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WELFARE EXEMPTION SUPPLEMENTAL AFFIDAVIT, HOUSING ELDERLY OR ... Exemption (First Filing) BOE-267-A, Claim for ... the claim for welfare exemption and must ...
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How to fill out boe-267-h p1 rev
How to fill out boe-267-h p1 rev:
01
Start by entering the name of the business or organization in the designated field.
02
Provide the address of the business, including the street address, city, state, and zip code.
03
Indicate the telephone number of the business in the appropriate space.
04
Enter the start and end dates of the reporting period being covered.
05
Provide the total number of employees working in each reporting period.
06
Specify whether or not the business has any employees receiving public assistance.
07
Determine if the business provided health insurance coverage to its employees during the reporting period.
08
Indicate if the business used any of its employees through a third-party contractor or subcontractor.
09
Determine if the business utilized any employees with disabilities during the reporting period.
10
Calculate the total wages paid to employees during the reporting period.
11
Determine if there were any cash payments made to employees instead of regular wages.
12
Total the value of all noncash payments made to employees during the reporting period.
13
Determine if the business provided any insurance or pension benefits to its employees.
14
Calculate the total value of all insurance or pension benefits provided.
15
Provide any additional information or explanations required by the form.
16
Sign and date the form to certify its accuracy and completeness.
Who needs boe-267-h p1 rev:
01
Businesses or organizations that have employees and want to report their wage and other employment information.
02
Employers who have employees receiving public assistance.
03
Employers who provide health insurance coverage to their employees.
04
Businesses that use employees through third-party contractors or subcontractors.
05
Employers who employ individuals with disabilities.
06
Businesses or employers required by law to provide wage and employment information to the appropriate authorities.
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