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(An explanation of this order is printed on page 2 of this form.) THE COURT ORDERS. A wage assignment is a document you signed at the time you signed the contract for your debt.A lawsuit might result in you owing legal fees and other costs. Borrowers may agree to allow a lender to use wage assignments, for example, when they take out payday loans. For example, child support, bankruptcy and student loans are all types of wage garnishments. Claim form (JD-CV-3a) with employer and fill in. "Date of Service" on form. Employee's full name; Letter ID and case number from the Notice of Employee Wage Attachment. Indicate when you will forward payments to IRS. • Sign and date the form.