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*** EMPLOYEES MUST COMPLETE THIS SECTION *** Please Print or TypeEmployee Social Security # Last Name First Name MIM ailing Address City State Zip CodeTelephone Number Work Email Address Home Email
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Employees must complete this form to provide necessary information to the employer.
All employees are required to complete this form.
Employees can fill out this form by providing accurate information related to their employment.
The purpose of this form is to ensure that employers have accurate information about their employees for tax and legal purposes.
Employees must report their personal information, employment status, and tax withholding information on this form.
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