Application for Earnings Withholding Order for Taxes (State Tax Liability)

Judicial Council of California · Civil

Verified current as of July 31, 2026

This form allows the state to collect unpaid California taxes by ordering an employer to withhold a portion of a person's wages and send that money directly to the state. The California Department of Tax and Fee Administration uses this form to enforce tax collection against individuals or businesses that owe back taxes.