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Answers employers' frequently asked questions about using electronic National Medical Support Notice (e-NMSN)

Child support can help children get the financial and medical support they need to help them thrive

National Medical Support Notice Forms & Instructions (Updated)

OMB 0970-0222 & 1210-0113
January 19, 2023

Legal notice that the employee is obligated to provide health care coverage for the child(ren) identified

e-NMSN Agreement and Profile Forms

OMB 0970-0370
July 21, 2022

Completed by employers or plan administration to register to use electronic National Medical Support Notice

Provides state-specific information about medical support for employers and other states

How to Complete an Income Withholding for Support Order

A Guide to the IWO and Instructions
January 19, 2021

Training presentation provides directions on how to complete the Income Withholding for Support Order (IWO)

Tips and options to help employers switch from paper checks to electronic payments to states

Announces the expiration date of October 31, 2022 for federally approved of the National Medical Support Notice Part A and B

Guidance on what can and cannot be changed on the standard OMB-approved IWO form

Distributes the revised OMB Income Withholding for Support (IWO) form and instructions with expiration date 8/31/2020