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DPHHS-QAD/CCL-020 (Revised 7-13) Department of Public Health and Human Services Quality Assurance Division Licensure Bureau Child Care Licensing Employee Cover Sheet Facility Name: Provider # Director
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An employee cover sheet is a document that provides basic information about an employee, such as their name, contact information, job title, and department.
Employers are required to file an employee cover sheet for each employee they have on their payroll.
To fill out an employee cover sheet, you will need to provide information about the employee's personal details, job information, and any other relevant information requested on the form.
The purpose of an employee cover sheet is to collect and organize important information about employees for administrative and record-keeping purposes.
Information such as employee name, address, social security number, job title, department, and any other relevant information required by the employer.
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