DHS-3163B-ENG (Referral to support and collections) This form is used by Minnesota Family Investment 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information in Section 1. Include your last name, first name, middle name, and other required details such as your social security number and date of birth.
3. In Section 2, provide information about the other parent or alleged father. Ensure you indicate if they are deceased and include their full name and relevant details.
4. Section 3 requires details about any children living with you. Fill in each child's name, gender, date of birth, and their relationship to the other parent using the provided codes.
5. Complete Sections 4 through 9 with employment information for both parents, child support payment history, medical support responsibilities, and any additional identifying data about the other parent.
6. Finally, review all sections for accuracy before signing at the end of the form. Make sure to check any necessary boxes that apply to your situation.

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