e-IWO

Order to Withhold Income for Child Support and Notice of an Order to Withhold Income for Child Support

01 e-IWO Record Layouts

e-IWO

OMB: 0970-0154

Document [doc]
Download: doc | pdf

e-IWO Acknowledgement Header Record

NOTE: If there is a “Y” in the “Critical” column this means this element MUST pass the e-IWO editing process. If a “Critical” element is missing or incorrectly formatted (e.g., alphanumeric characters are in a numeric field) the record will be returned to the organization or state.


Field Name

Location

Length

Type

Required/Optional

Critical

Comments

Header Document Code

1-3

3

A

R

Y

Must be HDR

Record Control Number

4-12

9

A/N

R

Y

Value, assigned by the state, tribe or territory that uniquely identifies the records in this “batch” or “file”. If the employer is initiating an Acknowledgement without having received an e-IWO document from a state, tribe or territory, e.g., they are advising the state, tribe or territory about a “Lump Sum” notification, NCP was terminated, etc., enter 0970-0154

State FIPS Code

13-14

2

N

R

Y

Use two digit state/territory state FIPS Code

Employer Name

15-71

57

A/N

R

Y


EIN Text

72-80

9

N

R

Y


Payroll Processor EIN Text

81-89

9

N

O



File Creation Date

90-97

8

N

R


Must be in CCYYMMDD format

File Creation Time

98-103

6

N

R


Must be in HHMMSS format.

Filler

104-485

382

A/N

O


Filler

e-IWO Acknowledgement Record



Data Element Name

Definition

Location

Length

Type

Required/

Optional

Data Element Rules

Form

XRef

Document Code

A code that indicates the acknowledgement record follows

1-3

3

A/N

R

Value must be “ACK”

N/A

Document Action Code

A code that indicates the action for the document.

4-6

3

A/N

R

Valid Values:

ORG =Original – The value input by the state, tribe or territory in the “Order/Notice”.

AMD =Amended – The value input by the state, tribe or territory in the “Order/Notice”.

TRM =Termination – The value input by the state, tribe or territory in the “Order/Notice”.

LUM = Lump Sum – The value input by the state, tribe or territory in the “Order/Notice”.

EMP = Action initiated by an employer. For example if the NCP is no longer employed at this employer, EMP would be input and a value of “T” would be placed in the “Record Disposition Code” – positions 154-155. Also if an employer is notifying a state, tribe or territory about a pending “Lump Sum” they would input EMP and put an “L” in the “Record Disposition Code”, positions 154-155.



1b

Case Identifier

A case identifier is a value assigned by a state to uniquely identify each IV-D case in the state.

7-21

15

A/N

R

Must be the IV-D Case ID submitted for all external FPLS sources, FCR, etc.

1g, 3c, 21-1

EIN Text

The Employer/ Withholder’s FEIN.

22-30

9

N

R


2d

Employee Last Name

The Obligor’s Last Name.

31-50

20

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. At least the first character must be filled. Cannot be all spaces or blanks

3a

Employee First Name

The Obligor’s First Name.

51-65

15

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. At least the first character must be filled

3a-1

Employee Middle Name

The Obligor’s Middle Name or Initial.

66-80

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

3a-2

Employee Name Suffix

The Obligor’s Name Suffix

81-84

4

A/N

O


3a-3

Employee SSN

The Obligor’s social security number.

85-93

9

N

R


3b

Document Tracking Number

An identifier assigned by the entity sending the document that uniquely identifies the document.

94-123

30

A/N

O

First 2 digits must begin with numeric FIPS State Code.

29

Order Identifier

A unique identifier that is associated with a specific child support obligation within a case.

124-153

30

A/N

O


29

Record Disposition Status Code

Indicates whether a record was accepted or rejected by the employer.

154-155

2

A/N

R

Values are: A = Record Accepted

R = Record Rejected

T = Termination

L = Lump Sum


N/A

Rejected Reason Code

Reason that an employer rejected an e-IWO record was rejected by an employer

156-158

3

A/N

CR

Only required to be completed if the value in “Record Disposition Status” equals “R”


Values are:

N=NCP no longer at the employer

U=NCP not known to employer

D= Duplicate IWO

Z= Termination cannot be processed – no current IWO in place

O=Other Reason

N/A

Filler

Reserved for future use.

159-159

1

A/N

O


N/A

Termination Date

Date that an employee left or was terminated by an employer

160-167

8

N

O

Must be in CCYYMMDD format

N/A

NCP Last Known Address Line 1 Text

Line 1 of the NCP’s last known address

168-192

25

A/N

O


N/A

NCP Last Known Address Line 2 Text

Line 2 of the NCP’s last known address

193-217

25

A/N

O


N/A

NCP Last Known Address City Name

NCP’s last known city address

218-239

22

A/N

O


N/A

NCP Last Known Address State Code

NCP’s last known State Code

240-241

2

A

O

Valid 2 alpha State Code

N/A

NCP Last Known Address Zip Code

NCP’s last known address five digit ZIP Code

242-246

5

N

O


N/A

NCP Last Known Address Ext Zip Code

NCP’s last known four character zip code

247-250

4

A/N

O


N/A

Final Payment Made Date

Date of the final payment sent to the SDU

251-258

8

N

O

Must be in CCYYMMDD format

N/A

Final Payment Amount

Amount of the final payment sent to the SDU – only applies when an employee has been terminated or left his/her employer

259-269

11

N

CR

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

Only required when an employee has been terminated or left his/her employer.

N/A

New Employer Name

Name of NCP’s new employer

270-326

57

A/N

O


N/A

New Employer Address Line 1 Text

Line 1 of New Employer’s Address

327-351

25

A/N

O


N/A

New Employer Address Line 2 Text

Line 2 of New Employer’s Address

352-376

25

A/N

O


N/A

New Employer City Name

New Employer’s City Address

377-398

22

A/N

O


N/A

New Employer State Code

New Employer’s State Code

399-400

2

A

O

Valid 2 alpha State Code

N/A

New Employer Address Zip Code

New Employer’s five character Zip Code

401-405

5

N

O


N/A

New Employer Address Ext Zip Code

New Employer’s four character Zip Code

406-409

4

A/N

O


N/A

Payment “Lump Sum” Date

The date an employer anticipates that a “Lump” Sum Payment will be disbursed to an employee

410-417

8

N

O

Must be in CCYYMMDD format

NOTE: If the “Document Action Code” (positions 4-6) is “EMP” and the “Record Disposition Status Code” (positions 154-155) equals “T” this field must be blank.

#6 on the back of the “order/Notice” form

Payment “Lump Sum” Amount

An amount the employer intends to issue as a Lump Sum Payment to the employee.


418-428

11

N

O

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

NOTE: If the “Document Action Code” (positions 4-6) is “EMP” and the “Record Disposition Status Code” (positions 154-155) equals “T” the dollar amounts in this field must be zero filled.

#6 on the back of the “order/Notice” form

Payment “Lump Sum” Type Text

The type of Lump Sum Payment that will be disbursed to an employee. Examples of a Lump Sum Payment include bonus, severance, commission, etc.


429-463

35

A/N

O

Possible values are “bonus”, “severance” or other unique identifiers.

NOTE: If the “Document Action Code” (positions 4-6) is “EMP” and the “Record Disposition Status Code” (positions 154-155) equals “T” this field must be blank.

#6 on the back of the “order/Notice” form


Filler

Future Use

464-485

22

A/N

O


N/A



O=Optional

R=Required

CR= Conditionally Required – Explanation in the Data Element Rules

e-IWO Acknowledgement Trailer Record



Field Name

Location

Length

Type

Required/Optional

Comments

Trailer Document Code

1-3

3

A

R

Must be TRL

Record Identifier

4-7

4

A/N

R

Only value for field: EIWO

Record Count

8-13

6

N

R

Number of e-IWO Records in this file.

Filler

14-485

472

A/N

O

Filler

e-IWO File Receipt Record



Field Name

Location

Length

Type

Required/Optional

Comments

Acknowledgement Document Code

1-3

3

A

R

Value must be “RCD”

Record Control Number

4-12

9

A/N

R

Value, assigned by the state, tribe or territory, in their submission, that uniquely identifies the records in the “batch” or “file” they submitted.

Employer Name

13-69

57

A/N

R


EIN Text

70-78

9

N

R


Payroll Processor EIN Text

79-87

9

N

O


Receipt Date

88-95

8

N

R

The date the employer/payroll processor retrieved the file Must be in CCYYMMDD format

State FIPS Code (from State File)

96-97

2

N

R

Use two digit state/territory state FIPS Code

File Creation Date (from State File)

98-105

8

N

R

Must be in CCYYMMDD format.

File Creation Time (from State File)

106-111

6

N

R

Must be in HHMMSS format.

Filler

112-160

49

A/N

O

Filler

e-IWO Detail Header Record


Field Name

Location

Length

Type

Required/Optional

Comments

Header Document Code

1-3

3

A

R

Value must be HDR

Record Control Number

4-12

9

A/N

R

Value, assigned by the state, tribe or territory that uniquely identifies the records in this “batch” or “file

State FIPS Code

13-14

2

N

R

Use two digit state/territory state FIPS Code

Employer Name

15-71

57

A/N

R

Name of the employer/ withholder to whom the withholding order is being sent

EIN Text

72-80

9

N

R

The Employer/ Withholder’s FEIN.

Payroll Processor EIN Text

81-89

9

N

O

The Payroll Processor FEIN

File Creation Date

90-97

8

N

R

Must be in CCYYMMDD format.

File Creation Time

98-103

6

N

R

Must be in HHMMSS format.

Filler

104-2245

2142

A/N

O

Filler

e-IWO Detail Record



Data Element Name

Definition

Location

Length

Type

Required/

Optional

Data Element Rules

Form

XRef

Document Code

A code that indicates the primary e-IWO record follows.

1-3

3

A/N

R

Value must always be DTL

N/A

Document Title Code

A code that indicates the title of the document.

4-6

3

A/N

R

Valid Values:

IW1=Order/Notice To Withhold Income For Child Support

Default

IW2=Notice of an Order to Withhold Income for Child Support

1a

Document Action Code

A code that indicates the action for the document.

7-9

3

A/N

R

Valid Values:

ORG =Original – New order for the submitted case number/identifier by the submitting state.

AMD =Amended – Any change for the submitted case number/identifier by the submitting state, except termination to the original order.

TRM =Termination – Closure of an order, stoppage of wage withholding for the submitted case number/identifier by the submitting state.

LUM = Lump Sum – Sent when a state. Tribe or territory is notified, or made aware, that a “Lump Sum” payment will be made and they are requesting a deduction be made from this “Lump Sum”.


1b

Document Date

The date the record was generated.

10-17

8

N

R

Must be in CCYYMMDD format.

1c, 24c-1

Issuing State-Tribe-Territory Name

The name of the jurisdiction (state, tribe territory, etc.) issuing the document.

18-52

35

A/N

R

State, Tribe or Territory full name.

1d

Issuing Jurisdiction Name

The name of the county, city, district or tribe that is issuing the document.

53-87

35

A/N

O

If entered, must be a full name.

1e

Case Identifier

A case identifier is a value assigned by a state to uniquely identify each IV-D case in the state.

88-102

15

A/N

R

Must be the IV-D Case ID submitted for all external FPLS sources, FCR, etc.

1g, 3c, 21-1

Employer Name

Name of the employer/ withholder to whom the withholding order is being sent.

103-159

57

A/N

R


2a

Employer Address Line 1 Text

Line 1 of the employer/ withholder’s address.

160-184

25

A/N

R


2b

Employer Address Line 2 Text

Line 2 of the employer/ withholder’s address.

185-209

25

A/N

O


2c

Employer Address City Name

Employer/withholder’s city address.

210--231

22

A/N

R


2c-1

Employer Address State Code

Employer/withholder’s State Code.

232-233

2

A

R

Valid 2 alpha State Code.

2c-2

Employer Address Zip Code

Employer/withholder’s zip code.

234-238

5

N

R


2c-3

Employer Address Ext Zip Code

Employer/withholder’s extension zip code.

239-242

4

N

O


2c-4

EIN Text

The Employer/ Withholder’s FEIN.

243-251

9

N

R


2d

Employee Last Name

The Obligor’s Last Name.

252- 271

20

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. At least the first character must be filled. Cannot be all spaces or blanks

3a

Employee First Name

The Obligor’s First Name.

272-286

15

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

3a-1

Employee Middle Name

The Obligor’s Middle Name or Initial.

287-301

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

3a-2

Employee Suffix

The Obligor’s Name Suffix

302-305

4

A/N

O


3a-3

Employee SSN

The Obligor’s social security number.

306-314

9

N

R


3b

Employee Birth Date

The Obligor’s date of birth.

315-322

8

N

O

Must be in CCYYMMDD format.

29

Obligee Last Name

The Obligee’s Last Name.

323-379

57

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. At least the first character must be filled. Cannot be all spaces or blanks

3d

Obligee First Name

The Obligee’s First Name.

380-394

15

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

3d-1

Obligee Middle Name

The Obligee’s Middle Name or Initial.

395-409

15

A/N

O

Letters A-Z or space. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

3d-2

Obligee Name Suffix

The Obligee’s Name Suffix

410-413

4

A/N

O


3d-3

Issuing Tribunal Name

The name of state, tribe or territory that issued the support or withholding order.

414-448

35

A/N

R

Must contain full name.


4

Support Current Child Amount

The dollar amount to be withheld for payment of current child support.

449-459

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

5a

Support Current Child Frequency Code

Indicates the interval the support current amount is required to be paid.

460-460

1

A/N

CR

Valid values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually


Required if there is a dollar amount other than zero in Support Current Child Amount field (449-459).

5b

Support Past Due Child Amount

The dollar amount to be withheld for payment of past-due child support.

461-471

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

6a

Support Past Due Child Frequency Code

Indicates the interval the past-due child support amount is required to be paid.

472-472

1

A/N

CR

Valid values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually


Required if there is a dollar amount other than zero in Support Past Due Child Amount field (461-471).

6b

Support Current Medical Amount

The dollar amount to be withheld for payment of current medical support.

473-483

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

7a

Support Current Medical Frequency Code

Indicates the interval the current medical support amount is required to be paid.

484-484

1

A/N

CR

Valid values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually


Required if there is a dollar amount other than zero in Support Current Medical Amount field (473-483).

7b

Support Past Due Medical Amount

The dollar amount to be withheld for payment of past-due medical support.

485-495

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

8a

Support Past Due Medical Frequency Code

Indicates the interval the past-due medical support amount is required to be paid.

496-496

1

A/N

CR

Valid values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually


Required if there is a dollar amount other than zero in Support Past Due Medical Amount field (485-495).

8b

Support Current Spousal Amount

The dollar amount to be withheld for payment of current spousal support.

497-507

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

9a

Support Current Spousal Frequency Code

Indicates the interval the spousal support is required to be paid.

508-508

1

A/N

CR

Valid values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually


Required if there is a dollar amount other than zero in Support Current Spousal Amount field (497-507).

9b

Support Past Due Spousal Amount

The dollar amount to be withheld for payment of past-due spousal support.

509-519

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

10a

Support Past Due Spousal Frequency Code

Indicates the interval the past-due spousal support amount is required to be paid.

520-520

1

A/N

CR

Valid values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually


Required if there is a dollar amount other than zero in Support Past Due Spousal Amount field (509-519).

10b

Obligation Other Amount

The dollar amount to be withheld for payment of miscellaneous obligations.

521-531

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

11a

Obligation Other Frequency Code

Indicates the interval the miscellaneous obligations amount is required to be paid.

532-532

1

A/N

CR

Valid Values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually

L=Lump Sum


Required if there is a dollar amount other than zero in Obligation Other Amount field (521-531).

11b

Obligation Other Description Text

Description of the miscellaneous obligations.

533-567

35

A/N

CR

Required if there is a dollar amount other than zero in Obligation Other Amount field (521-531).

11c

Obligation Total Amount


The sum of the current child support, the past-due child support, the current cash medical support, the past-due cash medical support, the current spousal support, the past-due spousal support, and the miscellaneous obligations.

568--578

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

12a

Obligation Total Frequency Code


Indicates the interval the total obligation is required to be paid.

579-579

1

A/N

CR

Valid Values:

W=Weekly

B=Bi-Weekly

S=Semi-Monthly

M=Monthly

Q=Quarterly

X=Semi-Annually

A=Annually

L=Lump Sum


Required if there is a dollar amount other than zero in Obligation Total Amount field (568-578).

12b

Arrears 12wk Overdue Code

Indicates whether past due child support is in arrears for a period longer than 12 weeks.

580-580

1

A/N

O

Valid values:

Y=Greater than 12 weeks

N= Not Greater than 12 weeks

Blank allowed

13

Income Withholding Deduction Weekly Amount

The amount the employer should withhold if the employee is paid weekly.

581-591

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

14a

Income Withholding Deduction Bi-Weekly Amount

The amount the employer should withhold if the employee is paid every two weeks.

592-602

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

14b

Income Withholding Semimonthly Amount

The amount the employer should withhold if the employee is paid twice a month.

603-613

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A

14c

Income Withholding Monthly Amount

The amount the employer should withhold if the employee is paid once a month.

614-624

11

N

R

Numeric

Decimal assumed

Unsigned

No Rounding

Right Justify

Zero Fill to left

Zero Fill if N/A


14d

Employment Place Name

The State, Tribe or Territory where the NCP is employed – used to advise the employer about withholding limitations, requirements, etc.

625-659

35

A/N

O


15, 20

Begin Withholding Within Days Number

The number of days within which the employer must commence income withholding.

660-661

2

N

R


16

Income Withholding Start Date

The effective date of the income withholding

662-669

8

N

R

Must be in CCYYMMDD format.

17

Send Payment Within Days Number

Number of days within which an employer or other withholder of income must remit amounts withheld pursuant to the issuing state’s law.

670-671

2

N

R


18

Income Withholding CCPA Percent Rate

The highest percentage of income that can be withheld from the employee or obligor’s wages.

672-673

2

N

R


19

Payee Name

The name of the State Disbursement Unit, individual, tribunal/court, or tribal child support enforcement agency to which payments are required to be sent.

674-730

57

A/N

R


21

Payee Address Line 1 Text

Line 1 of the payee’s address.

731-755

25

A/N

O


22

Payee Address Line 2 Text

Line 2 of the payee’s address.

756-780

25

A/N

O


22-1

Payee Address City Name

Payee’s City address.

781-802

22

A/N

O


22-2

Payee Address State Code

Payee’s State Code.

803-804

2

A

O

Valid 2 alpha State Code

22-3

Payee Address Zip Code

Payee’s Zip Code.

805-809

5

N

O


22-4

Payee Address Ext Zip Code

Payee’s extension Zip Code.

810-813

4

N

O


22-5

Payee Remittance FIPS Code

State and County FIPS Code for remitting payments via EFT/EDI.

814-820

7

N

R

Either State and County FIPS or Tribal Place Code. The first two characters are the States Code. The next three are the County Code. The last two are filled by the user.

Only the first five characters (State Code and County Code) are required.

23b

Government Official Name

Name of Government official authorizing the document.

821-890

70

A/N

R


24a

Issuing Official Title Text

Title of Governmental official authorizing the document.

891-940

50

A/N

R


24b

Government Issuing Type Code

Indicates if the document is issued by a court or IV-D agency.

941-941

1

A/N

R

Default to ‘D’.

D=IV-D

N=Non-IV-D

24d

Send Employee Copy Indicator

Indicates if employer is required to provide a copy of the notice to the employee.

942-942

1

A/N

R

Valid values:

Y=Yes

N=No

26

Penalty Liability Info Text

Describes additional/specific state or tribal penalties or liabilities regarding the employer’s failure to obey the notice.

943-1102

160

A/N

O

States should insert the citation for the appropriate “Penalty Liability” text from their state law.


27

Anti discrimination Provisions Text

Describes additional/specific information if the employer discharges, fails to employ or disciplines the employee as a result of the notice.

1103-1262

160

A/N

O

States should insert the citation for the appropriate “Anti-discrimination” text from their state law.


28

Specific Payee Withholding Limits Text

Additional Information regarding withholding limitations.

1263-1422

160

A/N

O


29

Employee State Contact Name

Contact Name.

1423-1479

57

A/N

O


30a

Employee State Contact Phone Number

Contact Phone Number.

1480-1489

10

N

O


30b

Employee State Contact Fax Number

Contact Fax Number.

1490-1499

10

N

O


30c

Employee State Contact Email Address Text

Contact E-Mail Address.

1500-1547

48

A/N

O


30d

Document Tracking Number

A number assigned by the entity sending the document that uniquely identifies the document.

1548-1577

30

A/N

O

First 2 digits must begin with numeric FIPS State Code.

29

Order Identifier

A unique identifier that is associated with a specific child support obligation within a case.

1578-1607

30

A/N

O


29

Employer State Contact Name

Employer Outreach or Customer Service Contact Name.

1608-1664

57

A/N

O



Employer State Contact Address Line 1 Text

Line 1 of the Employer Outreach or Customer Service Contact’s address.

1665-1689

25

A/N

O



Employer State Contact Address Line 2 Text

Line 2 of the Employer Outreach or Customer Service Contact’s address.

1690-1714

25

A/N

O



Employer State Contact Address City Name

Employer Outreach or Customer Service Contact’s city address.

1715-1736

22

A/N

O



Employer State Contact Address State Code

Employer Outreach or Customer Service Contact’s State Code.

1737-1738

2

A

O

Valid 2 alpha State Code


Employer State Contact Address Zip Code

Employer Outreach or Customer Service zip code.

1739-1743

5

N

O



Employer State Contact Address Ext Zip Code

Employer Outreach or Customer Service Contact’s

extension zip code.

1744-1747

4

N

O



Employer State Contact Phone Number

Employer Outreach or Customer Service Contact Phone Number.

1748-1757

10

N

O



Employer State Contact Fax Number

Employer Outreach or Customer Service Contact Fax Number.

1758-1767

10

N

O



Employer State Contact Email Address Text

Employer Outreach or Customer Service Contact E-Mail Address.

1768-1815

48

A/N

O



Child1 Last Name

Child’s Last Name.

1816-1835

20

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child1 First Name

Child’s First Name.

1836-1850

15

A/N

R

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. At least the first character must be filled

29

Child1 Middle Name

Child’s Middle Name or Initial.

1851-1865

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces Hyphens and apostrophes are allowed.

29

Child 1 Name Suffix

Child’s Name Suffix

1866-1869

4

A/N

O


29

Child1 Birth Date

Child’s date of birth.

1870-1877

8

N

O

Must be in CCYYMMDD format.

29

Child2 Last Name

Child’s Last Name.

1878-1897

20

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child2 First Name

Child’s First Name.

1898-1912

15

A/N

CR

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. Required if there is any other data present for child 2.

29

Child2 Middle Name

Child’s Middle Name or Initial.

1913-1927

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child 2 Name Suffix

Child’s Name Suffix

1928-1931

4

A/N

O


29

Child2 Birth Date

Child’s date of birth.

1932-1939

8

N

O

Must be in CCYYMMDD format.

29

Child3 Last Name

Child’s Last Name.

1940-1959

20

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child3 First Name

Child’s First Name.

1960-1974

15

A/N

CR

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. Required if there is any other data present for Child 3

29

Child3 Middle Name

Child’s Middle Name or Initial.

1975-1989

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child 3 Name Suffix

Child’s Name Suffix

1990-1993

4

A/N

O


29

Child3 Birth Date

Child’s date of birth.

1994-2001

8

N

O

Must be in CCYYMMDD format.

29

Child4 Last Name

Child’s Last Name.

2002-2021

20

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child4 First Name

Child’s First Name.

2022-2036

15

A/N

CR

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. Required if there is any other data present for Child 4

29

Child4 Middle Name

Child’s Middle Name or Initial.

2037-2051

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child 4 Name Suffix

Child’s Name Suffix

2052-2055

4

A/N

O


29

Child4 Birth Date

Child’s date of birth.

2056-2063

8

N

O

Must be in CCYYMMDD format.

29

Child5 Last Name

Child’s Last Name.

2064-2083

20

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child5 First Name

Child’s First Name.

2084-2098

15

A/N

CR

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. Required if there is any other data present for Child 5

29

Child5 Middle Name

Child’s Middle Name or Initial.

2099-2113

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child 5 Name Suffix

Child’s Name Suffix

2114-2117

4

A/N

O


29

Child5 Birth Date

Child’s date of birth.

2118-2125

8

N

O

Must be in CCYYMMDD format.

29

Child6 Last Name

Child’s Last Name.

2126-2145

20

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child6 First Name

Child’s First Name.

2146-2160

15

A/N

CR

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed. Required if there is any other data present for Child 6

29

Child6 Middle Name

Child’s Middle Name or Initial.

2161-2175

15

A/N

O

Letters A-Z or spaces. No special characters or imbedded spaces. Hyphens and apostrophes are allowed.

29

Child 6 Name Suffix

Child’s Name Suffix

2176-2179

4

A/N

O


29

Child6 Birth Date

Child’s date of birth.

2180-2187

8

N

O

Must be in CCYYMMDD format.

29

Filler

Future Use

2188-2245

58

A/N

O


N/A

e-IWO Detail Trailer Record



Field Name

Location

Length

Type

Required/Optional

Comments

Trailer Document Code

1-3

3

A

R

Must be TRL

Record Identifier

4-7

4

A/N

R

Only value for field: EIWO

Total Record Count

8-13

6

N

R

Total Number of e-IWO Records in this file.

Original Records

14-19

6

N

O

Number of Original Records

Amended Records

20-25

6

N

O

Number of Amended Records

Termination Records

26-31

6

N

O

Number of Termination Records

Filler

32-2245

2214

A/N

O

Filler










10/01/2006 V 1.7 Page 2 of 27

File Typeapplication/msword
File TitleHeader Record to DFAS
AuthorWilliam K. Stuart
Last Modified ByUSER
File Modified2007-05-04
File Created2007-04-30

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