State of Alabama
Unified Judicial System
A NOTICE OF CHANGE IN DEFENDANT’S
EMPLOYMENT AND REQUEST FOR SERVICE
IN THE ________________________________ COURT OF _______________________________ COUNTY,
Social Security Number: __________________________
NOTICE TO: ________________________________________________________ (Obligee)
You are hereby notified that the above-named defendant/obligor has changed employment/become
unemployed/is receiving workmen’s compensation benefits. The new Employer is: __________________
at (address) _____________________________________________________________________________
You have a right under the law to file a written request for service upon a new employer of the
defendant/obligor or upon the Department of Industrial Relations for withholding.
If you wish to have the Withholding Order served on the new employer/the Department of Industrial
Relations, you must complete Part B of this form, deliver it to the office of the Clerk of the above named Court
and PAY the appropriate cost for service.
NOTICE TO: ____________________________________________________________ (Clerk)
___________________________ Court of ____________________________ County, Alabama
I hereby request that the above-named Clerk serve, pursuant to the Alabama Rules of Civil Procedure,
a copy of the Withholding Order upon the above-named new employer/the Department of Industrial Relations.
I further request the Clerk to have the court’s Withholding Order and related documents served upon the
employer/the Department of Industrial Relations by G personal serv