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Employees Retirement System Membership Registration RS 5420Office of the New York State Comptroller York State and Local Retirement System 110 State Street, Albany, New York 122440001(Rev. 8/16)If

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01

Gather all the necessary information and documents such as your personal details, employment history, salary information, and contact details of your employer.

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Start by completing the personal information section, including your full name, address, contact number, and email address.

03

Provide accurate details about your employment history, including the name of your current and previous employers, start and end dates of employment, job titles, and responsibilities.

04

Fill out information about your salary, including your current or last known salary, bonuses, and any other additional income.

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Include details about your employer, such as their name, address, contact number, and email address.

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Who needs if your employment is?

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Anyone who is currently employed or has been employed in the past may need to fill out an employment form.

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Employers or human resources departments may require employees to fill out an employment form for record-keeping purposes.

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Government agencies or institutions may request individuals to fill out an employment form for tax or statistical reporting purposes.

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What is if your employment is?

If your employment is a form that must be filed by individuals who have income from self-employment or are independent contractors.

Who is required to file if your employment is?

Individuals who have income from self-employment or are independent contractors are required to file if your employment is.

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You can fill out if your employment is by providing information about your income from self-employment or as an independent contractor.

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The purpose of if your employment is to report income from self-employment or as an independent contractor for tax purposes.

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You must report income earned from self-employment or as an independent contractor on if your employment is.

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