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License Suspension Reinstatement Promotion Participation Form (2025)

Louisiana Department of Children and Family Services
Child Support Enforcement Section

License Suspension Reinstatement Promotion
Participation Form
Promotional Period: August 1, 2025 – September 30, 2025

Full Name:
Custodial Parent’s Name:
Child's Name:
Residential Address
Mailing Address

Employer Info (if applicable):

Employer Address
Date:
Clear Signature
Consent(Required)

Submission Instructions:

Submit this completed application form through one of the following methods:

  • Online: Submit directly from the DCFS Website by selecting submit.
  • Email: [email protected] or [email protected]
  • Phone: Call the Customer Service Center at 1-888-524-3578
  • In-Person: Visit your nearest Child Support Enforcement (CSE) office from 8 a.m. to 4:30 p.m., Monday through Friday.