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Get And Sign REQUEST TO EMPLOYER TO REPORT WAGES EACH MONTH Use This Form To Request An Employer To Report Wages Each Month

The enclosed form. Sincerely yours Enclosure Beginning Date of Employment Ending Date of Employment If the amount of wages for each month is the same enter the monthly amount here. Socialsecurity. gov or at your local Social Security office. We may share the information you provide to other health agencies through computer matching programs. To facilitate statistical research audit or investigative activities necessary to ensure the integrity and improvement of our programs e.g. to the Bureau...

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