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Get and Sign Elc Pinellas 2015 Form

Get and Sign Elc Pinellas 2015 Form

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Dated by employer. Please understand that the ELC will contact and/or visit your employer to verify the information presented on this form. This form should only be utilized for new employment or in rare circumstances where 6 weeks of most current/consecutive pay stubs cannot be obtained. Additional documentation may be requested. SECTION I – GENERAL INFORMATION: (To be completed by employer) 1. Employee Name ____________________________________ SS#______________________________ 2. Employee...
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