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DUAL EMPLOYMENT CERTIFICATION FORM (CP30)REQUEST FOR ADDITIONAL PAYMENT TO EMPLOYEE FOR WORK PERFORMED FOR ANOTHER STATE AGENCY INSTRUCTIONS: The borrowing agency is responsible for originating this
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How to fill out dual employment certification form

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How to fill out dual employment certification form

01
Obtain dual employment certification form from your employer or human resources department.
02
Fill out your personal information such as name, social security number, and contact information.
03
Provide details about your primary and secondary job including employer names, addresses, and job titles.
04
Indicate the number of hours you work at each job per week.
05
Sign and date the form to certify the accuracy of the information provided.
06
Submit the completed form to the appropriate department for processing.

Who needs dual employment certification form?

01
Employees who work multiple jobs simultaneously and are required to disclose this information to their employers.
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The dual employment certification form is a document used to certify that an employee is engaged in two jobs simultaneously, allowing for proper tracking and compliance with employment regulations.
Employers with employees working multiple jobs within the same organization or across different organizations are required to file the dual employment certification form.
To fill out the dual employment certification form, provide information about the employee's personal details, job titles, employment terms for both jobs, and the employer's details. Ensure that both employers acknowledge the dual employment status.
The purpose of the dual employment certification form is to ensure transparency regarding an employee's work engagements, help manage payroll and tax obligations, and comply with labor laws.
The dual employment certification form must report the employee's name, social security number, job titles, employment dates for both positions, hours worked, and compensation details.
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