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.
Download and complete the Statement of financial details for debt repayment form.
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. You can fill it out on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.
Page last updated: 8 December 2020
This information was printed 19 January 2021 from https://www.servicesaustralia.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.servicesaustralia.gov.au/individuals/site-notices when using this material.