ESBD_562602_1790286638145_Child Support Obligation Schedule.pdf
PDF 131 KB Posted
- Attached to
- Inspection/Re-certification of Roll Over Protection Structures (ROPS) for TxDOT's Amarillo District
- Solicitation number
- 601340000067353
- Issued by
- Texas
About this file
This is a Child Support Obligation Schedule form required by the State of Texas for respondents to a solicitation related to Inspection/Re-certification of Roll Over Protection Structures (ROPS) for TxDOT's Amarillo District. The form mandates that all respondents certify their eligibility to receive state payments and acknowledge that their contract may be terminated and payment withheld if the certification is inaccurate. Respondents must disclose the names and Social Security numbers of any individual or business entity holding at least a twenty-five percent ownership interest in the business entity submitting the response. The form requires signatures and must be completed and returned with the bid response, as failure to do so may result in the response being deemed non-responsive.
Under Texas Family Code Section 231.006, the state uses this schedule to identify persons who may owe child support obligations and to ensure contractor eligibility for state payments. Social Security numbers are collected and maintained confidentially to the fullest extent allowed by law. Respondents who do not meet the ownership criteria may mark the "not applicable" option and sign accordingly. This certification page is a mandatory document that must accompany all bid submissions for this TxDOT procurement.
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Text version
1 - 2 Revised 09/18/2026
Child Support Obligation Schedule
Solicitation No.
Ineligibility to Receive State Grants or Loans or Receive Payment on State
Contracts
Respondent shall fill out the appropriate information, sign and return the schedule.
Under Family Code §231.006, relating to child support obligations, Respondent and any other individual or business entity named in this solicitation are eligible to receive the specified payment and acknowledge that this contract may be terminated and payment withheld if this certification is inaccurate. Any response submitted under this solicitation shall contain the names and social security numbers of person or entity holding at least a twenty-five percent ownership interest in the business entity submitting the response. Respondents meeting the ownership must complete the following:
XXX-XX
Name Social Security Number
XXX-XX
Name Social Security Number
XXX-XX
Name Social Security Number
2 - 2
If the respondent does not meet the ownership criteria under Texas Family code - Section 231.006, mark on the line below, sign and return the schedule.
This Schedule is not applicable
FEDERAL PRIVACY ACT NOTICE: This notice is given pursuant to the Federal
Privacy Act. Disclosure of your Social Security (SSN) is required under
Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code. The
SSN will be used to identify persons that may owe child support. The SSN will be kept confidential to the fullest extent allowed under Section 231.302(e), Texas Family Code.
Signature:
Name
Title
THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN
AND RETURN THIS PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED
NON-RESPONSIVE.
| Child Support Obligation Schedule |
| Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts |
| solicitation_number: 601340000067353 |
| owner_1_name: |
| owner_1_ssn_last4: |
| owner_2_name: |
| owner_2_ssn_last4: |
| owner_3_name: |
| owner_3_ssn_last4: |
| not_applicable: Off |
| signature: |
| printed_name: |
| title: |
File details come from the government source that posted it. Updated .