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UTAH DEPARTMENT OF WORKFORCE SERVICESUNEMPLOYMENT INSURANCE
NOTICE TO WORKERS jobs.Utah.gov
0922E0717Your work is covered under the provisions of the Utah Employment Security Act for
unemployment
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Obtain the necessary forms from the Department of Labor website or your local office.
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Include your employer identification number (EIN), which can be found on your W-2 form or by contacting your employer's HR department.
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Indicate the number of employees in your department.
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If applicable, provide details on any union affiliation or collective bargaining agreements.
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Employees: While employees do not directly fill out this form, they may need to provide relevant information to their HR department or employer to ensure accurate completion of the form. Employees should be aware of the form's existence and understand its purpose.
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Employer - department of is a form that employers use to report information about their employees to the government.
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Employer - department of requires employers to report employee's name, social security number, wages, and taxes withheld.
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