Nebraska Child Support Payment Center | Employers

Step 1 (of 3)

Please enter your information in the form below as accurately as possible.

Employer Information

Company Name:

Federal Employer Identification # (FEIN):

Phone:

Total # of Employees on Payroll:

Fax:

Mailing Address:

City:

State:

Zip:

Primary Contact

First Name:

Last Name:

Phone:

Ext:

Fax:

Email:

Address:

City:

State:

Zip:

Secondary Contact (Optional)

Check here for no secondary contact.

First Name:

Last Name:

Phone:

Ext:

Fax:

Email:

Address:

City:

State:

Zip:

Income Witholding Orders

Check here if Income Witholding Orders are sent to the Employer's address listed above.

Company Name:

Address:

City:

State:

Zip:

Payroll Processor

Check here if you Process your own Payroll.

Processor Name:

First Name:

Address:

Last Name:

City:

Phone:

State:

Zip:

Fax:

Email:

Please click on the 'Next' button to proceed to Step 2.