Fill and Sign the Rupro Action Request Form 01 California Courts

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) : TELEPHONE NO.: ATTORNEY FOR (Name): LEVYING OFFICER (Name and Address): NAME OF COURT, JUDICIAL DISTRICT, OR BRANCH COURT, IF ANY PLAINTIFF: DEFENDANT: EARNINGS WITHHOLDING ORDER (Wage Garnishment) LEVYING OFFICER FILE NO.: COURT CASE NO.: EMPLOYEE: KEEP YOUR COPY OF THIS LEGAL PAPER EMPLEADO: GUARDE ESTE PAPEL OFICIAL. EMPLOYER: Enter the following date to assist your record keeping.Date this order was received by employer (specify the date of personal delivery by levying officer or registered process server or the date mail receipt was signed). TO THE EMPLOYER REGARDING YOUR EMPLOYEE: Name and address of employerName and address of employee Social Security Number (if known): 1. A judgment creditor has obtained this order to collect a court judgment against your employee. You are directed to withholdpart of the earnings of the employee (see instructions on reverse of this form). Pay the withheld sums to the levying officer(name and address above).If the employee works for you now, you must give the employee a copy of this order and the Employee Instructions within10 days after receiving this order.Complete both copies of the form Employer's Return and mail them to the levying officer within 15 days after receiving thisorder, whether or not the employee works for you.2. The total amount due is: $ Count 10 calendar days from the date when you received this order. If your employee's pay period ends before the tenth day,do not withhold earnings payable for that pay period. Do withhold from earnings that are payable for any pay period ending onor after that tenth day.Con tin ue w it h hold in g fo r a ll p ay p erio ds u ntil y o u w it h hold th e a m ount d ue. T he le vyin g o ffic e r w ill n otif y y o u o f a n a sse ssm ent y o u sho uld w it h hold in a ddit io n to th e a m ount d ue. D o n ot w it h hold m ore th an th e to ta l o f th ese a m ounts . N eve r w it h hold a ny e arn in gs pa ya ble b efo re t h e b egin nin g o f t h e e arn in gs w it h hold in g p erio d.3. The judgment was entered in the court on (date): The judgment creditor (if different from the plaintiff) is (name): 4. The EMPLOYER'S INSTRUCTIONS on the reverse tell you how much of the employee's earnings to withhold each payday andanswer other questions you may have.Date : (TYPE OR PRINT NAME) (SIGNATURE) LEVYING OFFICER REGISTERED PROCESS SERVER (Employer's Instructions on reverse) Form Adopted by the Judicial Council of CaliforniaWG-002 [Rev. September 1, 2007]EARNINGS WITHHOLDING ORDER (Wage Garnishment) Code of Civil Procedure, §§ 706.108, 706.125, 706.022 electronic form 1999-2007 WWW.LawCA.com Law Publishers WG-002 EMPLOYER'S INSTRUCTIONS EARNINGS WITHHOLDING ORDERS The in str u ctio ns in p ara gra ph 1 o n th e re ve rs e o f th is fo rm d escrib e y o ur ea rly d utie s to p ro vid e in fo rm atio n to y o ur e m plo ye e a nd th e le vyin g o ffic e r.Y ou r oth er dutie s are T O W IT H HO LD T H E C O RREC T A M OUNT O F EA R NIN G S (if a ny) a nd P AY IT T O T H E L E VYIN G O FFIC ER d urin g th e wit h ho ld in g p erio d.T he w it h ho ld in g p e rio d is th e p erio d c o ve re d b y th e E arn in gs W it h hold in g Ord er (th is o rd er). T he w it h hold in g p erio d b egin s te n (1 0) c a le ndar d ays afte r y o u re ce iv e th e o rd er a nd c o ntin ues u ntil th e to ta l a m ount d ue, p lu s ad d it io nal a m ounts fo r c o sts a nd in te re st (w hic h w ill b e lis te d in th e le vyin g offic e r's n otic e ), is w it h held .It m ay e n d s o oner if (1 ) y o u re ce iv e a w rit te n n otic e s ig ned b y th e le vyin g offic e r sp ecif y in g an earlie r te rm in atio n date , or (2 ) an ord er of hig her pr io rit y (e xp la in ed on th e re ve rs e of th e EM PLO YER 'S R ETU RN) is re ce iv e d.Y ou a re e ntit le d to r e ly o n a nd s h ould o bey a ll w rit te n n otic e s s ig ned b y th e le vyin g o ff ic e r.T he fo rm E m plo ye r's R etu rn d escrib e s s e ve ra l s it u atio ns th at c o uld a ffe ct th e w it h hold in g p erio d fo r th is o rd er. If y o u r e ce iv e m ore th an o ne E arn in gs Wit h hold in g O rd er d urin g a w it h hold in g p erio d, r e vie w th at fo rm ( E m plo ye r's Re tu rn ) fo r in str u ctio ns.If th e e m plo ye e s to ps w ork in g fo r y o u, th e E arn in gs W it h hold in g O rd er e nd s afte r no am ounts are w it h held fo r a co ntin uous 180 day perio d. If wit h ho ld in g e nds b eca use th e e arn in gs a re s u bje ct to a n o rd er o f h ig her pr io rit y , th e E arn in g s w it h hold in g O rd er e nds a fte r a c o ntin uous tw o y e ar pe rio d d u rin g w hic h n o a m ounts a re w it h held u nder th e o rd er. R etu rn th e Earn in gs W it h hold in g O rd er to th e le vyin g o ffic er w it h a s ta te m en t o f th e r e aso n it is b ein g r e tu rn ed . WHAT TO DO WITH THE MONEY The a m ounts w it h held d urin g th e w it h hold in g p erio d m ust b e p aid to th e le vyin g o ffic e r b y th e 1 5th o f th e n ext m onth a fte r e ach p ayd ay. If y o u w is h to p a y m ore fr e quently th an m onth ly , e ach p aym ent m ust b e m ade w it h in te n ( 1 0) d a ys a fte r th e c lo se o f th e p ay p erio d.B e s u re to m ark e a ch c h eck w it h th e c a se n um ber, th e le vyin g o ffic e r’s COMPUTATION INSTRUCTIONS Sta te a nd fe dera l la w lim it s th e a m ount of earnings that can be withheld. The limitations are based on the employee's disposable earnings, which are different from gross pay or take-home pay.To determine the CORRECT AMOUNT OF EARNINGS TO BE WITHHELD (if any), compute the employee's disposable earnings. (A)Earnings include any money, (whether called wages, salary, commissions, bonuses, or anything else) that is paid by an employer to an employee for personal services. Vacation or sick pay is subject to withholding as it is received by the employee. Tips are generally not included as earnings since they are not paid by the employer.(B) Disposable earnings are the earnings left after subtracting the part of the earnings a state or federal law requires an employer to withhold. Generally these required deductions are (1) federal income tax, (2) federal social security, (3) state income tax, (4) state disability insurance, and (5) payments to public employee retirement systems. Disposable earnings will change when the required deductions change.After the employee's disposable earnings are known, use the chart below to determine what amount should be withheld. In the column listed under the employee's pay period, find the employee's disposable earnings. The amount shown below that is the amount to be withheld. For example, if the employee is paid disposable earnings of $400 twice a month (semi- monthly), the correct amount to withhold is 25 percent each payday, or $125.The chart below is based on the minimum wage which was effective September 1, 1997. It will change if the minimum wage changes. Restrictions are based on the minimum wage effective at the time the earnings are payable.Occasionally, the employee's earnings will also be subject to a Wage and Earnings Assignment Order, an order available from family law courts for child, spousal, or family support. The amount required to be withheld for that order should be deducted from the amount to b e w it h held fo r th is ord er.file n um be r, if d if fe re nt, a nd th e e m plo ye e's n am e s o th e m oney w ill b e ap p lie d to th e c o rre ct a cco unt. WHAT IF YOU STILL HAVE QUESTIONS? The g arn is h m ent la w is c o nta in ed in th e C ode o f C iv il P ro ce dure b egin nin g wit h s e ctio n 7 06.0 10. S ectio ns 7 06.0 2 2, 7 06.0 25, a nd 7 06.1 04 e xp la in th e em plo ye r's d utie s.T he F ede ra l W age G arn is h m ent L aw a nd fe dera l r u le s p ro vid e th e b asic pro te ctio n s o n w hic h th e C alif o rn ia la w is b ase d. I n quir ie s a bout th e fe dera l la w w ill b e a nsw ere d b y m ail, te le phone , o r p ers o nal in te rv ie w a t a ny o ffic e of th e W age a nd H our D iv is io n o f th e U .S . D epartm ent o f L abor. O ffic e s are lis te d in th e te le phone d ir e cto ry u nder th e U .S . D epartm ent o f L abor in the U .S . G ove rn m ent lis tin g. IMPORTANT WARNINGS 1. OF EARNINGS WITHHOLDING ORDERS FOR THE PAYMENT OF ONLY ONE INDEBTEDNESS. No matter how many orders you receive, so long as they all relate to a single indebtedness (no matter how many debts are represented in that judgment) the employee may not be fired.2. IT IS ILLEGAL TO AVOID AN EARNINGS WITHHOLDING OR- DER BY POSTPONING OR ADVANCING THE PAYMENT OF EARNINGS. The employee's pay period must not be changed to prevent the order from taking effect.3.IT IS ILLEGAL NOT TO PAY AMOUNTS WITHHELD FORTHE CHART BELOW AND THESE INSTRUCTIONS DONOT APPLY TO ORDERS FOR THE SUPPORT OF ASPOUSE, FORMER SPOUSE, OR CHILD.TH E E AR NIN G S W IT H HO LD IN G O RDER TO TH E LE VYIN G OFF IC ER . Y our d uty is to p ay th e m oney to th e le vyin g o ffic e r wh o w ill p ay th e m on ey in a cco rd ance w it h th e la w s th at a pplyt o th is c a se .T he c h art b elo w s h ow s H O W M UCH T O W IT H HO LD w hen t h e fed era l m in im um w ag e is $ 5.1 5 p er h our.If t h e F E D ER AL m in im um w ag e c h an ges in t h e f u tu re , t h e le vyin g IF Y O U V IO LA TE A N Y O F T H ESE L A W S, Y O U M AY B E H ELD LIA B LE T O P AY C IV IL D AM AG ES A N D Y O U M AY B E S U BJE C T T O CRIM IN AL P R O SE C UTIO N!offic e r w ill p ro vid e a c h art s h ow in g t h e n ew w it h hold in g r a te s.F E D ER AL M IN IM UM W AG E: $ 5.1 5 p er h our (B eg in nin g S ep te m ber 1 , 1 997, a n d c o ntin uin g i n defin it e ly .) P A Y P ER IO D DailyW eekly E ve ry T w o W eeksT w ic e a M onthM onth ly D IS PO SA BLEE A RN IN G S $0-$ 154.5 0$0-$ 154.5 0$0-$ 309.0 0$0-$ 334.7 5$0-$ 669.5 0 W IT H H O LD N oneN oneN oneN oneN one D IS PO SA BLEE A RN IN G S$154.5 1-$ 206.0 0$ 154.5 1-$ 206.0 0$ 309.0 1-4 12.0 0$ 334.7 6-4 46.3 3$ 669.5 1-8 92.6 7W IT H H O LDA m ount a bove $ 154 .5 0A m ount a bove $ 154.5 0A m ount a bove $ 309.0 0A m ount a bove $ 334.7 5A m ount a bove $ 669.5 0D IS PO SA BLEE A RN IN G S$206.0 1 o r M ore$ 206.0 1 o r M ore$ 412.0 1 o r M ore$ 446.3 4 o r M ore$ 892.6 8 o r M oreW IT H H O LDM axim um o f 2 5% o fD is p osa ble E arn in gsM axim um o f 2 5% o fD is p osa ble E arn in gsM axim um o f 2 5% o fD is p osa ble E arn in gsM axim um o f 2 5% o fD is p osa ble E arn in gsM axim um o f 2 5% o fD is p osa ble E arn in gs WG-002 [Rev. September 1, 2007] EA RNIN G S W IT H HO LD IN G O RDER (W ag e G arn is h m en t) P ag e t w o WG-002