The Assignment of a Specified Amount of Wages is a legal document that allows an employee to assign a portion of their future wages to another person or organization, known as the assignee. This form specifies the amount of wages to be assigned, the employer, and provides legal protections to both parties involved. Unlike other wage assignment forms, this document ensures that all parties are aware of the transaction's details and establishes the terms of payment clearly and legally.
This form is typically used when an employee needs to direct a portion of their wages to a third party. Common scenarios include settling debts, making loan repayments, or fulfilling other financial obligations. It is important to ensure that the assignment does not conflict with any existing wage garnishments or legal orders.
In most cases, this form does not require notarization. However, some jurisdictions or signing circumstances might. US Legal Forms offers online notarization powered by Notarize, accessible 24/7 for a quick, remote process.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
The Assignment of a Specified Amount of Wages is a written agreement that lets an employee earmark a portion of future earnings to a designated recipient. It defines the amount, the employer who will withhold or redirect payments, and the terms of payment, including a date range. Use it when a debt or obligation requires directed wage payments.
Garnishment is typically a court-ordered deduction from wages, while this wage assignment is a voluntary agreement between the employee and the recipient. The form specifies the exact amount and time frame, and it requires the employer’s authorization to pay the assignee, avoiding court involvement unless a separate order applies.
To complete this form, fill in the date of assignment, the assignor’s name and address, the assignee’s name and address, the amount to be paid and the earnings period, and the authorization to your employer to pay the assignee. The document may also include the assignor’s warranties, governing law, and arbitration terms.
The assignee is the person or organization receiving the wages. List full name and address for the assignee, and the employer must be authorized to redirect payments under the form’s terms. The employer will make payments to the assignee as specified, within the defined date range.
The assignor makes warranties and representations in this wage assignment, including authority to enter the assignment and accuracy of the information provided. These warranties help ensure the arrangement is properly executed and enforceable.
This form is distinct from a general wage assignment because it specifies a fixed amount and a defined earnings period, plus an explicit authorization for the employer to pay the assignee. It may also include a governing law and mandatory arbitration clause, features not always present in a generic wage assignment.