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HS01970596 Name of Employer Signature of Certifying Agent INSTRUCTIONS STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF PENSIONS AND BENEFITS PO BOX 295 TRENTON, NJ 086250295 County 2. List
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To fill out the HS-0197 EE Roster, follow these steps:
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Begin by downloading the HS-0197 EE Roster form from the official website or obtaining a physical copy.
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Provide your personal information in the designated fields, such as your full name, date of birth, and contact details.
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Indicate your employment details, including your job title, employer's name, and contact information.
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List the countries you have visited or will be visiting during your assignment or travel.
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Specify the dates of each visit or travel and the purpose of your visit.
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Provide information about any dependents accompanying you on your assignment or travel.
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Sign and date the completed HS-0197 EE Roster.
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Review the filled-out form for accuracy and completeness.
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Submit the form to the appropriate authority or organization as specified.
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Remember to keep a copy of the filled-out HS-0197 EE Roster for your records.

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The HS-0197 EE Roster is typically required by employees or individuals who are traveling or undertaking assignments that involve visits to different countries.
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In some cases, individuals may need to provide the HS-0197 EE Roster to fulfill visa requirements or comply with international regulations.
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It is important to check with the specific organization or authority requesting the form to determine if it is necessary for your particular situation.
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The hs-0197 ee roster is a form used to report employee information to the government.
Employers are required to file the hs-0197 ee roster for their employees.
The hs-0197 ee roster can be filled out online or submitted physically to the relevant government agency.
The purpose of the hs-0197 ee roster is to provide accurate employee information to the government for regulatory purposes.
The hs-0197 ee roster typically requires information such as employee names, social security numbers, and employment status.
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