Fillable dol 800 1999 form

Description
State of Georgia Department of Labor SEPARATION NOTICE 1. Employee's Name a. State any other name(s) under which employee worked. 3. Period of Last Employment: From 4. REASON FOR SEPARATION: a. LACK OF WORK b. If for other than lack of work, state fully and clearly the circumstances of the separation: To 2. S. S. No. 5. Employee received payment for: (Severance Pay, Separation Pay, Wages-In-Lieu of Notice,...
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