This government document is issued by Department of Child Support Services for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:3a1xdp1oi78&q=https://childsupport.ca.gov/wp-content/uploads/sites/252/Policy/CSS-11-07-Judicial-Change-of-Responsibility-Form_ADA_actual.pdf&sa=U&ved=2ahUKEwjmtcyanfbxAhWOlIsKHcGNBBU4KBAWMAV6BAgFEAE&usg=AOvVaw2ub2zibQ3P4ztbpfScXO8c