Indiana Code Title 22. Labor and Safety § 22-4-13.3-2

(1) That the individual's income will be withheld.

(2) That a notice to withhold the individual's income applies to all current and subsequent employers.

(3) That a notice to withhold income will be provided to each of the individual's employers and will include the information listed in section 3 of this chapter.

(4) That the individual may contest the withholding and assert exemptions from withholding by requesting an administrative review.

(5) The grounds and procedures for the individual to contest the withholding.