Child Support Paid Verification 2025-2026

CMC Student Name CMC Student Name First Middle Last
CMC Student ID #
Must be 8 digits. Currently Entered: 0 digits.
CMC Student Email

Confirm Email Address
Please indicate below the amount of child support that was paid in 2023 and the person that paid the child support. If child support was not paid, enter 0 as the total amount of child support paid. Documentation may be required once you submit this form.
Name of person paying child support: Name of person paying child support: First Middle Last
Last 4 digits of SSN of person paying child support:
Must be 4 digits. Currently Entered: 0 digits.
Total amount of child support paid January 1- December 31, 2023 $ Dollars . Cents
Name of the child for whom child support was paid: Name of the child for whom child support was paid: First Middle Last
Was there an additional child whom child support was paid?

Was there an additional child whom child support was paid? Yes No
Name of person paying child support for child #2: Name of person paying child support for child #2: First Middle Last
Last 4 digits of SSN of person paying child support for child #2:
Must be 4 digits. Currently Entered: 0 digits.
Total amount of child support paid for child #2 January 1- December 31, 2023 $ Dollars . Cents
Name of child #2 for whom child support was paid: Name of child #2 for whom child support was paid: First Middle Last
Was there a 3rd child whom child support was paid?

Was there a 3rd child whom child support was paid? Yes No
Name of person paying child support for child #3: Name of person paying child support for child #3: First Middle Last
Last 4 digits of SSN of person paying child support for child #3:
Must be 4 digits. Currently Entered: 0 digits.
Total amount of child support paid for child #3 January 1- December 31, 2023 $ Dollars . Cents
Name of child #3 for whom child support was paid: Name of child #3 for whom child support was paid: First Middle Last
Was there any additional children for whom child support was paid?

Was there any additional children for whom child support was paid? Yes No
List out the person paying child support, last 4 of SSN of person paying child support, total amount of child support paid January 1 - December 31, 2023 and the name(s) of the child(ren) for whom child support was paid:
Total amount of child support paid for all children January 1- December 31, 2023 $ Dollars . Cents
Certification Statement

Certification Statement I, the student, certify that my parent paid the child support outlined above and that all of the information reported on this form is complete and correct