Earnings Withholding Order For Support
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Earnings Withholding Order For Support Form. This is a California form and can be use in Wage Garnishment Judicial Council.
Loading PDF...
Tags: Earnings Withholding Order For Support, WG-004, California Judicial Council, Wage Garnishment
WG-004
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
LEVYING OFFICER (Name and Address):
Index No.
:
ATTORNEY FOR (Name):
Calendar No.
:
JUDICIAL SUBPOENA
NAME OF COURT, JUDICIAL DISTRICT, OR BRANCH COURT, IF ANY:
Plaintiff(s)
-against-
PLAINTIFF:
:
:
DEFENDANT:
:
EARNINGS WITHHOLDING ORDER FOR SUPPORT
(Wage Garnishment)
Defendant(s)
:
......................................................
EMPLOYEE: KEEP YOUR COPY OF THIS LEGAL PAPER.
LEVYING OFFICER FILE NO.:
COURT CASE NO.:
EMPLEADO: GUARDE ESTE PAPEL OFICIAL.
EMPLOYER: Enter the following date to assist your record keeping.
THE PEOPLE OF THE STATE OF NEW YORK
Date this order was received by employer (specify the date of personal delivery by levying officer or registered process server
TO or the date mail receipt was signed):
TO THE EMPLOYER REGARDING YOUR EMPLOYEE:
Name and address of employee
Name and address of employer
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Social Security Number (if known):
located at
County of
1. A judgment creditor has obtained this order to collect a court judgment against your employee. You any directed to withhold part of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at are recessed
the earnings of the employee (see instructions on reverse this action onPay the withheld sums to the levying officer (name
of this form). the part of the
or adjourned date, to testify and give evidence as a witness in
and address above).
If the employee works for you now, you must give the employee a copy of this order and the Employee Instructions within
10 days after receiving this order.
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Complete both copies of the form was issued Return and mail them of $50 and all damages sustained as a
the party on whose behalf this subpoena Employer's for a maximum penaltyto the levying officer within 15 days after receiving this
resultorder, whether or not the employee works for you.
of your failure to comply.
2. The total amount due is $
Witness, Honorable
, one of the Justices of the
Count 10 calendar days from the date when you received this order. If your employee's pay period ends before the tenth day, do
County,
day of
, 20
not withhold earnings payable for that pay period. Do withhold from earnings that are payable for any pay period ending on or after
that tenth day.
Court in
Continue withholding until
(Attorney must sign above and type name below)
(1) the total amount due has been withheld; or
(2) you receive a court order or an order from the levying officer telling you to stop the withholding earlier.
3. The judgment was entered in the court shown above. The judgment creditor is (name):
Attorney(s) for
4. The EMPLOYER'S INSTRUCTIONS on the reverse tell you how much of the employee's earnings to withhold each payday. Follow
those instructions unless you receive a court order or order from the levying officer giving you other instructions.
Date:
............................................................................
Office and P.O. Address
(TYPE OR PRINT NAME)
(SIGNATURE)
LEVYING OFFICER
REGISTERED PROCESS SERVER
Telephone No.:
The EMPLOYER'S INSTRUCTIONS on the reverse contain special rules that apply to Earnings Withholding Order For Support. Read
Facsimile No.:
the instructions carefully.
E-Mail Address:
(Employer's Instructions on reverse)
Page 1 of 2
Code of Civil Procedure, §§ 706 030,
Form Adopted by the
Mobile Tel. No.: SUPPORT
EARNINGS WITHHOLDING ORDER FOR
Judicial Council of California
706.108, 706.052
WG-004 [Rev. January 1, 2007]
www.courtinfo.ca.gov
(Wage Garnishment)
American LegalNet, Inc.
www.FormsWorkflow.com
EMPLOYER'S INSTRUCTIONS
(EARNINGS WITHHOLDING ORDERS FOR SUPPORT)
These instructions apply only to Earnings Withholding Orders for Support. Applicable instructions appear on the reverse
of the other types of Earnings Withholding Orders.
The instructions in paragraph 1 on the reverse of this form
describe your early duties to provide information to your employee and the levying officer.
Your other duties are TO WITHHOLD THE CORRECT
AMOUNT OF EARNINGS (if any) and PAY IT TO THE LEVYING OFFICER during the withholding period.
The usual withholding period begins ten (10) calendar days
after you receive the Earnings Withholding Order. In the case of
an Earnings Withholding Order for Support (this Order) the
withholding period continues until one of two things happens:
(1) the total amount specified in the Order, plus any amounts
listed in a notice from the levying officer, has been withheld,or
(2) you receive a court order or notice signed by the levying
officer specifying a termination date.
You are entitled to rely on and should obey all written notices signed by the levying officer.
The form Employer's Return describes several situations
that could affect the withholding period for this order. If you
receive more than one Earnings Withholding Order during a
withholding period, review that form (Employer's Return) for
instructions.
Your duty to withhold does not end merely because the
employee no longer works for you. Withholding for an Earnings Withholding Order for Support does not automatically
terminate until one year after the employment of the
employee by the employer ends.
WHAT TO DO WITH THE MONEY
The amounts withheld during the withholding period must
be paid to the levying officer by the 15th of the next month
after each payday. If you wish to pay more frequently than
monthly, each payment must be made within ten (10) days
after the close of the pay period.
Be sure to mark each check with the case number, the
levying officer's file number, if different, and the employee's
name so the money will be applied to the correct account
WHAT IF YOU STILL HAVE QUESTIONS?
The garnishment law is contained in the Code of Civil
Procedure beginning with section 706.010. Sections 706.022,
706.025, and 706.104 explain the employer's duties.
WG-004
Inquiries about the federal law will be answered by mail,
telephone or personal interview at any office of the Wage
and Hour Division of the U.S. Department of Labor. Offices
are listed in the telephone directory under the U.S.
Department of Labor in the U.S. Government listing.
COMPUTATION INSTRUCTIONS
State and federal law limits the amount of earnings that can
be withheld. The limitations are based on the employee's
disposable earnings, which are different from gross pay or
take-home pay.
To determine the CORRECT AMOUNT OF EARNINGS TO
BE WITHHELD (if any), compute the employee's disposable
earnings.
(A) Earnings include any money, (whether called wages,
salary, commissions, bonuses or anything else) that is paid by
an employer to an employee for personal services. Vacation or
sick pay is subject to withholding as it is received by the
employee. Tips are generally not included as earning since they
are not paid by the employer.
(B) Disposable earnings are the earnings left after subtracting
the part of the earnings a state or federal law requires an
employer to withhold. Generally these required deductions are (1)
federal income tax, (2) federal social security, (3) state income
tax, (4) state disability insurance, and (5) payments to public
employees' retirement systems. Disposable earnings will change
when the required deductions change.
After the employee's disposable earnings are known, WITHHOLD FIFTY (50) PERCENT of the disposable earnings for the
Withholding Order for Support. For example, if the employee has
monthly disposable earnings of $1,432, the sum of $716 would
be withheld to pay to the levying officer on account of this order.
Occasionally, the employee's earnings will also be subject to a
Wage and Earnings Assignment Order, an order available for
child support or spousal support. The amount required to be
withheld for that order should be deducted from the amount to be
withheld for this order. For example, if the employee is subject to
a Wage and Earnings Assignment Order and the employer is
required to withhold $300 per month to pay on that order, when
the employer receives this Earnings Withholding Order for
Support, the employer should deduct the $300 for the Wage and
Earnings Assignment Order from the $716 and pay the balance
to the levying officer each month for this order.
The Federal Wage Garnishment Law and federal rules provide
the basic protections on which the California law is based.
IMPORTANT WARNINGS
1. IT IS AGAINST THE LAW TO FIRE THE EMPLOYEE BECAUSE OF EARNINGS WITHHOLDING ORDERS FOR THE
PAYMENT OF ONLY ONE INDEBTEDNESS. No matter how many orders you receive, so long as they all relate
to judgment (no matter how many debts are represented in that judgment) the employee may not be fired.
2. IT IS ILLEGAL TO AVOID AN EARNINGS WITHHOLDING ORDER BY POSTPONING OR ADVANCING THE
PAYMENT OF EARNINGS. The employee's pay period must not be changed to prevent the order from taking effect.
3. IT IS ILLEGAL NOT TO PAY AMOUNTS WITHHELD FOR THE EARNINGS WITHHOLDING ORDER TO THE LEVYING
OFFICER. Your duty is to pay the money to the levying officer who will pay the money in accordance with the laws that
apply to this case.
IF YOU VIOLATE ANY OF THESE LAWS, YOU MAY BE HELD LIABLE TO PAY CIVIL DAMAGES AND YOU MAY BE
SUBJECT TO CRIMINAL PROSECUTION!
WG-004 [Rev. January 1, 2007]
EARNINGS WITHHOLDING ORDER FOR SUPPORT
(Wage Garnishment)
Page 2 of 2
