Forms That Can Be Downloaded
The following forms are provided in a format that enables you to print them now or to copy them to your computer for printing at a later time.
New Hire
- Texas Employer New Hire Reporting Program: (English or Spanish)
- TXT file layout
- Multistate Employer Notification Form for New Hire Reporting
- New Hire Excel spreadsheet template
Third-Party Agents
- Employer Authorization for Third-Party Reporting (OAG Form 1840)
- Revocation for Third-Party Reporting (OAG Form 1841)
Terminations
- Notice of Termination of Employment
- Health Insurance Status Change Form (Form 3F012)
- Terminations Excel spreadsheet template
- Termination Record Format
Verification of Employment
- Standard Response Verification of Employment Form
- Example of Verification of Employment Form
- Verification of Employment Excel spreadsheet template
- Verification of Employment TXT file layout
Medical Support
- National Medical Support Notice, your response to Part A and instructions
- National Medical Support Notice, your response to Part B and instructions
- Health Insurance Status Change Form - Employer Report of Obligor Status Change
- Employer Health Insurance Enrollment (for Manual Reporting)
- Other Source Health Insurance Form
Income Withholding
- Order/Notice to Withhold Income for Child Support (Example Form 3N051)
- Notice of Intent to Distribute Lump Sum Payments (print format)
- Notice of Intent to Distribute Lump Sum Payments (Excel format)
- Lump Sum Explanation Letter for Noncustodial Parent (English and Spanish)
Texas State Disbursement Unit
- Texas State Disbursement Unit Employer Processing Form (print format or Excel format)