41.50.610 - Mandatory assignment of retirement benefits -- Order -- Answer -- Form.

Mandatory assignment of retirement benefits — Order — Answer — Form.

The answer of the department shall be made on forms, served on the director with the mandatory benefits assignment order, substantially as follows:


IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR THE COUNTY OF . . . . . . . . . . .
. . . . . . . . . . . . No. . . . . . . . . . . . . Obligee   vs.   ANSWER TO . . . . . . . . . . . . MANDATORY BENEFITS Obligor ASSIGNMENT ORDER . . . . . . . . . . . .        Department of Retirement Systems of      the State of Washington
     1. At the time of the service of the mandatory benefits assignment order on the department, was the above-named obligor receiving periodic retirement payments from the department of retirement systems?      Yes . . . . . . No . . . . . . (check one).      2. At the time of the service of the mandatory benefits assignment order on the department, had the above-named obligor requested a withdrawal of accumulated contributions from the department?      Yes . . . . . . No . . . . . . (check one).      3. Are there any other court or administrative orders on file with the department currently in effect directing the department to withhold all or a portion of the obligor's benefits?      Yes . . . . . . No . . . . . . (check one).      4. If the answer to question one or two is yes and the department cannot comply fully with the mandatory benefits assignment order, provide an explanation.
     I declare under the laws of the state of Washington that the foregoing is true and correct to the best of my knowledge.
     . . . . . . . . . . . .      . . . . . . . . . . . .      Signature of director      Date and place
or      . . . . . . . . . . . .
     . . . . . . . . . . . .      . . . . . . . . . . . .      Signature of person      Place      answering for director
     . . . . . . . . . . . .        Connection with director

[1987 c 326 § 12.]