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If Enrolling a Dependent, see the Documentation RequirementsPARTTIME EMPLOYEES GROUP NEW JERSEY STATE HEALTH BENEFITS PROGRAM APPLICATIONHA08020909pDIVISION USE ONLYDivision of Pensions and Benefits,
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ha-0802-part timep65 is a specific form used for reporting part-time employment information.
Employers who have part-time employees are required to file ha-0802-part timep65.
ha-0802-part timep65 must be filled out with accurate information about part-time employees including hours worked and wages earned.
The purpose of ha-0802-part timep65 is to report part-time employment information to the relevant authorities.
Information such as hours worked, wages earned, and employee details must be reported on ha-0802-part timep65.
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