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Division of Child SupportFrequently Asked Questions...

National Medical Support Notice


Starting March 22, 2004, DCS will be using the National Medical Support Notice (NMSN) to enforce noncustodial parents’ medical support obligations. You will usually receive the NMSN in addition to an Order/Notice to Withhold Income for Child Support (OWI).

Click here to see the rules that govern DCS’ use of the NMSN. These rules are part of the Washington Administrative Code (WAC).

NMSN Powerpoint presentation (You will need Microsoft Powerpoint to view the presentation or the Powerpoint viewer that can be downloaded for free at this location)

Compliance Guide For Qualified Medical Child Support Orders