(1) The amount of periodic support to be paid by a party with directions as to the manner of payment;

(2) The amount of child support arrearage, if any, that has accrued under an existing court or administrative order;

(3) The amount of public assistance debt, if any, accrued under section 346-37.1;

(4) The amount of the periodic payment to be made in liquidation of such public assistance debt, if any, or child support arrearage, if any;

(5) A statement that a party's taxes shall be set off against the amount of such public assistance debt, if any, or child support arrearage, if any;

(6) The extent of the party's responsibility to provide medical insurance coverage for the dependent child involved in the case, or otherwise to pay the reasonable and necessary medical expenses of the dependent child;

(7) The name and birth date of the dependent child;

(8) A statement that the property of the party is subject to collection action, including but not limited to, withholding of income, unemployment compensation, workers' compensation, and retirement benefits, seizure of property, disclosure of information relating to the party's debts to consumer credit reporting agencies, and federal and state tax refund setoff;

(9) A statement that violations of the administrative order are punishable as contempt of court;

    (10) A statement notifying the parties of the right to judicial review of administrative orders, and the procedure for obtaining such review; and

    (11) Identifying information for each party, including social security number, residential and mailing addresses, telephone number, driver's license number if different from the social security number, and name, address, and telephone number of the party's employer, unless there is a finding that such disclosure of information would unreasonably put at risk the health, safety, or liberty of a party or child. [L 1988, c 154, pt of §2; am L 1990, c 176, §17; am L 1994, c 105, §12; am L 1997, c 293, §36]