Fillable EMPLOYER'S QUARTERLY CONTRIBUTION AND WAGE REPORT ... - detr state nv
Signed/Title Name of Preparer if Other Than Employer Area Code Fax Number Area Code Telephone Number Area Code Telephone Number NUCS-4072 Rev.9-02 Date EMPLOYER S REPORT OF CHANGES Employer Account Number Page 2 Month/Day/Year Please notify the Division if or when business resumes.
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