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NAME (LAST, FIRST, INITIAL)DATE OF BRADSTREET ADDRESSCITYSTATEDivorced ANNUAL ENROLLMENT
Widowed Married
Single Male
FemaleSSNEMAIL ADDRESSFIRST ENROLLMENTZIPEFFECTIVE DATE OF COVERAGEDate Hired:___
Driver's
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Gather all necessary information such as employee personal details, employment history, and tax information.
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Access the EMPLOYEE portal or system using your login credentials.
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Enter the employee's personal details such as name, address, contact information, and social security number.
05
Provide employment history including previous employers, job titles, and dates of employment.
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Employers who want to maintain accurate records of their employees.
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Government agencies or tax authorities who require employee information for compliance purposes.
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What is e m p l?
EMPLOYMENT (EMPLOYER'S) PAYROLL
Who is required to file e m p l?
Employers
How to fill out e m p l?
By reporting employment payroll information
What is the purpose of e m p l?
To report employment payroll information to the relevant authorities
What information must be reported on e m p l?
Employee wages, taxes withheld, and other relevant payroll information
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