Here is the text we could read:
ddress: __________________________________________________
___________________________________________________________
Social Security Number: ____________________________________
NOTICE TO : _____________________________________________________________________(Obligee)
DATE:______________________
Your 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.
______________________________________
Collecting Agency
A
NOTICE TO : _____________________________________________________________________(Clerk)
_________________________________ Court of _________________________________ County, Alabama
DATE:______________________
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 service mail.
__________________________________________
Signature of Obligee/Attorney
ART A.
ART B.
F
I
_
P
P
State of Alabama
Unified Judicial System
orm CS-36 Rev. 6/92
A NOTICE OF CHANGE DEFENDANT’S
EMPLOYMENT AND REQUEST FOR SERVICE
Case Number
N THE __________________________________ COURT OF _______________________________ COUNTY, ALABAMA
__________________________________________________ v. __________________________________________________________
A Notice of Change in Defendant's Employment and Request for Service
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Alabama state courts.
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Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from eforms.alacourt.gov (2023-03)
- Page(s): 1
- Fields(s): 19
- Average fields per page: 19
- Reading Level: Grade 10
- LIST Grouping(s):
GO-00-00-00-00, DI-00-00-00-00.
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When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
text__1 was Text1 (0.97 conf)text__2 was Text2 (0.35 conf)text__3 was Text3 (0.35 conf)text__4 was Text4 (0.35 conf)text__5 was Text5 (0.35 conf)text__6 was Text6 (0.35 conf)text__7 was Text7 (0.35 conf)text__8 was Text8 (0.35 conf)text__9 was Text9 (0.35 conf)text__10 was Text10 (0.35 conf)text__11 was Text11 (0.35 conf)text__12 was Text12 (0.35 conf)text__13 was Text13 (0.35 conf)text__14 was Text14 (0.35 conf)text__15 was Text15 (0.35 conf)text__16 was Text16 (0.35 conf)text__17 was Text17 (0.35 conf)text__18 was Text18 (0.35 conf)text__19 was Text86 (0.35 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
text__1text__2text__3text__4text__5text__6text__7text__8text__9text__10text__11text__12text__13text__14text__15text__16text__17text__18text__19
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