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EMPLOYER USE ONLY:BLUE KC GROUP NO. ___ CLASS NO. ___ SUBGROUP NO. ___Employee Application
and Change Form
BlueKC.com One Pershing Square, 2301 Main, P.O. Box 419169, Kansas City, MO 641416169 8163952222GROUPS
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Employers forms are documents that are used to report employment tax information to the IRS.
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Employers who have employees working for them are required to file employers forms.
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Employers must report information such as employee wages, tips, federal income tax withheld, and social security and Medicare taxes withheld.
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