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EMPLOYEE SOCIAL SECURITY NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF LABOR & INDUSTRY OFFICE OF ADJUDICATION PETITIONS SECTION 1171 S. CAMERON STREET, ROOM 103 HARRISBURG, PA 171042501 (TOLL
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To fill out the Department of Labor form, follow these steps:
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Gather all the necessary information and documents required for the form.
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Start by providing your personal details such as your full name, address, contact information, and social security number.
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Indicate the specific department or division you are applying for or seeking assistance from.
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Provide detailed information about your current employment status, including your job title, employer's name, address, and contact information.
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Answer all the questions related to your employment history, such as previous jobs held, the duration of employment, and reasons for leaving.
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Fill out the sections regarding your wages or salary, including the amount earned and frequency of payment.
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If applying for assistance or benefits, provide information about your current financial situation, including assets, savings, and liabilities.
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Double-check all the information provided to ensure accuracy and completeness.
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Sign and date the form before submitting it to the respective department or office of the Department of Labor.

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The Department of Labor (DOL) is a U.S. government agency responsible for promoting the welfare of job seekers, wage earners, and retirees.
Employers with employees subject to the Fair Labor Standards Act (FLSA) are required to file with the Department of Labor.
Employers can fill out the necessary forms online through the DOL website or by submitting physical forms to the relevant DOL office.
The purpose of the Department of Labor is to protect and promote the rights of workers, improve working conditions, and advance opportunities for employment.
Employers must report information such as employee wages, hours worked, overtime pay, and other relevant labor data.
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