Form 1 Study MIS

OMB #: XXXX-XXXX

EXPIRATION DATE: XX/XX/20XX

INFORMATION COLLECTION ACTIVITY #2

Procedural Justice informed alternatives to contempt (pjac)

MIS Data Entry Elements
	Contacts/outreach
		All contact attempts/contacts and dates
		Was contact with custodial parent, noncustodial parent, or other?
		Purpose/intent of contact
		Result of contact
	Enhanced investigation/locating
		Social media search conducted and dates
		Administrative database search conducted and dates
		Paid locate services used and dates
		Other investigation approaches pursued and dates
	Case Management
		Assessment of barriers conducted and date
		Dispute resolution conducted and date
		Case errors corrected and date
		Ability to pay determination conducted and date
		Case action plan determination and date
		DV screening conducted and date
		Case conference attendance and dates (CP and NCP)
		Case conference outcome
		Case review and date
	Enhanced child support services
		Administrative license reinstatement and date
		Suppression of enforcement actions and date
		Type of enforcement actions suppressed
		Order reviewed and date
		Cash payment agreement established and date
		Non-cash payment agreement established and date
		Arrears compromise and date
		Arrears adjustment and date
		Compromised/adjusted arrears owed to state, CP, or both?
	Supportive services and participation
		Referrals to services and dates
		Type of referral
		Participation in referral services and dates
		Transportation support amount and date
		Other support service provided (please specify) and date

Case enforcement actions
		License suspension and dates
		Seek work order and dates
Contempt proceedings
	Initial review for contempt and date
	Prepare for civil contempt and date
	Attorney review and date
	Contempt filed with court and date
	Type of Personal/process service and date
	Whether NCP was served and date