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Request Review And Adjustment/Modification

Please fill out the form and submit to the CSEA to request a review and adjustment/modification on your case.
NOTE -- A separate request form must be completed for each individual case.

Pursuant to the Ohio Administrative Code (OAC) section 5101:12-60-05.1 there are fifteen (15) qualifying reasons for an administrative review and adjustment to be conducted by the Office of Child Support Services (OCSS).  Click here for a list of the qualifying reasons and to learn more about the modification process.

*required fields
Case Information
Sets Number: (Ex:7123456789)
Court Case No: (If known)
Personal Information
* First Name:
* Last Name:
Middle Initial:
* Date of Birth: (01/01/1972)
* SSN:
Mailing Address
* Address:
* City/State/Zip: ,
Type in City or Select one
Check if this is a new address (less than oneyear old)
Contact Information
* Phone:
* Email:
Check to get News and Events via Email (email address required)
Your Employment Information
* Name:
* Address:
* City/State/Zip: ,
StartDate:   Phone:   
Other Party's Information
* First Name:
* Last Name:
Middle Initial:
Date of Birth: (01/01/1972)
Please use the comment section to indicate the reason for your request. Upon receipt of the request, OCSS will mail forms that must be completed and returned to OCSS to commence the review and adjustment/modification process. Additional information regarding the process will be provided also.