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PLC:

a002vs

Agency:

jefferson county child support agency

For:

child support payments

Phone:

920-674-7255

Address:

311 south center avenue,room c2070
jefferson, wisconsin 53549

*Required Field

Payment Information

By checking this box, you acknowledge that you have a CHILD SUPPORT CASE In Jefferson County, WI and this payment will ONLY be applied to your child support cases�in�WISCONSIN.

*Non-Custodial Parent Name:

Middle:

*Last:

*Non-Custodial Parent SSN:

(### - ## - ####)

*Case Identifier:

*By checking this box, you acknowledge that you have a CHILD SUPPORT CASE In Jefferson County, WI and this payment will ONLY be applied to your child support cases.:

I acknowledge the statement.

NOTE: Case Identifier is the KIDS PIN #

Call the agency if you do not know your KIDS PIN# or log on to CSOS to obtain your KIDS PIN#.

Payments made on this site will be applied to ALL your open child support cases in Wisconsin.

If you want your payment to be designated to a specific court case you MUST make prior arrangements with Jefferson County Child Support Agency 920-674-7255.

Payment Amount

*Payment Type:

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Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number: