State of Alabama 
Unified Judicial System 

 

Form CS-19                 Rev.7/92 

NOTICE & SUMMONS                             

WITHHOLDING FOR SUPPORT 

Case Number 

N THE  ______________________________________ COURT OF ________________________________ COUNTY, ALABAMA 

NOTICE TO_______________________________________________________________________________________________       

        YOU  ARE  HEREBY  NOTIFIED  THAT  LEGAL  PROCEEDINGS  HAVE  BEEN  BROUGHT  AGAINST  YOU  BY  THE 
PLAINTIFF LISTED ON THE ATTACHED PETITION AND THAT UNDER THE PROVISIONS OF §§ 30-3-62 AND 25-4-152, 
CODE  OF  ALABAMA  1975,  AN  INCOME  WITHHOLDING  ORDER  FOR  SUPPORT  MUST  BE  ISSUED  BY  THIS  COURT 
UNLESS YOU OR YOUR ATTORNEY REQUEST A HEARING IN WRITING ON THIS MATTER WITHIN TEN (10) DAYS
AFTER THIS NOTICE AND SUMMONS AND PETITION WERE DELIVERED TO YOU. 

        READ  THE  ATTACHED  PETITION  AND  OTHER  RELATED  DOCUMENTS  CAREFULLY.  IF  YOU  NEED  

ASSISTANCE WITH THIS PROCEEDING, YOU SHOULD CONSULT A LAWYER. 

           If you request a hearing, at such hearing, you may contest the issuance of a Withholding Order for Support on the  basis 
of mistake of fact only.  

             Your written request for a hearing must be filed with the Clerk of the Court within ten (10) days after this Summons 
and Petition were delivered to you. Indicate on your written request your current mailing address. Additionally, a copy of your 
written request should be mailed to the plaintiff’s attorney at the address shown on the attached Petition. 

        If you request a hearing, you will be notified of the date and time of the hearing.  

        You are further notified that any Withholding Order issued by the Court will not be served on your employer / the 

Department of Industrial Relations and will not take effect unless: 

1) 
                           payments; or, 

You are currently delinquent or you become delinquent in a dollar amount equal to one month of support       

The  plaintiff  or  you  file  an  affidavit  with  the  court  requesting  that  the  withholding  order  take  effect  at  an 
earlier date; or, 

The court otherwise orders that the withholding order take effect at an earlier date. 

          This service by certified mail of this Notice and Summons is initiated upon the written request of 

---------------------------------------- 
_____________________________________________________________________________________pursuant to Rule 

4.1 (c) of the Alabama Rules of Civil Procedure. 

---------------------------------------------------                                            ______________________________________________ 
Date                                                                                                                 Clerk 

                                                                                                        By:__________________________________________ 

 RETURN ON SERVICE:  

      C e r t i f i e d   m a i

l   r e t u r n   r e c e i p t   r e c e i v e d   i n   t h i s   o f f i c e   o n   ( D a t e )    

__________________________________________________________ (Return receipt hereto attached). 

  I

     

   

         

   

 

   

   

  (

  (

 

 

   

(2) 

3) 

  -