What does this request ask the court clerk to issue?

It asks the Clerk of the Court to issue a certified copy of the Employer’s Order to Withhold Income signed by the court.

What information does the form request?

It asks for case and order details, the employer’s name and payroll address, the obligor’s Social Security number, and the requester’s name, address, telephone number, date, and signature.

Do I need a notary for this request?

No. The form asks the requester to sign and date it and does not specify a notarized or sworn attachment.

How do I submit this request?

Submit it to the Clerk of the Court. The form lists a $15.00 charge but does not provide payment instructions or contact details.

Bexar County, TX · Bexar County

No notary required

Request for Issuance of Employer's Order to Withhold Income

This request asks the court clerk to issue a certified copy of an employer’s order to withhold income for delivery to an obligor’s employer.

At a glance

Issued by: City of Bexar County · Bexar County, Bexar County, Texas
Notarization: Not required: file this form without a notary.
Official source: bexar.org
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

A party uses this request to ask the Clerk of the Court for a certified copy of an Employer’s Order to Withhold Income signed by the court. The form asks for the case number, order date, employer name and payroll address, obligor’s Social Security number, and the requester’s contact information and signature. It lists a $15.00 charge.

Who needs it

A party seeking a certified copy of a court-signed Employer’s Order to Withhold Income for the obligor’s employer completes this request.

How to submit it

Submit the completed request to the Clerk of the Court. The form lists a $15.00 charge but gives no payment method or clerk contact details.

About notarization

This document is signed without a notary; the form asks the requester to sign and date it, with no notarized or sworn attachment specified.

How to submit this form

1
Download the Request
Download the Request for Issuance of Employer's Order to Withhold Income.
2
Complete the Form
Print clearly and provide the case and order details, employer information, obligor’s Social Security number, and your contact information.
3
Check the Request
Confirm the information is correct, then enter the date and sign the request.
4
Submit to the Court Clerk
Submit the request to the Clerk of the Court. The form lists a $15.00 charge.

Frequently asked questions

What does this request ask the court clerk to issue?: It asks the Clerk of the Court to issue a certified copy of the Employer’s Order to Withhold Income signed by the court.
What information does the form request?: It asks for case and order details, the employer’s name and payroll address, the obligor’s Social Security number, and the requester’s name, address, telephone number, date, and signature.
Do I need a notary for this request?: No. The form asks the requester to sign and date it and does not specify a notarized or sworn attachment.
How do I submit this request?: Submit it to the Clerk of the Court. The form lists a $15.00 charge but does not provide payment instructions or contact details.

Need something notarized?

This Request for Issuance of Employer's Order to Withhold Income doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.