Forms starting with: C
Child support shared care questionnaire 2011 IR120
(published October 2009)
About this form
Questionnaire to use so we can determine whether care of the child/ren meets the shared care criteria for the child support year. This information is helpful if you and the other carer disagree about the level of care provided. For use in the 2011 assessment year (1/4/2010 - 31/3/2011).
Adobe Acrobat PDF | 159KB | 4 pages
When to use this form
You need to fill out this questionnaire so that we can determine whether the care of the child/ren meets the shared care criteria for the child support year.
What you will need
You will need to provide dates of shared care on the attached calendar.
You may need to provide proof in case there is a dispute.
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After you finish
Please print, sign and post the completed form to your nearest Inland Revenue office.
You may wish to keep a copy of this form for your personal records.
