Income Withholding for Support (IWO) Page 2 of 4
Remit payment to (SDU/Tribal Order Payee)
at (SDU/Tribal Payee Address)
Include the Remittance ID with the payment and if necessary this locator code of the SDU/Tribal order payee
on the payment.
To set up electronic payments or to learn state requirements for checks, contact the State Disbursement Unit (SDU).
Contacts and information are found at www.acf.hhs.gov/css/resource/sdu-eft-contacts-and-program-requirements.
Employer/Income Withholder’s Name:
Employee/Obligor’s Name:
Case ID:
Employer/Income Withholder’s FEIN:
If the employee/obligor’s principal place of employment is (State/Tribe), you must begin withholding no
later than the first pay period that occurs days after the date of of the order/notice. Send payment
within business days of the pay date. If you cannot withhold the full amount of support for any or all orders for this
employee/obligor, withhold % of disposable income for all orders. If the employee/obligor’s principal place of
employment is not (State/Tribe), obtain withholding limitations, time requirements, the appropriate
method to allocate among multiple child support cases/orders and any allowable employer fees from the jurisdiction of
the employee/obligor’s principal place of employment.
State-specific withholding limit information is available at www.acf.hhs.gov/css/resource/state-income-withholding-
contacts-and-program-requirements. For tribe-specific contacts, payment addresses, and withholding limitations, please
contact the tribe at www.acf.hhs.gov/sites/default/files/programs/css/tribal_agency_contacts_printable_pdf.pdf or
www.bia.gov/tribalmap/DataDotGovSamples/tld_map.html.
You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act
(CCPA) [15 USC §1673 (b)]; or 2) the amounts allowed by the law of the state of the employee/obligor’s principal place of
employment if the place of employment is in a state; or the tribal law of the employee/obligor’s principal place of
employment if the place of employment is under tribal jurisdiction. The CCPA is available at www.dol.gov/sites/dolgov/
files/WHD/legacy/files/garn01.pdf. If the Order Information section does not indicate that the arrears are greater than 12
weeks, then the employer should calculate the CCPA limit using the lower percentage.
If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to federal,
state, or tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support
before payment of any past-due support.
If the obligor is a nonemployee, obtain withholding limits from the Supplemental Information section in this IWO. This
information is also available at www.acf.hhs.gov/css/resource/state-income-withholding-contacts-and-program-
requirements.
SSN:
Order ID:
V. Remittance Information: (Completed by the Sender except for the “Return to Sender” check box.)
If checked, the employer/income withholder must provide a copy of this form to the employee/obligor.
Return to Sender (Completed by Employer/Income Withholder). Payment must be directed to an SDU in
accordance with sections 466(b)(5) and (6) of the Social Security Act or Tribal Payee (see Payments in Section VI). If
payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return
the IWO to the sender.
If Required by State or Tribal Law:
Signature of Judge/Issuing Official:
Print Name of Judge/Issuing Official:
Title of Judge/Issuing Official:
Date of Signature:
If the employee/obligor works in a state or for a tribe that is different from the state or tribe that issued this order, a copy of
this IWO must be provided to the employee/obligor.
ALABAMA CHILD SUPPORT PAYMENT CENTER (ACSPC)
P.O. BOX 244015, MONTGOMERY, AL 36124-4015
click to sign
signature
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