• Board of Supervisors
    • District 1 – Supervisor Matt LaVere
    • District 2 – Supervisor Linda Parks
    • District 3 – Supervisor Kelly Long
    • District 4 – Supervisor Bob Huber
    • District 5 – Supervisor Carmen Ramirez
    • Agendas, Documents and Broadcasts
  • Government
    • Government
      • Administration
      • Apply for County Employment
      • Board of Supervisors
      • Budget and Finance
      • California State Agency Directory
      • City Governments
      • County Job Listings
    • Govt Continued
      • County Organization Chart
      • County Strategy & Performance
      • Departments
      • Downloadable Forms
      • Elected Officials
      • Find A Service
      • Find Our Offices
    • Govt Continued 2
      • GIS and Mapping
      • How to Contact the County
      • Integrated Pest Management
      • Meetings and Broadcasts
      • Mission Statement
      • Plans, Studies, and Ordinances
      • Property Tax
    • Govt Continued 3
      • Quick Facts for Ventura County
      • SB 272
      • Superior Court Case Information
      • Tax Rate Inquiry
      • Top Officials Compensation
      • What’s My Zoning?
      • Who Is My State Legislator
  • Departments/Services
    • Departments
      • Agricultural Commissioner
      • Airports
      • Animal Services
      • Area Agency on Aging
      • Assessor’s Office
      • Auditor-Controller’s Office
      • Board of Supervisors
      • Child Support Services
      • Civil Service Commission
      • County Clerk & Recorder / Elections
      • County Executive Office
      • District Attorney
      • Fire Department
      • General Services Agency
      • GIS and Mapping
      • Grand Jury
    • Dept. Continue
      • Harbor Department
      • Health Care Agency
      • Human Resources
      • Human Services Agency
      • Information Technology Services
      • Library
      • Medical Examiner’s Office
      • Parks Department
      • Probation Agency
      • Public Defender
      • Public Works Agency
      • Regional Energy Alliance
      • Resource Management Agency
      • Retirement Association (VCERA)
      • Sheriff’s Office
      • Treasurer-Tax Collector
      • Ventura County Law Library
    • Emergency Services
      • Emergency Medical Services Agency
      • Emergency Notifications
      • Emergency Preparedness Office (HCA)
      • Medical Examiner’s Office
      • Office of Emergency Services (VSCO)
      • Ready Ventura County
      • VC Medical Center/Santa Paula Hospital
      • Ventura County Fire Department
      • Ventura County Sheriff’s Crime Map
      • Ventura County Sheriff’s Office
    • Health and Human Services
      • Access to Health Coverage
      • Adult & Senior Services
      • Child & Youth Services
      • Crisis and Emergency Services
      • Employment & Financial Assistance
      • Food Assistance and Healthy Eating
      • Healthy Activities
      • Program and Services Directories
      • Services for Homeless People
      • Veteran Services
  • Business
    • Become a Vendor
    • Business Assistance and Resources
    • Emergency Preparedness for Business
    • Employment and Training
    • Licenses, Regulations and Permits
    • Maps
    • Property Taxes
    • Start a Business
    • Taxes and the Assessor’s Office
  • Live/Work
    • Employment
      • County Employee Fraud Hotline
      • Employee Assistance Program
      • Employment, Training and Education
      • Volunteering for the County
      • Workforce Development Board
      • Working for the County of Ventura
      • Youth Employment
    • Residents
      • Animal & Pets
      • Certificates, Registration & Records
      • Consumer Rights & Protection
      • Education
      • Housing
      • Parks Department
      • Public Safety & Courts
      • Shelters
      • Social Services
      • Taxes, Fines, Fees & Permits
      • Voting
    • Visitors
      • California Welcome Center
      • Campgrounds
      • Parks
      • Harbor Department
      • Ventura County Bike Trails
      • Transportation
      • Things to Do in Each Community
      • Visitor & Convention Bureaus
      • Ventura County Wine Trail
      • Welcome to Ventura County
    • Environment
      • Air Quality
      • Drive Clean
      • Clean Power Alliance
      • Energy Efficiency
      • Environmental Health
      • Going Green
      • Graffiti Removal
      • Green Building
      • Green Business
      • Planning and Land Use
      • Tri-County Regional Energy Network
      • Waste and Recycling
      • Water Quality
Ventura County Ventura County
  • Board of Supervisors
    • District 1 – Supervisor Matt LaVere
    • District 2 – Supervisor Linda Parks
    • District 3 – Supervisor Kelly Long
    • District 4 – Supervisor Bob Huber
    • District 5 – Supervisor Carmen Ramirez
    • Agendas, Documents and Broadcasts
  • Government
    • Government
      • Administration
      • Apply for County Employment
      • Board of Supervisors
      • Budget and Finance
      • California State Agency Directory
      • City Governments
      • County Job Listings
    • Govt Continued
      • County Organization Chart
      • County Strategy & Performance
      • Departments
      • Downloadable Forms
      • Elected Officials
      • Find A Service
      • Find Our Offices
    • Govt Continued 2
      • GIS and Mapping
      • How to Contact the County
      • Integrated Pest Management
      • Meetings and Broadcasts
      • Mission Statement
      • Plans, Studies, and Ordinances
      • Property Tax
    • Govt Continued 3
      • Quick Facts for Ventura County
      • SB 272
      • Superior Court Case Information
      • Tax Rate Inquiry
      • Top Officials Compensation
      • What’s My Zoning?
      • Who Is My State Legislator
  • Departments/Services
    • Departments
      • Agricultural Commissioner
      • Airports
      • Animal Services
      • Area Agency on Aging
      • Assessor’s Office
      • Auditor-Controller’s Office
      • Board of Supervisors
      • Child Support Services
      • Civil Service Commission
      • County Clerk & Recorder / Elections
      • County Executive Office
      • District Attorney
      • Fire Department
      • General Services Agency
      • GIS and Mapping
      • Grand Jury
    • Dept. Continue
      • Harbor Department
      • Health Care Agency
      • Human Resources
      • Human Services Agency
      • Information Technology Services
      • Library
      • Medical Examiner’s Office
      • Parks Department
      • Probation Agency
      • Public Defender
      • Public Works Agency
      • Regional Energy Alliance
      • Resource Management Agency
      • Retirement Association (VCERA)
      • Sheriff’s Office
      • Treasurer-Tax Collector
      • Ventura County Law Library
    • Emergency Services
      • Emergency Medical Services Agency
      • Emergency Notifications
      • Emergency Preparedness Office (HCA)
      • Medical Examiner’s Office
      • Office of Emergency Services (VSCO)
      • Ready Ventura County
      • VC Medical Center/Santa Paula Hospital
      • Ventura County Fire Department
      • Ventura County Sheriff’s Crime Map
      • Ventura County Sheriff’s Office
    • Health and Human Services
      • Access to Health Coverage
      • Adult & Senior Services
      • Child & Youth Services
      • Crisis and Emergency Services
      • Employment & Financial Assistance
      • Food Assistance and Healthy Eating
      • Healthy Activities
      • Program and Services Directories
      • Services for Homeless People
      • Veteran Services
  • Business
    • Become a Vendor
    • Business Assistance and Resources
    • Emergency Preparedness for Business
    • Employment and Training
    • Licenses, Regulations and Permits
    • Maps
    • Property Taxes
    • Start a Business
    • Taxes and the Assessor’s Office
  • Live/Work
    • Employment
      • County Employee Fraud Hotline
      • Employee Assistance Program
      • Employment, Training and Education
      • Volunteering for the County
      • Workforce Development Board
      • Working for the County of Ventura
      • Youth Employment
    • Residents
      • Animal & Pets
      • Certificates, Registration & Records
      • Consumer Rights & Protection
      • Education
      • Housing
      • Parks Department
      • Public Safety & Courts
      • Shelters
      • Social Services
      • Taxes, Fines, Fees & Permits
      • Voting
    • Visitors
      • California Welcome Center
      • Campgrounds
      • Parks
      • Harbor Department
      • Ventura County Bike Trails
      • Transportation
      • Things to Do in Each Community
      • Visitor & Convention Bureaus
      • Ventura County Wine Trail
      • Welcome to Ventura County
    • Environment
      • Air Quality
      • Drive Clean
      • Clean Power Alliance
      • Energy Efficiency
      • Environmental Health
      • Going Green
      • Graffiti Removal
      • Green Building
      • Green Business
      • Planning and Land Use
      • Tri-County Regional Energy Network
      • Waste and Recycling
      • Water Quality

Forms

Translate

Translate Disclaimer

The Ventura.org website has been translated for your convenience using translation software powered by Google Translate. Reasonable efforts have been made to provide an accurate translation, however, no automated translation is perfect nor is it intended to replace human translators. Translations are provided as a service to users of the Ventura.org website, and are provided "as is." No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, or correctness of any translations made from English into any other language. Some content (such as images, videos, Flash, etc.) may not be accurately translated due to the limitations of the translation software.

The official text is the English version of the website. Any discrepancies or differences created in the translation are not binding and have no legal effect for compliance or enforcement purposes. If any questions arise related to the accuracy of the information contained in the translated website, please refer to the English version of the website which is the official version.

Choose a Language
  • English
  • Spanish
  • Tagalog
  • Chinese
  • Persian
Transforming Lives Through the True Power of Child Support
""
MENUMENU
  • About US
    • Message from the Director
    • Services Provided
    • Meet Our Team
      • We Asked Our Team
  • Parents/Guardians
    • Open a Case
    • How We Enforce The Order
    • Making Payments
    • Receiving Payments
    • Going to Court
    • License Suspensions
    • Reduce Your Balance
    • Complaint Resolution
    • FAQs
  • Employer Information
    • General Information
    • Income Withholding Order FAQs
    • National Medical Support Notice FAQs
    • Forms
    • Employer Forum
  • Title Companies
  • Resources
    • Brochures and Flyers
    • Community Resources
    • Outreach Services
  • Forms

Forms

Application

Request Child Support Services

 

 

 

 

Aplicación

 

Visitation Verification

Visitation Verification

Do you need to provide us with the visitation information? This form is usually completed when a new case has been opened, a modification has been requested, and/or there is a pending court hearing.

Verificación de Visitas

 

Income & Expense Declaration

Income & Expense Declaration

Do you need to provide us with your income and expense information? This form is usually completed when a new case has been opened, a modification has been requested, and/or there is a pending court hearing.

Declaración de Ingresos y Gastos

Child Care Verification

Child Care Verification

Once completed, attach any receipts or copies of cancelled checks for child care. This form is usually completed when a new case has been opened, a modification has been requested, and/or there is a pending court hearing.

Verificación de Cuidado de Niños

 

Health Insurance Information

Health Insurance Information

This form is requested when a new case has been opened, if you are reporting new health insurance coverage, a modification has been requested, and/or there is a pending court hearing.

Información de Seguro de Salud

Declaration of Support Payment History

Declaration of Support Payment History
This form help determine the amount of the past due support owed, if any. This form is requested when we open a new case that has an existing child support order.

Declaración Historial de Pago de Mantenimiento

Work Search Report

Work Search Report

 

Were you ordered a Seek Work Order or Probation Order? If so, please fill out this form and return every two weeks.

Medical Information Verification Report

Medical Information Verification Report

 

Are you unable to work due to a disability? Take this form and have your physician fill it out and return it back to our office.

Helpful Links For Website

Scan Documents - Android

Scan Documents - iPhone

Sign Documents - iPhone

Escanear Documentos - Android

Escanear Documentos - iPhone

Firma un Documento - iPhone

NOTE: As a convenience to our visitors, this page may contain links to external websites that are not managed or controlled by the County of Ventura.

Contact Info

  • County of Ventura
  • 800 S. Victoria Ave.
  • (805) 654-5000
  • webmaster@ventura.org
  • www.ventura.org
  • Find our other offices

Information

  • Human Resources
  • Departments/Agencies
  • ADA Accessibility
  • Site Policy

Photo Gallery

photo gallery

© 2021 — County of Ventura

Type and press Enter to search