HAR §5-31-15. Application information

The following information may be required to complete the application: (1) The applicant's social security number and date of birth; (2) The applicant's last four pay stubs; (3) The applicant's most recent federal or state income tax return; (4) Child care receipts for the last three months; (5) Birth certificates for each child in the family; (6) Social security numbers and dates of birth for each child and non-applicant party; (7) Address information for all parties; 31-10 3100 : 14 §5-31-17 (8) Information when the child has received temporary assistance for needy families or medicaid any time in the State or in other states; (9) Information on the applicant's employer and work history; (10) Information on the employer and work history of the other parent of the child(ren); (11) Information on or availability and cost of medical coverage for the child(ren) by either parent; (12) All child support orders; (13) Information on ownership of real property by the non-custodial parent; (14) Information on financial accounts held by either parent; (15) Work, home, and cellular telephone numbers for both parents; (16) Information on both paternal and maternal grandparents for each child; (17) Caretaker information if the children are not living with the mother or the father; (18) Marriage or divorce or separation history of both parties, marriage certificate, and divorce decree; and (19) Restraining orders issued by the court. [Eff and comp MAR 30 2014] (Auth: HRS §§576D-2, 576D-6) (Imp: HRS §§576D-2, 576D-6; 45 C.F.R. §303.2) ### SUBCHAPTER 3 ### LOCATE