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OUTOFSTATE EMPLOYEE TRAVEL ATTESTATION FORM GENERAL INFORMATION Employee Name: Date Departed PA: Date Returned to PA: COVID-19 TEST AND QUARANTINE STATUS I certify that one of the following is true:

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To fill out the date returned to PA, follow these steps:

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Locate the designated field or section for the date.

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Input the correct date in the specified format (e.g., MM/DD/YYYY or DD-MM-YYYY).

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What is date returned to pa?

The date returned to pa refers to the date on which a submission or document is returned to the Pennsylvania Department of Revenue.

Who is required to file date returned to pa?

Individuals or entities who have submissions or documents that need to be returned to the Pennsylvania Department of Revenue are required to file the date returned to pa.

How to fill out date returned to pa?

To fill out the date returned to pa, individuals or entities should include the specific date on which the submission or document is being returned to the Pennsylvania Department of Revenue.

What is the purpose of date returned to pa?

The purpose of the date returned to pa is to provide a record of the timeline for submissions or documents being returned to the Pennsylvania Department of Revenue.

What information must be reported on date returned to pa?

The date returned to pa should include the specific date on which a submission or document is being returned to the Pennsylvania Department of Revenue.

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