# COLVILLE CONFEDERATED TRIBES > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/tribal%3Aconfederated_colville%3Afda39a0aa3060b10 ## Record - **Collection:** Tribal code - **Document type:** Tribal code ## Text COLVILLE CONFEDERATED TRIBES CHILD SUPPORT PROGRAM PO BOX 468 | NESPELEM, WA 99155 Toll Free (800) 515-2544 | Phone (509) 634-2030 | (509) 634-2031 MODIFICATION REQUEST During the enforcement of an existing order, a modification may arise due to a showing of change in circumstances by the parties. The parties may initiate the request for modification of an existing order in writing, by completing the Request for Review of Child Support Order form. Requests should be made with careful consideration, by the requesting party, as the modification of an order may result in increases or decreases of the child support obligation. Our staff is prohibited from rendering legal advice, but we can assist you with completing the forms and explain the modification process. Once the Case Manager receives the completed Request for Review of Child Support Order form, they will review your statements and supporting documentation. If the evidence meets the standards outlined in the Colville Tribal Resolution #2018-423, specifically under the Standards for Determining Support Obligations, #9... “Any order of child support may be modified upon a claiming of substantial changes in circumstances at any time, and be modified when necessary to serve the best interest of the children, and when inconsistent between the existent child support award amount and the amount of child support which results from application of Tribal guidelines. Application for a modification should be made to the Tribal Court. This is not a limit to Tribal member's right to review and adjustment of support” Including the Colville Tribal Code, Title 5, § 1-258, “The Court has continuing jurisdiction to prospectively modify a judgment and order for future education and future support upon showing a substantial change of circumstances unless otherwise provided by the Business Council.” The Case Manager, will then mail you a Modification or Adjustment Review Findings, letting you know the determination they made after reviewing your request. The determinations that the Case Manager can make are: 1) Your case will be referred to the Spokesperson to Motion the Administrative Law Court for a Hearing of your Modification request as it meets the standards outlined above, and the Case Manager has prepared a Worksheet as our agencies recommendation to the Court as to what your order should be modified to, you will be served with the Motion certified mail or in-person, (note that, if you do not make yourself available for service of the documents, your request will be Dismissed Without Prejudice) or 2) CTCSP will not refer your case to the Administrative Law Court for a hearing, as it does not meet the above standards, and if you would like to still have a hearing — your case can still be brought to the Administrative Law Court to hear your request, it will just not include the agencies recommendation of what your support should be modified to. REQUEST FOR REVIEW OF CHILD SUPPORT ORDER — updated 07/31/19 COLVILLE CONFEDERATED TRIBES CHILD SUPPORT PROGRAM REQUEST FOR REVIEW OF CHILD SUPPORT ORDER TO: IV-D CASE NUMBER: INSTRUCTIONS : 1. Complete this form, a Colville Tribal Child Support Worksheet (optional). Attach copies of your last two CURRENT pay stubs for the last two pay periods and any other income information. 2. Except for your signature, print or type all responses on the forms. Use blue or black ink only. 3. Return the completed forms and attachments to the Colville Confederated Tribes Child Support Program (CTCSP) address listed on page 2. 4. CTCSP may deny your request for review if you do not provide all of the required information. 5. \falV-D agency is making this request, a representative of the IV-D agency must sign the request. | want CTCSP to review my child support order. | believe my order needs modification or adjustment because (check all that apply to your case): 1.0) The income of one or both parents involved in my case has changed significantly. 2.00 At least one of the children involved in my case. a. C)Was less than 12 years old when the child support order was entered and is now 12 years old or more. b. CIHas changed residences. c. Ols no longer a dependent. 3.41 My order does not have a health insurance obligation. 4.01 | have become disabled or incarcerated since the order was entered. 5.1 Other: (BE SPECIFIC): REQUEST FOR REVIEW OF CHILD SUPPORT ORDER | understand that: 1. This review may result in the modification of my order and that CTCSP will address only child support and health insurance for the children. Other issues are not CTCSP’s responsibility. 2. CTCSP will not represent me or the other party to my support order. Both parties to the support order have the right to have an attorney represent them in court or have an attorney or other person represent them in an administrative hearing. 3. CTCSP may use information | provide to establish, modify, or enforce child support. CTCSP shares this information with other governmental agencies only for those purposes. You may request the other parent’s personal and confidential information from CTCSP. CTCSP releases information only as state and federal laws and regulation allow. 4, CTCSP may ask a court to modify my child support order. WARNING: CTCSP spokesperson/authorized representative may share any documents you submit with the other party to your support order and may file the documents in the public court file. The other party to your support order has a right to see your financial information. Please remove your personal identification information (address, birth date, social security number) from these documents before your submit them. 5. CTCSP may deny my request to adjust or modify my support order if my order does not meet legal standards or review requirements. 6. If the spokesperson decides to proceed with adjustment or modification of my support order or arrearage rate, the adjusted or modified order is effective from the date spokesperson files the petition in court, not the day | requested a review. 7. An adjustment or modification of my support order may result in an order that requires a higher or lower support amount than my current order requires. 8. | always have the right to pursue adjustment or modification of my support order on my own. Date Parent’s Signature Date Parent’s Authorized Representative’s Signature Send completed forms, tax information, and pay information to: Colville Confederated Tribes Child Support Program PO BOX 468 Nespelem, WA 99155 Phone: 509-422-7700 Fax: 509-422-7705 Toll Free: 877-515-2544 REQUEST FOR REVIEW OF CHILD SUPPORT ORDER MONTHLY CHILD SUPPORT OBLIGATION WORKSHEET A. Gross Monthly Income and Percentage Custodial Absent Combined Parent Parent 1. Gross Monthly $ $ $ 2. Percentage ofCombined §$ $ 100% Income (Each parent’s income divided by combined income) B. Computation of Basic Support 3. Number of Children for Whom Support is sought 4. Basic Support for Number of Children C. Additional Support Costs Children’s Health and Dental Work Related Child Care Extraordinary Costs Total Additional Support D. Calculation of Support Amount 9. Total Basic and Additional Support Cost (Add Combined Column Figures from Line 4 and Line 8) 10. Each parent’s Obligation $ 11. Enter each Parent’s Total $ Additional Support Costs From Line 8 . Each Parent’s Net Child $ Support Obligation (Subtract Line 11 from Line 10) Paying Parent Pays $ each Month, to Custodial Parent Colville Tribal Child Support Schedule Worksheets Mother: Father: County: OKANOGAN/COLVILLE RESERVATION Tribal Court Case No: AC-CS- Children and Ages: Part | Basic Child Support Obligation 1. Gross Monthly Income (See Guidelines, Sec 1) Father Mother a. Wages and Salaries (ncp/cp 4 qtr ave) b. Commissions c. Revenue From Sales of Goods and Products Received in the Normal Course of Business (Business Income) d. Deferred Compensation . Overtime . Contract-related Income e f g. Income From Second Job (Limited to obligated parent) h. Dividends i. Interests j. Severance Pay k. Annuities |. Capital Gains m. Pension Retirement Benefits n, Workers Compensation . Unemployment Benefits ° p. Spousal Maintenance Actually Received q. Bonuses r. Social Security Benefits w . Disability Insurance Benefits t. Gifts and Prizes ( greater than or equal to $250 in value) u. Total Gross Monthly Income $ - |$ 2. Monthly Deductions From Gross Income (See Guidelines §3) a. Federal and State Income Taxes (20%IMPUTED) S - S b. Federal, Tribal Insurance Contributions and Deductions . Mandatory Pension Plan Payments . Mandatory Union or Professional Dues . State or Tribal Industiral Insurance Premiums Court-ordered Spousal Maintenance Actually Paid . Up to $2,000 per year in Voluntary Pension Payments Actually Made Tim irlolTasia . Normal Business Expenses and Self-Employment Taxes i. Total Deductions from Gross Income ( Add lines 2a through 2h) S = S 3. Monthly Net Income (Line 1u minus line 2) s = 5 = 4. Combined Monthly Net Income (Add Father's and Mothers Net Incomes From line3)} S “ 5. Basic Child Support Obligation (based on 80/20 split, then divided by two like Ok. Co. Sup) Child #1: Child #3: Child #2: Child #4: $0.00 6. Proportional Share of Income ( Each Parent's net income fromline 3 divided by line 4) #DIV/0! #DIV/0! 7. Each Parent's Basic Child Support Obligation (Multiply each number on line 6 by line 5) #DIV/O! #DIV/O! Part Il. Health Care, Day Care, and Special Child Rearing Expenses 8. Health Care Expenses (See Guidelines, §4b,4f) a. Monthly Health Insurance Premiums Paid for Child(ren) S e $ - b. Uninsured Monthly Healthcare Expenses Paid for Child(ren) S - S - c. Total Monthly Health Care Expenses (Line 8a plus line 8b) S zs S$ = d. Combined Monthly Health Care Expenses (Add Father's and Mothers Totals fromline &c) S - e. Maximum Ordinary Monthly Health Care Expenses (Multiply line 5 times 0.05) $ - f. Extraordinary Monthly Health Care Expenses (Line 8d minus line 8e, if "O" or negative enter "0") S - 9. Day Care and Special Child Rearing Expenses (See Guidelines, §4a) . Day Care Expenses a b. Education Expenses c. Long Distance Tranportation Expenses Wn 1h 1H ' WiwM lM 1a ' d. Other Special Expenses ( Describe) e. Total Day Care and Special Expenses ( Add lines 9a through 9d) iS Ss S = 10. Combined Monthly Total of Day Care & Speical Expenses (Add Father's and Mother's Totals from line 9e) 0 11. Total Extraordinary Health Care, Day Care, Special Expenses ( Line 8 f plus line 10) ) = 12. Each Parent's Obligation for Extraordinary Health Care, Day Care, and Special Expenses (Multiply each number on line 6 by line 11) #DIV/0! #DIV/0! 13. Standard Calculation Support Obligation (Line 7 Plus line 12) #DIV/O! #DIV/O! Part Ill: Child Support Credits 14. Child Support Credits a. Custom or Cultural Services and Resources Credit (Describe) (See Guidelines, §5-5) b. In-Kind Services Credit (Describe) (See Guidelines, § 5-6) . Indian Health Services Credit ( For Part Il, 8; See Guidelines, §4b, 4f) . Monthly Health Care Expenses Credit . Day Care and Special Expenses Credit . Total Support Credit ( Add lines 14 a through 14f) Bee ee oe ee eae eee es ‘ WMA TMH PH Th PN ‘ c d e f. Other Ordinary Expense Credit (Describe) & h . Total Allowable Credit Per Month ( Subtract fromline g 30% or 50 % of Basic Support Obligation ) Part IV: Net Monetary Obligation/Presumptive Transfer Payment 15. Net Support Obligation (See Guidelines§5) (Line 13 minus 14h) Part V: Items Disclosed But Not Included in Gross Monthly Income 16. Household Assets ( List the estimated present value of all major household assets) Father's Mothers . Real Estate o | . Stocks and Bonds . Vehicles . Boats . Pensions/ IRAs/ Bank Accounts Cash . Insurance Plans asym jmiol;ajia . Other (Describe) 17. Household Debt (List liens against household assets, extraordinary debt) Father's Mother's 18. Other Houshold Income a. Income of Current Spouse ( See Guidelines, §2-1) (If not the other Parent of this action) Name: Name: b. Income of Other Adults in Household (See Guidelines, §2-1) Name: Name: c. Income of Children (If considered extraordinary) Name: Name: d. Income From Child Support Received From Other Relationships (See Guidelines, §2-2) Name: Name: e. Gifts and prizes Less than $250 In Value (See Guidelines, §2-3) f. Income From Aid to Families with Dependent Children ( See Guidelines, §2-4) g. Supplemental Security Income (See Guidelines, §2-5) h. General Assistance (See Guidelines, §2-6) i. Food Stamps ( See Guidelines §2-7) j. Trust Income (See Guidelines, §2-8) k, Other Income (Describe) 19. Other Non-recurring Income (Describe) ( See Guidelines, §5-4) 20. Child Support Paid For Other Children Name/ Age: Name/ Age: 21. Children From Other Relationships Living In Each Household ( See Guidelines, §5-3) ( First Names and Ages) 22. Disability Payments (See Guidelines, Sec 5-7) 23. Other Factors For Consideration (See Guidelines) | declare, under penalty of perjury under the laws of the Colville Tribes, the information contained in these worksheets is complete, true and correct. Mother's Signature Father's Signature Date City Date City Judge/Reviewing Officer Date CHILD SUPORT INCOME CHART Combined One Child Two Children Three Children Four Children Five Children Monthly Family Family Family Family Family Net a ee il Income A B A B —A— B A L:} A 8B 600 8a 109 68 84 57 | | 70 43 60 42 52 700 103 | 127 80 98 66 82 56 70 49 60 800 118 145 91 113 76 94 64 80 56 69 900 132 163 102 127 86 106 72) 90 63 78 1000 146 181 114 140 35 118 80 99 7a 86 I 1100 161 199 125 154 104 129 8& 109 7? 95 1200 17S 217 136 168 114 140 96 119 84 104 1300 189 234 147 182 123 151 104 128 390 112 i 1400 204 252 158 195 132 163 112 138 93 | 120 1500 217 268 169 208 141 174| 119] 147] 104 128 1600 231 284 179 221 149 185 126 156 110 136 1700 244 301 189 234 158 195 134 165 116 144 — 1800 257 318 199 2465 167 206 141 174 123 151 1900 270 334 210 259 175 217 148 183 129 159 I 2000 284 350 220 272 184 227 156 192 136 167 2100 297 357 231 285 192 238 163 201 142 175 2200 310 383 241 | 298 201 248 170 210 148 183 2300 324 399 251 310 209 259 177 219 155 191 2400 336| 416] 261| 323| 218 270 185 228 161 199 2500 3a9 432 271 336 227 280 191 237 167 207 a 2600 355 439 276 341 230 284 195 241 170 210 __ 2700 360 445 280 345 233 239 198 244 172 213 2800 365 451 284 350 237 292 200 247 174 215 2900 369 456 288 354 239 296 203 250 177 218 3000 373 460 290 357 242 298 205 252 178 220 3100 376 464 292 361 244 301 206 254 179 222 3200 378 468 294 363 245 304 207 256 181 223 3300 381 470 296 365 246 305 2093 258 181 225 3400 381 472 296 366 247 306 209 258 182 226_ 3500 382 472 297 367 248 306 210 259 183 227 3600 383 473 298 367 248 307 | 211 260 183 227 3700 384 A74 298 368 249 308 211 260 184 228 3300 386 478 300 371 250 310 212 262 185 229 3900 396 4a9g __ 308 380 256 317 217 268 189 234 4000 405 500 314 388 262 324 222 274 193 239 4100 414 §12 322 _397 268 332 227 280 198 244 4200 424 524 329 406 274 340 233 286 203 250 4300 433 535 336 415 230 347 237 293 207 256 4400 441 54s 343 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759 512 634 438 541 383 473 8900 796 984 620 766 518 633 442 546 387 473 9000 802 991 625 772 522 645 446 551 390 482 9100 809 1000 630 779 §26 651 450 556 393 486 9200 816 1009 635 785 530 656 452 562 397 450 9300 823 1017 641 792 535 661 459° 567 401 495 9400 830 1026 647 799 540 667 463 572 404 soo 9500 837 1034 652 80S 544 673 467 S77 407 504 9600 843 1043 657_ 812 548 678 471 582 411 508 9700 850 1051 662 819 553 6484 475 587 415 513 9800 857 10S9 667 825 558 689 479 592 419 517 s900 863 1067 673 331 S62 694 483 597 422 522 10000 870 1075 678 838 S66 700 487 602 425 526 10100 876 1083 683 B44 570 705 491 607 429 530 10200 882 1051 688 851 575 710 495 612 433 $35 10300 889 1039 693 857 579 716 499 617 436 539, 10400 gags 1106 698 863 584 721 503 G22 439 $44 10500 902 1114 703 869 587 726 507 627 443 548 10600 908 1122 708 875 591 732 $11 632 447 552 10700 914 1130 712 881 S596 736 $15 637 450 556 10800 920 1178 718 887 600 742 519 641 453 560 10900 926 1145 722 893 604 747 523 647 457 565 11000 932 1153 727 899 608 752 527 651 460 569 11100 938 1160 732 905 612 757 530 656 463 373 11200 944 1168 737 910 616 762 534 661 467 577 11300 950 1175 742 916 620 7G7 538 665 470 582 11400 956 1182 746 922 624 772 sA2 670 474 586 11500 962 1189 751 928 628 777 546 675 477 sao 11600 968 1197 754 934 632 781 550 680 480 593 11700 974 1204 760 940 6436 786 $54 684 483 597 11800 979 1211 764 945 640 791 557 689 487 601 11900 985 1218 769 950 644 796 561 694 490 605 12000 991 1225 774 956 647 801 565 698 493 610 --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/tribal%3Aconfederated_colville%3Afda39a0aa3060b10. Public record. Not legal advice.