Leading Individuals to Vital Employment (LIVE) Participation Form

Louisiana Department of Children and Family Services
Child Support Enforcement Section

Leading Individuals to Vital Employment (LIVE) – An Employment and Training Program
Participation Form
Qualifying Parishes: Beauregard, Calcasieu, Cameron, Jefferson Davis.
Promotional Period: October 1, 2025 – September 29, 2029

Full Name:

First Last

Parish of Case:

Case Number(s):

Phone Number:

Custodial Parent’s Name:

First Last

Child's Name:

First Last

Residential Address

Street Address City State ZIP Code

Mailing Address

Street Address City State ZIP Code

Email Address:

Employer Info (if applicable):

Employer Name:

Employer Phone Number

Employer Address

Street Address City State ZIP Code

Date:(Required)

Signature of Noncustodial Parent(Required)

Submission Instructions:

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

Online: Submit directly from the DCFS Website by selecting submit.
In Person: Visit your child support office at 3519 Patrick Street, Lake Charles, LA 70605 from 8 a.m. to 4:30 p.m., Monday through Friday. This program is only available in the Lake Charles Region.
Phone: Call the Lake Charles office at (337) 491-2564.

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Child Welfare

Family Services

Child Support

Programs

Become a Foster Caregiver

Adopt a Child or Teen

Foster Care

Adoption

Programs

Mandated Reporters

Elected Officials

Medical Professionals

Providers

Teachers & School Personnel

Leading Individuals to Vital Employment (LIVE) Participation Form

Employer Info (if applicable):