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Child Support Statement Date: ___Select one of the statements listed below based on support for each child in the household. I hereby certify that I DO receive child support for the following children:
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Fill in your personal information, such as name, address, and social security number.
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Indicate the dates for which you are claiming benefits in the designated sections.
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Weeks i is a form used for filing quarterly wage and tax information.
Employers are required to file weeks i.
Weeks i can be filled out online or by mail with the required wage and tax information.
The purpose of weeks i is to report quarterly wage and tax information to the appropriate tax authorities.
Information such as total wages paid, federal income tax withheld, and social security tax withheld must be reported on weeks i.
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