. The form, which is largely self-explanatory, provides the TANF custodian the opportunity to describe the circumstances which they believe will have a bearing on the claim.

 

The signed and dated original request is to be given to the applicant or recipient. The canary-colored copy shall be filed in the case record as documentation that the request for an exemption was in fact made. The pink copy is to be forwarded to the Regional Child Support Enforcement Agency as a directive that child support activity is to be delayed until such time as the good cause issue is resolved.

 

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms. (44kb pdf)

 

E-Forms are presented in Adobe Acrobat and require the Adobe Acrobat reader. If you do not currently have Adobe Acrobat reader installed, you may download a free copy by clicking the Get Adobe Reader icon below.