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This form is effective beginning with the January 1 to June 30, 2017 accounting period (2017/1) If you are filing for a prior accounting period, contact the Licensing Division for the correct form.STATEMENT

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How to fill out special statement concerning substitute

01

Clearly identify the original document for which the substitute is being made.

02

Provide a brief explanation for the need of the substitute statement.

03

Include the contact information of the person making the substitute statement.

04

Sign and date the substitute statement.

Who needs special statement concerning substitute?

01

Individuals who are authorized to make changes or substitutes on official documents.

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What is special statement concerning substitute?

A special statement concerning substitute is a document that is used to report income earned by a substitute teacher.

Who is required to file special statement concerning substitute?

School districts are required to file special statements concerning substitutes.

How to fill out special statement concerning substitute?

Special statements concerning substitutes can be filled out by providing information on the substitute teacher's income, such as wages earned and taxes withheld.

What is the purpose of special statement concerning substitute?

The purpose of special statement concerning substitute is to report income earned by substitute teachers for tax purposes.

What information must be reported on special statement concerning substitute?

Information such as the substitute teacher's name, wages earned, and taxes withheld must be reported on special statements concerning substitutes.

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