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Making Good Cause Determination Checklist

In making the Good Cause determination, the following questions must be answered:

Good Cause Checklist
Has the non-custodial parent been abusive to the custodian or the child? Yes No
Was the child conceived as a result of rape or incest? Yes No
Is the custodian considering or has decided to place the child for adoption? Yes No

If the answer is “yes” to any of these questions, then good cause exists. The type of documentation necessary to make this determination is as follows:

  • Sworn statement from the claimant detailing the circumstances on the basis of the good cause claim which indicate there is a potential for physical or emotional harm from the non-custodial parent towards the custodian and/or child.
  • Individuals other than the custodian with knowledge of circumstances on the basis of the good cause claim which indicate there is a potential for physical or emotional harm from the non-custodial parent towards the custodian and/or child.
  • Birth certificate, medical report, or law enforcement report indicating a rape occurred or child may have been conceived by rape or incest.
  • Court documents indicating adoption proceedings have occurred or are pending.
  • Written statement from public or licensed private social services agency indicating adoption proceedings are pending or are being considered.
  • Court, medical, Child Welfare, Social Services, psychological, or law enforcement record indicating physical or emotional harm inflicted by the non-custodial parent on the custodian and/or child.

CSS recognizes individuals claiming good cause may not have access to forms and various  documents (law enforcement reports, medical records, etc.). The dynamics surrounding domestic violence is very complex. In order to enable our customers to claim good cause and still benefit from much needed services, we allow a sworn statement as documentation to support the claim of good cause.

A sworn statement is on the C-11 and C-13 forms. CSS accepts the sworn statement as evidence (same as a notarized statement) to support the claim; unless it seems to be unsubstantiated. If you have any questions or concerns about the sworn statement, send the information to CSS.GoodCause@okdhs.org for review.