FL-397LocalFillable

Request for Income and Benefit Info from Employer

Shasta Superior Court · Form Packets

Verified current as of October 7, 2026

This form asks an employer to provide information about an employee's income, benefits, and work status. Family law attorneys, judges, and parents use it in child support and spousal support cases to verify a person's actual earnings and financial situation.

This form has fillable fields — you can complete it directly in the viewer on the right.
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