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Employee Exclusion Acknowledgement 124 West Capitol Avenue Suite 400 Little Rock AR 72201-3700 Phone: (800)682-7377 Fax: (501)682-7843 Website: www.apers.org I. Employee Personal Data Social Security
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Employee exclusion acknowledgement is a document or form that indicates the employees who are excluded from certain benefits or programs offered by an organization.
Employers are required to file employee exclusion acknowledgement for all employees who are excluded from certain benefits or programs.
To fill out employee exclusion acknowledgement, employers need to provide the necessary information about the excluded employees, such as their names, employee IDs, and the benefits or programs from which they are being excluded.
The purpose of employee exclusion acknowledgement is to formally document and confirm that certain employees are not eligible for specific benefits or programs.
Employee exclusion acknowledgement must include the names or employee IDs of the excluded employees and the specific benefits or programs from which they are being excluded.
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