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Get and Sign New York State Record of Employment 2018-2022 Form
No.:
Street:________________________________________________________
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Street:________________________________________________________
Federal Employer Identification No.:
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City:__________________________________ State:_______ Zip:________
Optional if needed by employer to locate employee record:
Payroll or Clock No.: ______________ Location of employment or code: __________________________________
Employee: Keep this certificate. Have it with you if you apply for...
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