Employers Medical Support: Washington State Division of Child Support
Washington State Department of Social and Health Services Home page

Division of Child Support


As employers in Washington, you do so much to help families in need of child support. You withhold support from earnings and send it to DCS. You enroll children in health insurance plans. You report your newly hired and rehired employees. You answer our inquiries when we need to find a parent or need income information. You even deduct support for families in other states.

DCS employees recognize the burden employers bear and how you assist us with the child support enforcement effort. We are committed to working with employers to help reduce this burden while still meeting legal requirements.

  • National Medical Support Notice

    DCS uses the National Medical Support Notice (NMSN) to enforce noncustodial parents' medical support obligations. You may receive the NMSN in addition to an Income Withholding for Support.

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

  • Medical Q&A
  • Employer Guide