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Section16012080r FEB 29 2016OMB APPROVAL
OMB Number: 32350123
Expires:
March 31, 2016,
Estimated average burden
hours per response.... I2.00INANNUAL AUDITED REPORT
FORM X17A5
PART
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Washington Paid Family and Medical Leave (PFML) is a mandatory insurance program.
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Employers must report the total premiums paid by each employee, as well as the total hours worked by each employee during the reporting period.
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