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OMB Approval: 12050534 Expiration Date: 10/31/20211. City *CW1 Application for Temporary Employment Certification Form ETA9142C Appendix B U.S. Department of Labor2. Postal/ZIP Code *3. Additional
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Who needs additional place of employment?

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Individuals who have multiple jobs or sources of income may need to fill out the additional place of employment section.
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Employers and organizations may also require this information from their employees for administrative or legal purposes.
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Some financial institutions or governing bodies may ask for the additional place of employment to assess an individual's financial situation or eligibility for certain benefits.
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Job seekers applying for certain positions may be asked to provide details about their current or previous employment as part of the application process.
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Additional place of employment refers to any extra work locations outside of the primary place of employment.
Employees who work at multiple locations or have secondary jobs are required to file additional place of employment.
To fill out additional place of employment, employees need to provide details of the additional work locations and hours worked at each location.
The purpose of additional place of employment is to track and report any extra work locations that an employee may have.
Employees must report the name and address of the additional work locations, as well as the hours worked at each location.
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