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JP HSA Feedback Form Date: Name: (First, Middle Initial, Last) If a JP HSA Employee, Domicile: If not a JP HSA Employee, Address: (Street #, Apt., City, State, Zip Code) Daytime Phone #: Cell Phone
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If a JPHSA employee is an individual employed by the Jefferson Parish Human Services Authority.
Employers of JPHSA employees are required to file.
You can fill out the form for a JPHSA employee by providing all the necessary information about the employee and their employment status.
The purpose of filing for a JPHSA employee is to report their employment information to the appropriate authorities.
Information such as the employee's name, social security number, wages, and employment status must be reported for a JPHSA employee.
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