So we may better serve you, please take a few moments to respond to this brief survey.

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* 1. Employer Information:

Employer Name:

Email:

Phone:

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* 2. What was the nature of your contact with us?

Payment Information

Update Company Information

Electronic Information

Electronic Income Withholding Order Information (E-IWO)

Medical Support

New Hire Reporting

Events

Other (please specify)

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* 3. Are you aware of the following employer resources? Please check the box next to the resource.

Employer Email Address: TCDCSSEmployer@tularecounty.ca.gov

Business Line: 559-713-5705

Electronic Income Withholding Order (E-IWO)

State Employer Resources: https://dcss.ca.gov/employer-resource/

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* 4. Would you like to be contacted to further discuss your concern(s)? If yes, please provide the following information:

Representative Name:

Contact Phone Number:

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* 5. We appreciate our partnership with you. Please provide any comments or suggestions you may have for our office.

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* 6. Would you be interested in attending an Employer Workshop in the future? The workshop covers a variety of topics such as priority of withholding, National Medical Support Notice, and switching over to the E-IWO. Please provide your company payroll representative's information.

Representative Name:

Contact Phone Number: