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U.S. Department of LaborOccupational Safety and Health Administration 200 N. High Street Room 620 Columbus, OH 43215Citation and Notification of Penalty To: Dolmen Midwest LLC, DBA Dollar General
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It is a form for reporting weekly unemployment insurance claims.
Individuals who are claiming unemployment benefits.
You can fill out the form online or on paper, providing accurate information about your employment status.
The purpose is to report your ongoing eligibility for unemployment benefits.
You must report your work search activities, any earnings from work during the week, and any other income received.
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