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Idaho Form Work Verification 2016-2023
Employee Started:
Hourly Pay
$
Per hour
Monthly Salary
$
Per month Number of days worked per week:
Other
$
Per:
Average number of hours per week:
Other Income
Employee receives (mark all that apply):
Type
Tip
$
Amount
Housing/Utilities
$
Commissions
$
Bonuses
$
Overtime
$
How often?
Is overtime anticipated?
No
Yes. If yes, estimate the number of hours per week:
per month:
If employee just started working, date first check will be issued:
Number of hours this check...
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