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O. Box 981624 El Paso TX 79998-1624 Form 61 03/2010 Page 1 of 2 KC4704 AR 03/2010 Employee name Employer Arkansas Army National Guard Account no. Cert. N/A LIUNA Local 1671 9. Sex 10. Job title M NG Technician F 11. Hire Date 12. Hours/Week 7. Employee SSN 13. Earnings Hourly 14. Married 15. Children Weekly Yearly 17. City 16. Street Address 8. Employee DOB mm/dd/yyyy Other Monthly Yes No 18. Cert. no. MY SIGNATURE ON THIS APPLICATION CERTIFIES THAT I 1 Apply for the coverages designated for...
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Employee informationfailure to accurately refers to incorrect or incomplete information provided about an employee.
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Employers are required to file employee informationfailure to accurately.
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The purpose of employee informationfailure to accurately is to ensure that the information provided about employees is accurate and up to date.
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Employee informationfailure to accurately should include personal details, employment history, and any relevant HR information.
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