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

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

Announces revised NMSN Part A and B forms with OMB approved expiration Nov. 30, 2025

Announces the extension for using the NMSN Part A and B forms to Oct 31, 2023

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

Describes the IRG, FCE, and e-NMSN enhancements for implementation in Release 21-02

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

Announces the correction to the revised National Medical Support Notice Part A form instructions

Guidance on requesting medical support in applications from the U.S. to Canada