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DWC 251 Revised February 2000 NOTICE OF ELECTION OF COVERAGE The applicant (s) herein elect to be included in the definition of employee, eligible for
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Specific departments within organizations: Certain departments within organizations, such as HR, finance, or legal departments, may also use the "state use only" section on their internal forms. This section allows them to record pertinent information that is meant exclusively for internal use.
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Restricted access personnel: Individuals who have authorized access to sensitive or confidential information may be required to fill out the "state use only" section on certain forms. This helps ensure that only authorized personnel can view or use this privileged information.
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State use only refers to information on a form that is not to be used for any purpose other than by state agencies for statistical purposes.
State agencies or organizations collecting data for state use only are required to file this information.
State use only information should be filled out according to the instructions provided on the form.
The purpose of state use only is for statistical analysis and reporting by state agencies.
The specific information required for state use only reporting will be outlined on the form.
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