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CERTIFICATION OF WORKER STATUS (To be completed by State agency or school*) This Certification is solely for purposes of applying Delaware Public Employees Retirement System (DOERS) governing statutes
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How to fill out certification of worker status

How to fill out certification of worker status:
01
Download the certification form from the official website or obtain a physical copy from the relevant authority.
02
Fill in your personal information accurately, including your full name, contact details, and social security number.
03
Provide details about your employment, such as your job title, employer's name, and address.
04
Indicate the duration of your employment, including the start and end dates, if applicable.
05
Confirm your work status by selecting the appropriate option, such as full-time, part-time, or self-employed.
06
If you have any dependents, provide their names, relationship to you, and their dates of birth.
07
Sign and date the certification form to validate the information provided.
Who needs certification of worker status:
01
Individuals applying for government assistance programs may be required to submit a certification of worker status to determine eligibility.
02
Some employers or organizations may request a certification of worker status as part of their hiring or verification processes.
03
Non-citizens seeking certain immigration benefits or work permits may need to provide a certification of worker status to establish their legal working status.
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What is certification of worker status?
Certification of worker status is a document that verifies the eligibility of an individual to work in a certain country.
Who is required to file certification of worker status?
Employers are required to file certification of worker status for their employees.
How to fill out certification of worker status?
To fill out certification of worker status, employers must provide information about the employee's identity, work authorization status, and any relevant documents.
What is the purpose of certification of worker status?
The purpose of certification of worker status is to ensure that employers are hiring individuals who are legally allowed to work in the country.
What information must be reported on certification of worker status?
Information such as the employee's name, social security number, immigration status, and any relevant work permits must be reported on certification of worker status.
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