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APPENDIX

 Step-by-Step Child Support for Employers Appendix, Page 1

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TABLE OF APPENDICES

HANDOUT 1

HAND OUT 1 ...............................................................................................................5

ORDER/NOTICE TO WITHHOLD INCOME FOR CHILD SUPPORT.........................5

HAND-OUT 2

IWO FLOWCHART.....................................................................................................10

HAND-OUT 3NATIONAL MEDICAL SUPPORT NOTICE (NMSN) ................................................15

HAND-OUT 4

NATIONAL MEDICAL SUPPORT NOTICE FLOWCHART.......................................27

 Step-by-Step Child Support for Employers Appendix, Page 3

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Hand Out 1Hand Out 1

Order/Notice to Withhold Income for ChildOrder/Notice to Withhold Income for Child SupportSupport

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 Step-by-Step Child Support for Employers Appendix, Page 7

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INCOME WITHHOLDING ORDER (IWO)

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 Step-by-Step Child Support for Employers Training for Federal Agencies on Their Role in ChildSupport Appendix, Page 9

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Hand-out 2Hand-out 2

IWO FlowchartIWO Flowchart

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 Step-by-Step Child Support for Employers Training for Federal Agencies on Their Role in ChildSupport Appendix, Page 11

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Appendix

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2/7/2006 

Income Withholding Order (IWO) ProcessFede ra l Off ice of Chi ld Support Enforceme nt

STARTIs this my employee?

Box 3a,3b,3cReturn IWO to iss uing entity

with explanation.

NO

Is this an

Order or a Notice?

Box 1a

 YES

* An Order to Withhold Income p rovides the

authority for the employer to withhold income.

* An Order for Withholding Income for Child

Support comes from IV-D child supp ort

agencies, courts or attorneys authorized by

state law to issue an income wi thholding order.

ORDER

* A Notice of an Order to Withhold Income requires

the sender to provide a copy of the underlying

adminis trative or court order that contains a

provision authorizing income withholding.

* Non IV-D attorneys, individua ls and private

collection agencies m ust su bmit a copy of the

underlying adminis trative or court order that

contains a provision authorizing income

withholding.

Employer receives

IWO.

NOTICE

Return IWO to is suing entity with

explanation.

Is the underlying order 

attached?

Does the order include a provision

for income withholding?

Withhold as

ordered.

 YES

 YES

NO

NO

OCSE Employer Website: www.acf.hhs.gov/programs/cse Click on: Information for Employers

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 Step-by-Step Child Support for Employers Training for Federal Agencies on Their Role in Child Support Appendix, Page 14

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Appendix

Hand-out 3Hand-out 3

National Medical Support NoticeNational Medical Support Notice 

(NMSN)(NMSN)

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 Step-by-Step Child Support for Employers Training for Federal Agencies on Their Role in Child SupportAppendix, Page 18

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Appendix

Hand-out 4Hand-out 4

National Medical Support NoticeNational Medical Support Notice 

FlowchartFlowchart

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NATIONAL MEDICAL SUPPORT NOTICE FLOWCHARTEmployer Receives NMSN

Determine whether any question on the Employer Response form applies to you or this

employee. If any question applies, complete the Employer Response form and return it to the

child support agency within 20 business days. At this point you may not be able to determine

whether question #4 applies.

Does any question on the Employer Response form apply?

If YES Return Employer Response form to the child support

agency.

If NO  Send Part B to plan administrator for enrollment.

• The plan administrator will notify you when enrollment has been completed. The plan

administrator has 40 business days to respond.

• Payroll calculates withholding deductions.

• Do deductions for employee's child and medical support exceed maximum allowable

(by CCPA) for withholding?

If YES Check state law of employee's principal place of 

employment to determine payment priority.

If NO  Withhold full amount for child and medical support.

 

Does state priority require payment for medical support first?

If YES Withhold for medical support.

If NO  Complete #4 on Employer Response form and return

to the child support agency.

If enrollment cannot be completed until after a waiting period or other contingency, you mustnotify the plan administrator when the employee is eligible for enrollment. You should also

notify the child support agency of the timeframe for enrollment.

OCSE Employer Services Website:www.acf.hhs.gov/programs/cse, Click on: Information for Employers

11-15-05