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EMPLOYEES CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT FORM C4 PLEASE TYPE OR PRINT EMPLOYEES CLAIM PROVIDE ALL INFORMATION REQUESTED First Name. I. Last NameBirthdateHome AddressAgeCityStateMailing
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Start by obtaining the revised C-4 form for employees.
02
Fill out the employee information section at the top of the form, including the employee's name, social security number, and contact information.
03
Provide the reason for the revision in the appropriate section, indicating whether it is a correction, update, or other type of revision.
04
Complete the employment history section, detailing the employee's previous job positions, dates of employment, and any relevant information regarding the revision.
05
Include any supporting documentation or attachments that are necessary to explain or support the revision.
06
Review the completed form for accuracy and completeness, ensuring that all required fields are filled out correctly.
07
Sign and date the form, indicating your responsibility for the information provided.
08
Submit the revised C-4 form to the appropriate department or authority as instructed.

Who needs revised c-4 form employees?

01
Employers who have employees that require revisions to their C-4 forms.
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Revised C-4 form for employees is a document used to report any changes in employees' information such as wages, hours worked, and personal details.
Employers are required to file the revised C-4 form for employees.
To fill out the revised C-4 form for employees, employers need to provide accurate and updated information about their employees.
The purpose of the revised C-4 form for employees is to ensure that the information reported to the authorities is accurate and up to date.
Information such as employee wages, hours worked, address, social security number, and other personal details must be reported on the revised C-4 form for employees.
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