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Employers must report within 7 days of the employee’s temporary layoff or termination.

Employees for whom support is being withheld based on an income withholding order, and employees for whom health insurance is provided in response to the National Medical Support Notice must be reported.

  • Online
  • Complete item 4 on the National Medical Support Notice – Part A, page 3, and send it to the issuing entity.
  • Print, complete, and send a Notification of Termination Form to the issuing entity.