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United States Department of Labor Employees Compensation Appeals Board STANLEY E. MARTINEZ, Appellant and DEPARTMENT OF THE INTERIOR, NATIONAL PARK SERVICE, Boulder City, NV, Employer))))))))) Appearances:
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How to fill out 04-1331doc - dol:
01
Start by entering your personal information in the designated fields, including your name, address, and contact information.
02
Next, provide the required information about your employer, such as the company name, address, and contact details.
03
Fill in the details about your job position, including the job title, start and end dates, and the average number of hours worked per week.
04
Indicate whether you are employed on a full-time or part-time basis and provide the corresponding number of hours worked per week.
05
If you are no longer employed by the company, indicate the reason for separation and the specific date of termination.
06
Fill in the information regarding your earnings, including your hourly wage or salary, as well as the total amount earned during the specific time period.
07
If applicable, provide details about any bonuses, commissions, or tips received during the reporting period.
08
Finally, review the completed form to ensure all the information is accurate and sign and date the document.
Who needs 04-1331doc - dol:
01
Employees who have worked for an employer and are seeking to report their earnings and working hours for a specific time period.
02
Individuals who are no longer employed by the company and need to provide information regarding their separation from employment and earnings during the period of employment.
03
Employers who are required by the Department of Labor (DOL) to collect and submit this form on behalf of their employees.
Note: The specific need for and use of 04-1331doc - dol may vary depending on the labor laws and regulations of your country or jurisdiction. It is advisable to consult with the relevant authorities or legal professionals to ensure compliance with applicable requirements.
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