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DISTRICT COURT, COUNTY OF SUFFOLK TYPE or PRINT in BLACK INK ONLYAPPLICATION FOR A SUMMONSSubmit this application with your original Verified Complaint (keep a copy for yourself) and filing fee. Illegible
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Start by indicating the month, day, and year that you were hired or retained in the respective fields.
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Make sure to double-check the accuracy of the dates entered to avoid any discrepancies.
03
If the exact date is unknown, provide an estimated date or a range to the best of your ability.
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Sign and date the form once all required information has been filled out.

Who needs date you hiredretained form?

01
Employers who are hiring or retaining new employees.
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HR departments that require documentation of hiring or retention dates.
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Legal entities that need to verify employment start dates for legal or compliance purposes.
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The date you hired/retained form is a document used to report the date a new employee was hired or an independent contractor was retained.
Employers are required to file the date you hired/retained form for new employees or independent contractors.
The date you hired/retained form is typically filled out with the relevant information about the new employee or independent contractor, such as their name, Social Security number, and date of hire or retention.
The purpose of the date you hired/retained form is to accurately report the date a new employee was hired or an independent contractor was retained for tax and employment purposes.
The date you hired/retained form must include information such as the employee or contractor's name, Social Security number, date of hire or retention, and any other relevant details.
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