Free Child Support Certification Form in PDF

Free Child Support Certification Form in PDF

The Child Support Certification form, identified by its form number M-522 and issued by the Human Resources Administration's Office of Child Support Enforcement, serves as a declaration related to one's child support payment obligations under General Obligations Law Section 3-503(2). It requires individuals to provide personal information, employment details, and to specify their child support payment status, including whether they are up to date on payments or if they have arrears amounting to four months or more. By completing and signing this form, individuals affirm under penalty of perjury that the information provided is accurate and truthful, with severe legal consequences for false declarations. Click the button below to ensure compliance and complete your Child Support Certification accurately.

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Navigating the complexities of child support can be a daunting task for individuals trying to ensure they meet their legal obligations, while also protecting their rights and financial capabilities. The Child Support Certification form, a pivotal document overseen by the Human Resources Administration's Office of Child Support Enforcement, is designed to facilitate a transparent interaction between individuals and the child support enforcement mechanisms. Revised in May 2010, this form requires personal and employer information, and importantly, demands certification of one's child support payment status under the rigorous eye of the General Obligations Law Section 3-503(2). It meticulously distinguishes between those not under an order to pay child support, those in compliance, and individuals facing arrears of four months or more, offering various declarations to accurately represent an individual’s current situation. It serves not only as a declaration but also as an affidavit, where one solemnly affirms the accuracy of the submitted information under penalty of perjury, highlighting the severe consequences for intentional falsehoods, including potential penalties under Section 175.35 of the penal law and ramifications such as the suspension of various licenses. Furthermore, the form is an entry point for individuals to seek assistance directly from the Office of Child Support Enforcement, particularly when support issues interfere with the procurement or maintenance of vital NYC licenses and registrations, signifying the interconnectedness of child support compliance with broader societal participations and obligations.

Preview - Child Support Certification Form

M-522

Human Resources Administration

Rev 05/10

Office of Child Support Enforcement

Child Support Certification

Certification pursuant to General Obligations Law Section 3-503(2)

Personal information

Last name

 

First name

 

 

 

 

 

 

 

Social Security Number or ITIN

 

 

 

Date of Birth

/

/

Street address

 

 

 

 

 

Apt. number

 

 

 

 

City

 

State

 

 

Zip code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer information

Business name

Street address

City

 

State

 

Zip code

 

 

 

 

 

 

(Choose #1 or# 2, and put an “X” in the box in front of the applicable statement.)

1.

2.

I am not under a court or administrative order to pay child support. OR I am under an obligation to pay child support.

My child support account number[s] (if applicable):

(If you chose #2, put an “X” in front of the applicable statement.)

a. I do not owe arrears equal to 4 months or more of child support payments.

b. I have arrears equal to 4 months or more of child support payments, and one of the following statements applies to me (check the appropriate boxes):

I am making payments by income execution or by court agreed payment/repayment plan or by a plan agreed to by the parties.

My child support obligation is the subject of a pending court proceeding.

I am currently in receipt of Public Assistance or Supplemental Security Income. My case number is: _____________________________________.

c. I have arrears equal to 4 months or more of child support payments and none of the above statements in “B” apply to me.

I hereby do solemnly swear under oath and subject to penalty of perjury that the information provided by me in this certificate is true and accurate to the best of my knowledge.

Signature

 

Date

The intentional submission of false written statements for the purpose of frustrating or defeating payment of support is punishable pursuant to Section 175.35 of the penal law. Persons who are four months or more in arrears in child support or who have failed to comply with a summons, subpoena or warrant relating to a paternity or child support proceeding may be subject to suspension of their business, professional, drivers, and/or recreational license and permits including, but not limited to, license issued pursuant to section 11-0713 of the environmental conservation law.

If you are experiencing difficulties obtaining a NYC license, permit, certificate or registration because of an outstanding

child support problem, please come to OCSE’s Customer Service Walk-In Center

and you may receive assistance in resolving your problem:

The New York City Office of Child Support Enforcement Customer Service Walk-In Center 151 West Broadway, 4th Floor, New York, NY 10013 (between Worth St. and Thomas St.)

Monday – Friday 8 a.m. – 7 p.m.; Saturday 9 a.m. – 5 p.m.

Document Specs

Fact Name Detail
Form Identifier M-522 Human Resources Administration Rev 05/10
Issuing Agency Office of Child Support Enforcement
Governing Law General Obligations Law Section 3-503(2)
Personal Information Required Last name, First name, Social Security Number or ITIN, Date of Birth, Street address, Apt. number, City, State, Zip code
Employer Information Required Business name, Street address, City, State, Zip code
Child Support Statement Options Not under an order to pay child support OR under an obligation to pay child support
Arrears Statement Options No arrears equal to 4 months or more, arrears with payment plans or court proceedings, arrears without any of the stated conditions
Perjury Warning Submission under oath, subject to penalty of perjury
Punishment for False Statements Punishable pursuant to Section 175.35 of the penal law
Licenses and Permits Impact Business, professional, drivers, recreational licenses, and permits may be suspended
Assistance for License or Permit Issues NYC Office of Child Support Enforcement Customer Service Walk-In Center

Instructions on Writing Child Support Certification

Filling out the Child Support Certification form is a crucial step in ensuring compliance with child support regulations. Whether you are applying for a license, permit, or other certifications, accurately completing this form is essential. The information provided will be used to verify your child support status. Follow the steps below carefully to fill out the form correctly. Misrepresenting information can lead to severe legal consequences.

  1. Start with your personal information. Write your last name, first name, Social Security Number or ITIN, and date of birth in the respective fields.
  2. Provide your current address. Include your street address, apartment number if applicable, city, state, and zip code.
  3. Move on to the employer information section. Fill in your business name and address, including street address, city, state, and zip code.
  4. Choose the statement that applies to your situation under child support obligation:
    • Put an "X" in the box next to statement #1 if you are not under a court or administrative order to pay child support.
    • Put an "X" in the box next to statement #2 if you are under an obligation to pay child support. Include your child support account number(s) if applicable.
  5. If you chose statement #2, specify your arrears status:
    • Put an "X" in the box next to the correct sub-statement.
      • Choose "a" if you do not owe arrears equal to 4 months or more of child support payments.
      • Choose "b" if you have arrears equal to 4 months or more, and specify whether you are making payments per an agreement, if the obligation is subject to a pending court proceeding, or if you are currently receiving Public Assistance or Supplemental Security Income. Provide your case number if applicable.
      • Choose "c" if you have arrears equal to 4 months or more and none of the statements in “B” apply to you.
  6. Review your information for accuracy. By signing the form, you are swearing under oath that the information provided is true and accurate to the best of your knowledge.
  7. Sign and date the form at the bottom to certify your statements. Remember, intentionally submitting false information is punishable by law.

Once you have completed and signed the form, submit it to the appropriate authority as instructed. It is important to take action promptly to resolve any issues with child support that could affect your licensing status. If you encounter difficulties or need assistance, visiting the Child Support Enforcement Customer Service Walk-In Center in New York City may provide the help needed to resolve your situation.

Understanding Child Support Certification

What is the Child Support Certification form and who needs to complete it?

The Child Support Certification form, also known as Form M-522, is a document issued by the Human Resources Administration's Office of Child Support Enforcement. It is used to certify an individual's child support payment status. Individuals who are applying for certain licenses, permits, certificates, or registrations in New York City are required to complete this form. This includes those seeking business, professional, drivers, and/or recreational licenses. The certification must be duly filled and submitted to prove the person is either not under any child support orders or is compliant with their obligations if they are.

How do I select the statements under section #2 if I am currently paying child support?

If you are under a court or administrative order to pay child support, section #2 of the form requires you to indicate your current situation regarding child support arrears. If you do not owe arrears equal to or more than four months of child support payments, mark the first statement. If you have arrears of four months or more, you must choose among the subsequent statements to declare whether you are complying with payment plans, involved in pending court proceedings, or receiving Public Assistance or Supplemental Security Income, which affects your child support obligations.

What happens if I falsely certify my child support status?

Submitting false information on the Child Support Certification form is a serious offense, punishable under Section 175.35 of the penal law. Falsification with the intent to frustrate or defeat the payment of child support can lead to penalties, including fines or imprisonment. It is crucial that all information provided on the form is accurate and truthful to the best of the individual's knowledge.

Are there consequences for being in arrears on child support payments?

Yes, individuals who are four months or more in arrears in child support payments may face significant consequences. This may include the suspension of business, professional, driver's, and recreational licenses and permits. This is a measure to enforce compliance with child support obligations. Anyone experiencing difficulties due to outstanding child support issues, especially related to obtaining NYC licenses or permits, is advised to seek assistance at the Office of Child Support Enforcement’s Customer Service Walk-In Center.

Where can I get assistance if I have questions about the form or my child support situation?

For assistance with the Child Support Certification form or any questions related to child support obligations, individuals can visit the New York City Office of Child Support Enforcement Customer Service Walk-In Center located at 151 West Broadway, 4th Floor, New York, NY 10013. The center operates Monday through Friday from 8 a.m. to 7 p.m. and Saturday from 9 a.m. to 5 p.m. Personnel there can help with understanding your obligations, filling out the form correctly, and resolving any child support-related issues.

How do I submit my completed Child Support Certification form?

Once completed, the Child Support Certification form should be submitted in accordance with the instructions provided by the specific agency or department requiring the certification. This may involve submitting it directly to the licensing or permitting authority, bringing it to the Customer Service Walk-In Center for processing, or other methods as directed. Ensure that all parts of the form are filled out correctly and completely to avoid delays in the processing of your application or request.

Common mistakes

Filling out the Child Support Certification form requires attention to detail and a thorough understanding of your current support obligations. A common mistake is not accurately disclosing the current status of child support obligations. This includes whether you are under a court or administrative order to pay child support and the specifics of such an order. Failing to check the correct box or inaccurately representing your situation can lead to legal repercussions, including penalties for perjury.

Another frequent error involves misunderstanding the section about arrears. Some individuals mistakenly report that they do not owe arrears equal to 4 months or more of child support payments when, in reality, they do. This is particularly problematic as it directly influences the legal and administrative actions that can be taken against them. It's crucial to review your records and ensure that your reporting is accurate to avoid unintentional misrepresentation.

Incorrectly filling in personal information, such as the Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN), and date of birth, is also a common issue. This information is vital for accurately identifying and processing your child support case. An incorrect SSN or ITIN can delay the processing of your form, potentially affecting your legal standing and access to licenses or permits subject to child support compliance.

Many individuals fail to provide complete employer information when applicable. Employment details are pivotal for the Office of Child Support Enforcement to implement income execution orders or verify compliance with child support obligations. Incomplete or incorrect employer information can hinder the enforcement of support orders, complicating your legal situation and possibly leading to enforcement actions against you.

Last, overlooking the certification section at the end of the form is a critical mistake. This is where you swear under oath that the information provided is true and accurate to the best of your knowledge. Neglecting to sign or date this section invalidates the entire certification, rendering it ineffective and unusable for legal purposes. Ensuring that this section is properly completed is essential for the form to be considered valid by the New York City Office of Child Support Enforcement.

Documents used along the form

When navigating the complexities of child support, a variety of documents and forms beyond the Child Support Certification form can play crucial roles. Each document serves a specific purpose, whether it's to establish paternity, modify child support orders, or demonstrate financial status. Understanding these documents is essential for anyone involved in child support matters, ensuring they can effectively navigate legal requirements and protect their rights and responsibilities.

  • Voluntary Acknowledgment of Paternity Form: This document is used when both parents want to establish the legal paternity of their child. It's particularly important for unmarried parents, as it secures the child's right to financial support from both parents.
  • Income and Expense Declaration: This form provides a detailed account of a parent's monthly income and expenses. It is often used in determining the amount of child support, ensuring that it reflects the parent's ability to pay while meeting the child's needs.
  • Financial Statement for Child Support: Similar to the Income and Expense Declaration, this document outlines a parent's financial situation. It may include assets, liabilities, and other financial obligations, offering a comprehensive view of one's financial health.
  • Child Support Modification Form: When circumstances change, such as a parent's income level or the child's financial needs, this form is used to request a modification of the existing child support order to better reflect the current situation.
  • Child Support Complaint Form: This form allows a parent to file a complaint or grievance related to child support enforcement activities. It can be used when a parent feels that their child support case is not being handled appropriately.
  • Employment Verification Form: Employers use this document to verify the employment status and income of a parent. It's essential for accurately determining child support obligations based on current employment and income.
  • Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA): This form is necessary when child custody issues are present. It helps establish jurisdiction over child custody matters, ensuring that child support orders comply with the child's primary state of residence.

These documents play a vital role in ensuring that child support arrangements are fair, accurate, and reflective of both the child's needs and the parent's ability to pay. Whether you're establishing paternity, seeking to modify a child support order, or needing to prove your financial status, each form contributes to the broader objective of securing a stable financial future for children. As such, understanding and correctly using these forms can significantly impact the effectiveness and fairness of child support enforcement practices.

Similar forms

The Affidavit of Support (Form I-864) shares similarities with the Child Support Certification form, primarily in their objectives to establish financial responsibility. Both documents are used in legal contexts to certify an individual's commitment to support dependents financially. The Affidavit of Support is typically required in immigration cases, where a sponsor agrees to support an immigrant to ensure they do not become a public charge, similar to how the Child Support Certification form is used to affirm a parent's commitment to fulfill child support obligations.

Another document resembling the Child Support Certification form is the Employment Verification form. This form gathers an employee's work and income information, often used by lenders or landlords to verify employment status and income level. Like the Child Support Certification, it requires personal and employer information to assess the individual's financial capability, albeit for different purposes. The focus on accurate and truthful reporting under penalty of perjury in both forms underscores their importance in respective procedures.

The Income Declaration form, used in various financial assessment situations such as loan applications or government assistance eligibility, also parallels the Child Support Certification form. Both require detailed personal and financial information to evaluate the individual's financial status. The Income Declaration form's purpose to assess income for determining eligibility or repayment capability mirrors the Child Support Certification's role in ensuring child support obligations are met based on financial ability.

The Declaration of Financial Support is another document with resemblances to the Child Support Certification form, chiefly in their use for declaring financial responsibility for someone else. This declaration often applies in educational contexts, where a sponsor commits to covering a student's expenses. Similar to the Child Support Certification, it is an official document that confirms the signer's obligation to financially support the designated individual, highlighting the legal responsibility to provide stipulated financial support.

A Loan Application form, while primarily focused on the borrower's financial situation for loan approval purposes, shares characteristics with the Child Support Certification form concerning the need for detailed personal and financial data. Both forms assess financial stability and responsibility, with the Child Support Certification emphasizing the individual's commitment to uphold child support obligations, showing how both forms serve as tools in evaluating financial integrity and capabilities.

Last but not least, the Volunteer Application form, though not a financial document, shares the theme of certification and verification found in the Child Support Certification. It requires personal information and often background checks, similar to how the Child Support Certification form validates compliance with child support obligations. Both forms play critical roles in verifying the suitability of individuals for certain roles or responsibilities, ensuring they meet required standards or criteria.

Dos and Don'ts

When filling out the Child Support Certification form, it's important to approach the task with care and attention. Here's a guide outlining the dos and don'ts to help ensure the process goes smoothly.

Do:

  • Read the entire form before starting, to understand all the requirements and sections.
  • Use a blue or black pen if you are filling out a paper copy of the form to ensure legibility.
  • Gather all necessary documentation, such as your child support order and payment records, before beginning.
  • Be honest and accurate with all the information you provide to avoid potential legal consequences.
  • Check the box that correctly represents your current child support situation.
  • Include your child support account number(s) if you have them. This is crucial for processing.
  • Review your completed form for any mistakes or omissions.
  • Sign and date the form. Your signature is required to verify that the information you provided is true and correct.
  • Keep a copy of the completed form for your records. It's always good practice to have a backup.
  • Seek assistance if you're having difficulties. The New York City Office of Child Support Enforcement’s Customer Service Walk-In Center is available for help.

Don't:

  • Leave any sections blank. If a section does not apply, mark it as "N/A."
  • Use a pencil or colors other than blue or black ink. This can make your form invalid.
  • Rush through the form. Incorrect or incomplete forms can delay processing.
  • Guess any information. If you're unsure, take the time to verify details to ensure accuracy.
  • Fail to declare if you are behind on child support payments. It's crucial to disclose this information accurately.
  • Ignore the section about your employment information. This is essential for the enforcement office.
  • Submit the form without your signature. An unsigned form is incomplete.
  • Forget to date the form. The date of submission is important for record-keeping and processing.
  • Overlook any applicable boxes that need to be checked. Ensure you've responded to all relevant items.
  • Dispose of your only copy. Keeping a copy for your records is crucial in case questions arise later.

Misconceptions

Understanding the Child Support Certification form can be challenging due to common misconceptions that may arise. It's important to clarify these misunderstandings to ensure that individuals are fully informed about their rights and obligations concerning child support. Here are four common misconceptions:

  • Only those with arrears need to complete it: It's a common misunderstanding that the Child Support Certification form is only necessary for individuals who are behind on their child support payments. In reality, this form must be completed by anyone who is asked to, regardless of whether they are under a court or administrative order to pay child support or not. This includes those who are current on their payments or even those without any child support obligations.
  • Completing the form will automatically affect my credit score: Another misconception is the belief that simply filling out and submitting the Child Support Certification form will impact one's credit score. The act of completing the form itself has no direct effect on your credit score. However, the underlying child support issues, such as arrears equal to 4 months or more of child support payments, can potentially affect your financial standing, including your credit score, depending on whether these issues are addressed or unresolved.
  • Falsely declaring on the form carries no significant consequences: Some might think that providing false information on the Child Support Certification form carries little to no risk or penalty. This is incorrect. As clearly stated on the form, intentionally submitting false written statements to frustrate or defeat the payment of support is punishable under Section 175.35 of the penal law. Serious consequences, including legal action, can be enforced against those who knowingly provide inaccurate information.
  • The form is only relevant for employment purposes: Lastly, there is a misconception that the Child Support Certification form is solely used for employment verification purposes. While employer information is requested, the scope of the form extends beyond just employment verification. It's a legal document that can affect licensing, permits, and other official matters. For instance, individuals who are in arrears of four months or more, or have failed to comply with certain legal processes related to child support, may face suspension of various licenses and permits, underscoring the form's broader implications.

Clarifying these misconceptions is crucial for individuals navigating their child support obligations and rights. By understanding the purpose and implications of the Child Support Certification form, individuals can take informed steps to comply with their obligations and address any child support issues proactively.

Key takeaways

The Child Support Certification form, also known as Form M-522, plays a critical role in ensuring that individuals meet their child support obligations. Here is a curated list of key takeaways when filling out and utilizing this form:

  • Required Personal Information: The form mandates the applicant to provide thorough personal details including their last name, first name, Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN), date of birth, street address, apartment number, city, state, and zip code.
  • Employer Information is Essential: Completing the section on employer details, including business name and address, is compulsory, ensuring that child support enforcement can effectively work with an individual’s employer if necessary.
  • Declaration of Child Support Status: The applicant must clearly indicate their child support situation by selecting either they are not under an order to pay child support or they have an existing child support obligation.
  • Arrears Disclosure: If under an obligation, it's pivotal to disclose whether one owes arrears amounting to four months or more of child support payments, which significantly affects the processing and outcome of the certification.
  • Options for Those in Arrears: For individuals with arrears, the form provides options to indicate whether they are making payments through income execution, a court agreed payment plan, or are part of a pending court proceeding, among others.
  • Penalty for False Statements: It warns of severe penalties for knowingly providing false statements, underscoring the importance of honesty and accuracy when completing the form.
  • Potential Consequences: The consequences for failing to comply with child support obligations or for being in significant arrears can include the suspension of various licenses and permits, demonstrating the legal implications of non-compliance.
  • Assistance for Those with Challenges: The New York City Office of Child Support Enforcement provides assistance through its Customer Service Walk-In Center for individuals facing difficulties due to outstanding child support issues.
  • Sworn Affirmation: At the end of the form, individuals must swear under oath that the information provided is true and accurate, highlighting the legal accountability held by the applicant.
  • Understanding Your Obligations: This form is a tool for both enforcing child support and for individuals to understand and meet their obligations, emphasizing the shared goal of supporting the well-being of children.

It is essential for anyone dealing with child support matters to carefully review and accurately complete the Child Support Certification form, as it encompasses significant legal consequences and plays a vital role in ensuring the financial support of children.

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