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U. S. DEPARTMENT OF LABOR Employees Compensation Appeals Board In the Matter of MARGARET L. RIEMANN and U.S. POSTAL SERVICE, POST OFFICE, Orlando, FL Docket No. 02-210; Submitted on the Record; Issued

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3. Fill in the required information pertaining to your wages, such as your hourly or salaried rate and the number of hours you work per week.
4. If applicable, indicate any additional sources of income or benefits you receive, such as commissions or tips.
5. In the section regarding deductions, provide details about any taxes or other withholdings that are deducted from your wages.
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