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EMPLOYER'S CORNER Employer's Home Employer's Brochure Employer's Contact Employer's Payment Methods Employer's Inquiry Form Employer's FAQs Employer's Links State Disbursement Unit Home   >   Employer's Corner    Employer's Corner Employer's Inquiry Form Please fill out this form for your inquiry * indicates required fields.   Case Information Superior Court #: * Case #: * Company Name: Company Phone #: * YOUR Name: * YOUR Phone #:   Employee Information * Employee Name: Employee Date of Birth: * Employee SSN #: Employee Home Address1: Employee Home Address2: Employee Home City: Employee Home State: Employee Home Zip: Employee Home Phone #: Employee Office Address1: Employee Office Address2: Employee Office City: Employee Office State: Employee Office Zip:   Current Employer Employer Name: Employer Address1: Employer Address2: Employer City: Employer State: Employer Zip: Employer Phone #: Date of Termination: Reason for Termination: Disability or Worker's Compensation Case or Claim #:   Payroll Information Payroll Name: Payroll Address1: Payroll Address2: Payroll City: Payroll State: Payroll Zip: Payroll Phone #:   Union Information Union Name: Union Address1: Union Address2: Union City: Union State: Union Zip: Union Phone #:   Questions or Comments Questions/Comments:   Health Insurance Information Please one of the following options. Employer does not maintain or contribute to plans providing dependent or family health care coverage. Current child support and health insurance exceed 50% of the employee's net disposable income. Health insurance provided by The Union Health and Welfare Trust Fund. Please provide their contact information below.     If you selected option #3 above, please enter The Union Health and Welfare Trust Fund address and phone number here. If you have a contact name you can enter it here as well.     ONLINE SERVICES   Open a Child Support Case Estimate Your Child Support Amount Request a Review/Modification of your court ordered amount Change of Address QUICK LINKS State Disbursement Unit Volunteers Paternity Verification Direct Deposit 2007 Customer Newsletter Saturday Hours

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