Texas Employers Order to Withhold Earnings For Child Support Form

If a court in the State of Texas decides that a spouse is required to pay for child support after the divorce, the Employers Order to Withhold From Earnings can be used to deduct the set amount.

Extracted Text for Proper Search

© Texas Partnership for Legal Access  Order to Withhold Child Support, Aug.  2009  Page  1 of 3  
Texas Family Code, Chapter 158 (C) 	
 	  	
Fill out below exactly as it appears on your Petition.   	
Cause No:	  	
   	
In the Matter of the Marriage of: 
________________________________________ 
and 
________________________________________	
 
 
A	
ND	/O	R 
In the interest of 	
(List children under 18	): 
1 Name:  	
2 Name:  
3 Name:  
4 Name:  
5 Name:  	
§
§
§
§
§
§
In the  (check one):   District         County           Court of: 
 	 County ,Texa	s	
6 Name:  	 	 	
    	 
 
O	
RDER TO 	EMPLOYER TO 	W	ITHHOLD 	SUPPORT	 	
 
1.
  EMPLOYEE	  
The Court orders you, the Employer, to  withhold income from the paycheck of 	
(name of Employee, person 
paying child support ):	
 	
 	 	
First Name  Middle Name  Last Name	 	Social Security No.	 
  	
 	
Street address	 	City   State       Zip	 	
 
 
2.  R	
ECIPIENT	 
The State will send the income you withhold to 	
(name of person receiving child support )	  
 	
 	
First Name  Middle Name  Last Name	 	 
  	
 	
Street address	 	City   State        Zip 
 	
 
3.  P	
AYMENT 	INFORMATION	 
You must withhold the amount on page 2 of this form starting next pay pe\
riod. Mail the amount withheld 
to:  
Texas State Disbursement Unit	
, P.O. Box 659791, San Antonio, TX 78265-9791  
Also include:   
   Employee’s name and SSN  (above) 
   Court case number (see the top right corner of this page)  
   Amount withheld and the first and last date of the pay period  
   Name of recipient  (above) 
 	
If your case has a Child Support or Spousal Support Order, fill out this\
 form.  	
This Order is 	(check one):
 	
 New   Updated

© Texas Partnership for Legal Access  Order to Withhold Child Support, Aug.  2009  Page  2 of 3  
Texas Family Code, Chapter 158 (C) 
4.  A	MOUNT TO 	W	ITHHOLD	 
The employee is ordered to pay the following amounts: 
$_____ /month child support  $_____ /month medical support 
$_____ /month spousal support  $_____ /month arrearage 
  
  MONTHLY TOTAL = $_____   
 
The Court ORDERS you to withhold the follo wing amounts from the employee’s earnings: 
$  	
 if paid monthly 
$  
 if paid twice monthly 	(= monthly amount   	÷  2)	 
$  	
 if paid every other week 	(= monthly amount   x  12, 	÷ 26 )	 
$  	
 if paid weekly 	(= monthly amount   x 12, 	÷ 52 )	 
 
When one child under this order no longer requires child support, you are ordere\
d to withhold the 
following amounts from the employee’s earnings: 
$  	
 if paid monthly  $  	 if paid twice monthly 
$  	
 if paid every other week  $    	 if paid weekly 
 
When two children under this order no longer require child support, you are orde\
red to withhold the 
following amounts from the employee’s earnings: 
$_____ if paid monthly  $_____ if paid twice monthly 
$_____ if paid every other week  $_____ if paid weekly 
 
When three children under this order no longer require child support, you are orde\
red to withhold the 
following amounts from the employee’s earnings: 
$_____ if paid monthly  $_____ if paid twice monthly 
$_____ if paid every other week  $_____ if paid weekly 
 
When four  children under this order no longer require child support, you are orde\
red to withhold the 
following amounts from the employee’s earnings: 
$_____ if paid monthly  $_____ if paid twice monthly 
$_____ if paid every other week  $_____ if paid weekly 
 
When five children under this order no longer require child support, you are orde\
red to withhold the 
following amounts from the employee’s earnings: 
$_____ if paid monthly  $_____ if paid twice monthly 
$_____ if paid every other week  $_____ if paid weekly 
 
 	
  	
Date of Judgment  	 
 	 	
Judge’s signature

© Texas Partnership for Legal Access  Order to Withhold Child Support, Aug.  2009  Page  3 of 3  
Texas Family Code, Chapter 158 (C) 	
—  Information for Employer — 	
 
Do I  have to  withhold money from the 
employee’s paycheck? 
Yes. This is a Court Order. You  must obey the 
instructions on page 1 of this form. It is against 
the law to discriminate against an employee 
because of an Order to Withhold Child Support.  
Warning!  If you discriminate against an 
employee because of a Withholding Order, you 
can be fined. 
 
How long do I have to withhold? 
You must withhold earnings until: 
   The child turns 18 and you receive a notice 
of the child’s graduation or completion of 
attendance requirements , or  
   The child marries, dies, or is emancipated by 
court order,  or  
   The child’s parents marry each other and live 
with the child,  or  
   The court changes this Order.  
 
What if one of the children no longer 
needs support? 
You may reduce withholding when one of the 
children no longer needs support. See the 
withholding schedule on page 2. 
 
What if the employee stops working  
for me? 
You must notify the Court  and the Recipient 
within 7 days of the employee’s last day of work.  
You must also give the court this information: 
   Employee’s name and case # 
   Employee’s last known address  
   Date of Employee’s last day of work 
   Name and address of the new employer (if 
you know it). 
 
What if there is more than one Order to 
withhold for this employee?  
You must give priority to this Order. But, you 
may also withhold for other orders  if the total 
withholding is not more than 50% of the 
employee ’	
s net income.  	
Caution: You must make a separate withholding 
payment for each Order.  	
What if the support amount is  more than 
50% of this employee’s income?  
You cannot withhold more than 50% of the 
employee’s net income . The law says you must 
do your best to honor all Notices and Orders you 
receive.  
If you have questions, contact your local Child 
Support Office. Their phone number, email and 
address are listed at: 
www.oag.state.tx.us/agency/contacts.shtml	 
 	
Can I withhold a lower amount of 
monthly support than the Order says? 
Sometimes. If the monthly support ordered  is 
more than 50%  of the employee’s net monthly 
income, only withhold 50% of the net monthly 
income.  
Can I submit the withheld amount 
online? 
Yes. The State of Texas has an easy way for 
employers to make withholding payments online. 
This site can also answer many of your 
questions.   
https://portal.cs.oag.state.tx.us/wps/portal/Emplo
yerHome  
 
What is included in employee earnings? 
Employee earnings include wages, salary, 
subcontractor pay, overtime pay, commission, 
bonus, pension payment, disability, retirement 
income, and any other income from this job.  
Where can I learn more about child 
support laws? 
To read the child support laws, look for Texas 
Family Code, Chapter 158 (C) on the Internet. 
 
What if I have questions? 
Contact the State Child Enforcement Agency 
online:  
www.oag.state.tx.us/agency/contacts.shtml.