Employer Handbook

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

Verification of Employment

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)

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