Temporary Earnings Withholding Order for Taxes (State Tax Liability)
Judicial Council of California · Civil
Verified current as of August 1, 2026
This form directs an employer to withhold a portion of an employee's wages and send that money to the state to pay off unpaid state taxes. The California Department of Tax and Fee Administration uses this form to collect taxes owed by individuals who have not paid their state tax liability.
This form has fillable fields — you can complete it directly in the viewer on the right.