Research on Compliance with Child Support Orders and Agreements in Prince Edward Island

2003-FCY-1E

APPENDIX: MEP-P.E.I. DATA COLLECTION SHEET

  1. Project ID:
  2. MEP case #:
  3. DOB payor: (m/d/y)
  4. DOB recipient:
  5. Sex payor: M / F
  6. Sex recipient: M / F
  7. Date file opened:
  8. REMO status: non, out, in
  9. Location payor: DK
  10. Location recipient: DK
  11. Amount of original order: $
  12. Amount of current order: $
  13. Date of original order:
  14. Date of current order:
  15. Source of current order:
    1. Divorce Act
    2. Prov leg.
    3. Sep. agreement
    4. Other:
  16. Type of order:
    1. Final
    2. Interim
  17. Variations: None
    1. UP / Down
      Reason :
      Date :
    2. UP / Down
      Reason :
      Date :
    3. UP / Down
      Reason :
      Date :
    4. UP / Down
      Reason :
      Date :
    Reasons:
    1. Change in number of children
    2. Change in income circumstances
    3. Change resulting from support guidelines
    4. Change in tax responsibility (fed legislation
    5. Other (indicate reason)
    6. Don’t know
  18. Income source payor:
    • Current: Employment / E.I. / S.A. / DK
      Seasonal / F-T / P-T / DK
    • Ever: Employment / E.I. / S.A. / DK
  19. Income source recipient:
    • Current: Employment / E.I. / S.A. / DK
      Seasonal / F-T / P-T / DK
    • Ever: Employment / E.I. / S.A. / DK (Multiple)
  20. Primary current payment method:
    1. Wage attachment
    2. Cheque to MEP
    3. Direct to recipient
    4. FOAEA intercept
    5. GAPDA garnishment
    6. Cash to MEP
    7. No current payments
  21. Current age of children:
  22. Payment Record
    Year # of
    months
    # pay
    missed
    Total
    Obl
    Total
    payed
    1999     $ $
    1998     $ $
    1997     $ $
    1996     $ $
    1995     $ $
    1994     $ $
    1993     $ $
    1992     $ $
    1991     $ $
    1990     $ $
  23. Date of last payment
  24. Arrears
    • At entry into program $
    • Current $

  25. Enforcement
    Activity Date Resolution
    (Reg. Pay)
    Resolution
    (Arrears)
    Date
    6.          
    7.          
    8.          
    9.          
    10.          
    11.          
    12.          
    13.          
    14.          
    15.          

    Enforcement activities:
    1. OAEA interception
    2. default hearing
    3. default meeting
    4. motor vehicle intervention
    5. order for arrest
    6. warrant for arrest
    7. order for sale of assets
    8. judgement/execution
    9. GAPDA (sal/pension)
    10. federal license suspension
    11. federal trace
    12. Prov trace
    13. remo out
    14. collection agency

    Resolution (regular payments):
    1. no resumption of payment of current obligation
      (within 3 months of action)
    2. temporary resumption of payment
      (resumption, but lasted less than 6 months)
    3. resumption of payment (6 months or more)
    4. don’t know

    Resolution (arrears):
    1. income tax refund
    2. one-time GST payment
    3. retrieval of assets