State of Alabama A NOTICE OF CHANGE IN DEFENDANTS Case NumberUnified Judicial System EMPLOYMENT AND REQUEST FOR SERVICE Form CS-36 Rev. 6/92 IN THE ________________________________ COURT OF _______________________________ COUNTY, ALABAMA _______________________________________________ v.________________________________________________ Address: _______________________________________ ______________________________________________ Social Security Number: __________________________ PART A. NOTICE TO: ________________________________________________________ (Obligee) DATE: __________________________ You are hereby notified that the above-named defendant/obligor has changed employment/become unemployed/is receiving workmens compensation benefits. The new Employer is: __________________ _______________________________________________________________________________________ at (address) _____________________________________________________________________________ You have a right under the law to file a written request for service upon a new employer of the defendant/obligor or upon the Department of Industrial Relations for withholding. If you wish to have the Withholding Order served on the new employer/the Department of Industrial Relations, you must complete Part B of this form, deliver it to the office of the Clerk of the above named Court and PAY the appropriate cost for service. __________________________________________ Collecting Agency PART B. NOTICE TO: ____________________________________________________________ (Clerk) ___________________________ Court of ____________________________ County, Alabama DATE: ___________________________ I hereby request that the above-named Clerk serve, pursuant to the Alabama Rules of Civil Procedure, a copy of the Withholding Order upon the above-named new employer/the Department of Industrial Relations. I further request the Clerk to have the courts Withholding Order and related documents served upon the employer/the Department of Industrial Relations by G personal service G certified mail. _____________________________________________ Signature of Obligee/Attorney