Thank you for visiting our website and for your interest in updating your company information. Maintaining accurate employer information with the California Department of Child Support Services benefits employers by ensuring notices are sent to the proper location and preventing issuance of duplicate notices.

The information you provide is used only for issuing Income Withholding Orders, Medical Support Notices, and Employment Verifications, and will not be shared with outside agencies.

Please update your information using the Employer Information Update Form.

Employer Information

Company is out of business or no longer in operation

In order to ensure our Child Support Enforcement System is updated. Please provide the information requested below.

If you do not take this step, you may continue to receive communication from DCSS though your business is no longer in operation.

CSE Statewide Employer Number:

Federal Employer Identification Number (FEIN)

No FEIN, Employer reports with SSN

Employer Legal Name

Employer "Doing Business As" Name

Payroll/ Garnishment Information

Please use the dropdown to select your address. This will ensure the information we receive is accurate and complete.

Attention (optional)

Address to send Income Withholding Orders (IWOs) Please select the full address in the dropdown

Payroll Suite

Phone (include area code)

Extension

Email

Fax (include area code)

Click to edit

Health Benefits Information

Please use the dropdown to select your address. This will ensure the information we receive is accurate and complete.

Does your company provide health insurance?

Yes

No

Address is same as payroll

Attention (optional)

Address to send National Medical Support Notices (NMSNs) Please select the full address in the dropdown

NMSN Address Suite

Click to edit

Phone

Extension

Email

Fax Fax number regarding NMSNs.

Professional Employer Organizer (PEO)

Does your company use a Professional Employer Organization (PEO) for HR/Payroll needs?

Yes

No

PEO Company Name:

Third-Party Verification Services

Does your company use a Third-Party verification service provider?

Yes

No

Third-Party Service Name

Service ID:

Multiple FEINs

Multiple FEINs: This organization has more than one (1) FEIN (list additional Name/FEINs below)

How many additional FEINs? Value is not selected

Additional FEIN 1

Additional FEIN 1: Employer Legal/Registered Name (Corp/Inc/LLC)

Additional FEIN 2

Additional FEIN 2: Employer Legal/Registered Name (Corp/Inc/LLC)

Additional FEIN 3

Additional FEIN 3: Employer Legal/Registered Name (Corp/Inc/LLC)

Additional FEIN 4

Additional FEIN 4: Employer Legal/Registered Name (Corp/Inc/LLC)

Outreach Questions

Employer is outside of California

What County is your Headquarters Located in? Value is not selected

Number of Employees Value is not selected

Do you have W-2 employees or Independent Contractors? (Check all that apply)

W-2 Employees

Independent Contractors

1099K/Gig Economy Workers

Are you an e-IWO employer?

Yes

No

Have you signed up for an Employer workshop?

Yes

No

Form Completed By

Title

Phone Number:

Primary Email Address

Secondary Email Address (Optional)

Please double check your entries before selecting submit. The form cannot be reopened after being submitted.

Payroll Street Address

Payroll Street Name

Payroll City

Payroll State

Payroll Zip

Payroll Suite

Healthcare Address

Healthcare Street Name

Healthcare City

Healthcare State

Healthcare Zip

Healthcare Suite

HIDDEN_Sole Proprietor Name

HIDDEN_Same As Payroll

HIDDEN_New or Batch

HIDDEN_Batch Initiate Y

HIDDEN_No employer Response to Emp. Info Form case when IsDefault(@FORMelement27) then 'No Response' when IsDefault(@FORMelement8) then 'No Response' else 'Employer Responded' end

HIDDEN_Number of Characters in FEIN

Click to edit

QR CODE LINK

Subscriber Value is not selected

Outside of CA Value is not selected

Multi FEIN Value is not selected

Who should we contact for Health Benefit information?

Use my business address

Same as payroll contact informaiton

Other

Employer Information

Payroll/Garnishment

Additional Information

Third Party Verification

Outreach

Health Benefits Information

EMPLOYER LEGAL/REGISTERED INFORMATION

PAYROLL/GARNISHMENT INFORMATION

HEALTH BENEFITS INFORMATION

ADDITIONAL INFORMATION

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VERSION 2.0 Employer Email Subscription

Employer Information

Payroll/ Garnishment Information

Health Benefits Information

Professional Employer Organizer (PEO)

Third-Party Verification Services

Multiple FEINs

Outreach Questions

Form Completed By