NOTE TO EMPLOYER/INCOME WITHHOLDER:
An acceptable method of determining the amount to be paid on a weekly or biweekly basis is to multiply
the monthly amount due by 12 and divide that result by the number of pay periods in a year. Additional
information about this topic is available in Action Transmittal 16-04. Correctly Withholding Child Support
from Weekly and Biweekly Pay Cycles (https://www.acf.hhs.gov/css/resource/correctly-withholding-child-support-from-weekly-and-biweekly-pay-cycles).
COMPLETED BY SENDER:
AMOUNTS TO WITHHOLD - Fields 13a through 13d specify the dollar amount to be withheld for this
IWO if the employer/income withholder’s pay cycle does not correspond with field 12b.
13a.
Per Weekly Pay Period. Total amount an employer/income withholder should withhold if the employee/obligor is paid weekly.
13b.
Per Semimonthly Pay Period. Total amount an employer/income withholder should withhold if the employee/obligor is paid twice a month.
13c.
Per Biweekly Pay Period. Total amount an employer/income withholder should withhold if the employee/obligor is paid every two weeks.
13d.
Per Monthly Pay Period. Total amount an employer/income withholder should withhold if the employee/obligor is paid once a month.
14.
Lump Sum Payment. Dollar amount withheld when the IWO is used to attach a lump sum payment. This field should be used when field 1c is checked.
15.
Document Tracking ID. Optional unique identifier for this form assigned by the sender.
Please Note: Employer’s Name, FEIN, Employee/Obligor’s Name and SSN, Case ID, and Order ID must appear in the header on page two and subsequent pages.
REMITTANCE INFORMATION - Payments are forwarded to the SDU in each state, unless the initial child support order was entered by a state before January 1, 1994 and never modified, accrued arrears, or was enforced by a child support agency or by a tribal CSE agency. If the order was issued by a tribal CSE agency, the employer/income withholder must follow the remittance instructions on the form.
16.
State/Tribe. Name of the state or tribe sending this document.
17.
Days. Number of days after the effective date noted in field 18 in which withholding must begin according to the state or tribal laws/procedures for the employee/obligor’s principal place of employment.
18.
Date. Effective date of this IWO.
19.
Business Days. Number of business days within which an employer/income withholder must remit amounts withheld pursuant to the state or tribal laws/procedures of the principal place of employment.
20.
Percentage of Disposable Income. The percentage of disposable income that may be withheld from the employee/obligor’s paycheck. It is the sender’s responsibility to determine the percentage an employer/income withholder is required to withhold.