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DA 2812 (Special) Rev. 197 (KDOT)State of Kansas Department of Administration DIVISION OF PERSONNEL SERVICESPosition Description Read each heading carefully before proceeding. Make statements simple,
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How to fill out employee name leave blank
01
Open the employee name field in the form.
02
Leave the field blank.
03
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Who needs employee name leave blank?
01
Employers who have employees without known names.
02
Employers who prefer not to disclose the identity of their employees.
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Employers who have temporary or anonymous workers.
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What is employee name leave blank?
Employee name must be left blank.
Who is required to file employee name leave blank?
All employers are required to leave the employee name blank.
How to fill out employee name leave blank?
Simply do not input any employee name in the designated field.
What is the purpose of employee name leave blank?
The purpose is to protect employee privacy and confidentiality.
What information must be reported on employee name leave blank?
No information should be reported on employee name.
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