Form WG-006 at a glance
What it is: WG-006 is the Claim of Exemption (Wage Garnishment) form.
Where and when to file: If you check the box for item 3a, you do not need to complete form EJ-165. You also do not need to complete item 4. You must give the levying officer this completed original form and one copy of the completed form. You should save at least one copy of the form for your records. Do not file this form with the court.
A filled-in Form WG-006 example: an employee claims the earnings exemption
How to fill out Form WG-006, box by box
Instructions for completing this form
Read Employee Instructions (form WG-003) before completing this form. If you check the box for item 3b or 3c, you must attach a properly completed Financial Statement (form EJ-165) to this Claim of Exemption. You can get a copy of form EJ-165 for free by asking the levying officer or going to courts.ca.gov/rules-forms/find-your-court-forms or your court's self-help center.
Attorney or party without attorney
Under attorney or party without attorney, enter the name, street address, city, state, zip code, telephone no. and email address.
Superior Court, plaintiff, defendant and case number
Enter the county after SUPERIOR COURT OF CALIFORNIA, COUNTY OF.
Enter the PLAINTIFF/PETITIONER and the DEFENDANT/RESPONDENT.
Enter the LEVYING OFFICER FILE NUMBER and the CASE NUMBER.
1. My name is and 2. Please send all papers to
1. My name is:
2. Please send all papers to me or my attorney (specify), at the address shown at attorney or party without attorney or another address.
3. I am making this claim of exemption because
a. My earnings are less than the legal minimum amount for an earnings withholding order. (Your earnings cannot be withheld unless you earn more than a minimum amount set by law (Code Civ. Proc., § 706.050). You earn less than the legal minimum amount if, after mandatory deductions:
If you are paid at least once a week: You earn less than 48 times the applicable minimum hourly wage each week. "The applicable minimum hourly wage" means either the California hourly minimum wage or the hourly minimum wage in the city or county where you work, whichever is higher.
If you are paid once every two weeks: You earn less than 96 times the applicable minimum hourly wage each pay period.
If you are paid twice a month: You earn less than 104 times the applicable minimum hourly wage each pay period.
If you are paid once a month: You earn less than 208 times the applicable minimum hourly wage each pay period.
b. I need all my earnings to support myself or my family. c. I need $ each pay period to support myself or my family. A completed Financial Statement (form EJ-165) is attached to this claim. (You do not need to complete form EJ-165 if you checked the box for item 3a.)
4. Amount to be withheld each pay period
I am willing for the following amount to be withheld from my earnings each pay period during the withholding period.
I understand that this amount will be withheld each pay period if the judgment creditor accepts this offer by not opposing my Claim of Exemption (check one; you do not need to complete item 4 if you checked the box for item 3a):
a. None, or b. Withhold $ each pay period.
5. I am paid
5. I am paid (check one): daily, weekly, every two weeks, twice a month, monthly, other (specify):
Declaration under penalty of perjury and date
I declare under penalty of perjury under the laws of the State of California that this form is true and correct.
Enter the Date, then the (TYPE OR PRINT NAME) and the (SIGNATURE).
Sources
[1] Form WG-006 (Rev. January 1, 2026), Claim of Exemption (Wage Garnishment), Judicial Council of California (the Official source link on this page).
