Statement of financial details for debt repayment form (CS4645)

Use this form to provide a statement of your financial details so that we can work out a payment arrangement for you to pay your overdue child support.

It is important that you provide full details of your income, expenses, assets and liabilities to help us decide the most appropriate debt repayment amount.

 
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.

This information was printed Tuesday 21 May 2019 from https://www.humanservices.gov.au/individuals/forms/cs4645 It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 14 March 2019