IWO Form Non-IV-D for Child Support and Combined Child and Spousal Support
This is the actual form that must be filled out, signed by the Court or counsel or a private entity as Issuer. It is the same as the form approved by the Office of Management and Budget but has been designed for use in New York State by the NYS Office of Temporary and Disability Assistance. To make it easier to complete the form, some of the fields have been pre-filled. The IWO Form Non-IV-D order for Child Support and Combined Child and Spousal Support must be served on the employer, employee/obligor, the custodial party/obligee , and the New York State Child Support Processing Center, PO Box 15365, Albany, N.Y. 12212-5365.

When filling out this form, see instructions for the Numbered Reference Copy (IWO Non-IV-D b. It is for reference only. The reference form is the same as the actual IWO Form above with one important difference: The blanks are numbered and keyed to the instructions below. This reference form should be used as a guide to filling out the actual IWO Form, and is for reference only.

Important Note: The NYS Office of Temporary and Disability Assistance advises that the Federal Office of Child Support Enforcement has confirmed that if the IWO is issued by a Court, a copy of the underlying order need not be attached to the IWO even in instances where the IWO is served by a litigant or his/her representative acting on the Court’s instructions. See Field 1(f) on the first page of the IWO and Fields 26-29 on the second page of the IWO which identify the Issuer. If you have continuing questions about this instruction, you may contact the New York State Child Support Customer Service Helpline at 1-888-208-4485 (TTY: 1-866-875-9975) Monday through Friday 8:00 a.m. - 7:00 p.m.