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This document presents the decision of the Employees’ Compensation Appeals Board regarding the case of Donna A. Wereszyński against the Department of the Air Force concerning her claimed recurrence

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2. Start by entering the employee's personal details in the appropriate sections of the form. Ensure that all information is accurate and up-to-date.
3. Next, input the employer's information, including their name, address, and EIN. Double-check this information for accuracy as well.
4. In the reason for completing the form section, select the appropriate option that best describes the purpose of the form. This could be new hire, rehire, update of information, or any other relevant reason.
5. If the employee is authorized to work in the United States, indicate their work authorization status. This could include a citizen, lawful permanent resident, or other authorized status.
6. If the employee is claiming any exemption status or withholding allowances, provide accurate information in the appropriate sections. This will determine the amount of federal income tax to be withheld from their wages.
7. Finally, the employee must sign and date the form to certify that the information provided is true and accurate to the best of their knowledge.

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01-0630doc - dol is a form used by the Department of Labor (DOL) to collect information related to labor statistics.

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