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APPLICATION FOR EMPLOYMENT Answer all questions completely. If employed, this completed application will become part of your permanent record. PERSONAL RECORD Date: Name (Print): Last First M.I. Present
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If employed this completed is a form used by employers to report the income and employment taxes withheld from employees' paychecks.
Employers are required to file if employed this completed for each employee who received wages during the year.
To fill out if employed this completed, employers must provide information about the employee's wages, tips, and other compensation, as well as the taxes withheld.
The purpose of if employed this completed is to report the income and employment taxes withheld from employees' paychecks to the IRS.
Employers must report the employee's wages, tips, other compensation, federal income tax withheld, social security wages, social security tax withheld, Medicare wages, and Medicare tax withheld.
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