Determining Family Violence.

(1)

The date(s), time(s) and place(s) of each incident(s).

(2)

The names of persons who witnessed the incident(s).

(3)

Police, government agency or court records or files.

(4)

Documentation from a domestic abuse program.

(5)

Documentation from legal, clerical, medical, or other professionals from whom the custodial party or noncustodial parent sought assistance in dealing with domestic abuse or child abuse.

(6)

Physical evidence of abuse.

(7)

A statement from another individual with knowledge of the circumstances that provide the basis for the claim of abuse.

(8)

Protective orders issued.

(9)

Any other evidence that supports the incident(s) of domestic violence or child abuse.

(1)

A new blank form 2142.

(2)

A domestic violence cover letter #2, “DVCVR #2,” CSS 2144, dated (09/01/01), incorporated by reference herein. Form 2144 shall notify the party that the form 2142 initially submitted did not contain sufficient detail to stop release of information to the federal government and request completion and submission of a new form 2142 to the local child support agency within 30 days from the date of the letter.