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Enrollment Application 20142015 Home School Extension Student Information Students Legal Name Last First Full Middle Name Used Applying for grade level Address City State Zip Home Phone Date of Birth
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What is re e--ennrroo ll lmmeenntt?
Reemployment Enrollment
Who is required to file re e--ennrroo ll lmmeenntt?
Employers with rehired employees
How to fill out re e--ennrroo ll lmmeenntt?
Complete the form with details of rehired employees
What is the purpose of re e--ennrroo ll lmmeenntt?
To report rehired employees for unemployment purposes
What information must be reported on re e--ennrroo ll lmmeenntt?
Details of rehired employees such as name, SSN, start date
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