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Return completed form to: P.O. Box 34750, Seattle, WA 981241750 EMPLOYER: PLEASE COMPLETE THIS SECTION. Effective date Termination date Group name Group number Selected health plan Pay location (if
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Pay location refers to the physical location where employees are paid.
Employers are required to file pay location if applicable.
Pay location can be filled out online or through a paper form provided by the governing agency.
The purpose of pay location is to ensure that employees are being paid in compliance with labor laws and regulations.
The information reported on pay location typically includes the address of the physical location where employees are paid.
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