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Returns and guides


Child support shared care questionnaire 2009 IR120

(published May 2008) 

About this form

This document is used to help you and Child Support work out if you have a shared care arrangement in place. The questionnaire and calendars ask for information on the care provided by both parties, and are helpful if you and the other carer disagree about the level of care provided. For use in the 2009 assessment year (1/4/2008 - 31/3/2009).

Adobe Acrobat PDF | 422KB | 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 - should there be 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.

List of postal addresses for Inland Revenue >