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H 2b employer filing tips fore... OMB Approval 1205-0508 Expiration Date 08/31/2019 Application for Prevailing Wage Determination Form ETA-9141 U.S. Department of Labor Please read and review the instructions carefully before completing this form and print legibly. C. Place of Employment Information 1. Worksite address 1 4. County 5. State/District/Territory 7. Will work be performed in multiple worksites within an area of intended employment or a location s other than the address listed above 7a. If Yes identify the geographic place s of employment indicating each metropolitan statistical area MSA or the independent city ies /township s /county ies borough s /parish es and the corresponding state s where work will be performed. If necessary submit a second completed Form ETA-9141 with a listing of the additional anticipated worksites. Please note that wages cannot be provided for unspecified/unanticipated locations. F. Prevailing Wage Determination FOR OFFICIAL GOVERNMENT USE ONLY 1. Indicate the field s /name s of training required 5. Special Requirements - List specific skills licenses/certificates/certifications and requirements of the job opportunity. c. Place of Employment Information 1. Worksite address 1 4. County 5. State/District/Territory 7. Will work be performed in multiple worksites within an area of intended employment or a location s other than the address listed above 7a. If Yes identify the geographic place s of employment indicating each metropolitan statistical area MSA or the independent city ies /township s /county ies borough s /parish es and the corresponding state s where work will be performed. If necessary submit a second completed Form ETA-9141 with a listing of the additional anticipated worksites. A copy of the instructions can be found at http //www. foreignlaborcert. doleta*gov/. A. Employment-Based Visa Information 1. Indicate the type of visa classification supported by this application Write classification symbol B. Requestor Point-of-Contact Information 1. Contact s last family name 2. First given name 3. Middle name s 4. Contact s job title 5. Address 1 6. Address 2 7. City 8. State 10. Country 11. Province if applicable 12. Telephone number 13. Extension 9. Postal code 14. Fax Number 15. E-Mail Address C. Employer Information 1. Legal business name 2. Trade name/Doing Business As DBA if applicable 12. Federal Employer Identification Number FEIN from IRS 13. NAICS code must be at least 4-digits D. Wage Processing Information 1. Is the employer covered by ACWIA Yes No 2. Is the position covered by a Collective Bargaining Agreement CBA Contract SCA Acts FOR DEPARTMENT OF LABOR USE ONLY DBA SCA Page 1 of 4 PW Tracking Number Case Status Validity Period to 4a* Survey Name 4b. Survey date of publication E* Job Offer Information a* Job Description 1. Job Title 2. Suggested SOC ONET/OES code 3. Job Title of Supervisor for this Position if applicable 4. Does this position supervise the work of other employees 4a* If Yes number of employees worker will supervise 4b.

Interglobal claim form 1 October 2018Claim form for medical treatment reimbursements Please complete clearly in BLOCK CAPITALS.Are you submitting this claim as a scanned copy?YesNoOne form must be completed for each patient,

Requirement specfications for... This box must be completed If yes supply information as an attachment on details of the number and type of shares covered by the option the consideration if any paid for the grant of the option the consideration required to exercise the option and the period within which the option must be exercised. Signature Name Designation Space for Employer s official chop Date Example Surname and Given Name of Employee are CHAN and TAI MAN respectively complete as C H A N T A I M A N IR56E 12/2018 Please provide a copy of the completed Form to your employee. INLAND REVENUE DEPARTMENT NOTIFICATION BY AN EMPLOYER OF AN EMPLOYEE WHO COMMENCES TO BE EMPLOYED Under section 52 4 of the Inland Revenue Ordinance Cap* 112 FOR OFFICIAL USE 56E Prepare a fresh form for another employee To be completed and returned within 3 months from date of commencement of employment Replacement correcting the form submitted on DD/MM/YYYY the above box where applicable and fill in the date All correspondence should be sent to P. O. Box 28777 Gloucester Road Post Office Hong Kong Particulars of the employer 1. Employer s File No* If not available state your Business Registration No*. If you do not have Employer s File No*/Business Registration No* state your H. K. Identity Card Number Name of Employer The business name is required Address of Employer Mr/Mrs/Ms/Miss Full Name in English Delete whichever is inapplicable Full Name in Chinese a H. K. Identity Card Number. This field must be completed b Passport Number and place of issue if Employee has no H. K. Identity Card Sex M Male F Female Marital Status 1 Single/Widowed/Divorced/Living Apart 2 Married a If married full name of spouse This box must be completed b Spouse s H. K. Identity Card Number/Passport Number and place of issue if known Residential Address Postal Address if different from item 7 above Capacity in which employed 10. Date of Commencement of Employment. Day 11. Terms of Employment a Monthly Rate of Fixed Income. Month Year HK EXCLUDE CENTS HK c Fluctuating Income e*g* Commission Bonus Gratuities HK Nature Monthly Rent e*g* House Flat Paid to Landlord Serviced Apartment by Employer No* of Rooms in Hotel etc* Address 12. Whether the employee was wholly or partly paid either in Hong Kong or elsewhere by a non-Hong Kong company 0 No 1 Yes If yes please state Name of the non-Hong Kong company which can be exercised after rendering services in Hong Kong 0 No 1 Yes. INLAND REVENUE DEPARTMENT NOTIFICATION BY AN EMPLOYER OF AN EMPLOYEE WHO COMMENCES TO BE EMPLOYED Under section 52 4 of the Inland Revenue Ordinance Cap* 112 FOR OFFICIAL USE 56E Prepare a fresh form for another employee To be completed and returned within 3 months from date of commencement of employment Replacement correcting the form submitted on DD/MM/YYYY the above box where applicable and fill in the date All correspondence should be sent to P. O. Box 28777 Gloucester Road Post Office Hong Kong Particulars of the employer 1. Employer s File No* If not available state your Business Registration No*.

Forms and resources self help... STATE OF WISCONSIN, CIRCUIT COURT, COUNTYInterpreter Request Period de interpreted Case No. Cause No. Form must be completed in the English language. El formulation SE debt completer en idiom single. 1.

Minor child whose form Enter the name of the county in which this case was filed. Enter the name of the minor child whose name is proposed to be changed in this Petition. Enter Petitioners and Petitioners (if any) name(s).

Petition for confidential name... FORM SUMMARY Name of Form:Petition for Confidential Name Change for Minor Child under 14Form Number:CV456Statutory Reference:301.47, 786.36 and 786.37, Wisconsin StatutesBenchbook Reference: Purpose

With order for involuntary for... STATE OF WISCONSIN, CIRCUIT COURT, IN THE MATTER OF Nye County AmendedStatement of Noncompliance with Order for Involuntary Administration of Psychotropic MedicationDate of Birth Case No. UNDER OATH,

Order on petition for involunt... FORM SUMMARY Name of Form:Statement of Noncompliance with Order for Involuntary Administration of Psychotropic MedicationForm Number:GN4210Statutory Reference:55.14(9), Wisconsin StatutesBenchbook

With order for involuntary adm... STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Amended IN THE MATTER Former on Statement of Noncompliance with Order for Involuntary Administration of Psychotropic MedicationName Date of Birth Case No. A

Client rights guardian consent... FORM SUMMARY Name of Form:Order on Statement of Noncompliance with Order for Involuntary Administration of Psychotropic MedicationForm Number:GN4220Statutory Reference:55.14(9), Wisconsin StatutesBenchbook

Involuntary administration of... STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Amended IN THE MATTER Competition for Order Authorizing Involuntary Administration of Psychotropic Medications (Annual Review)NameD ate of Birth Case No. UNDER

Performance review summary for... FORM SUMMARY Name of Form:Petition for Annual Review of Order Authorizing Involuntary Administration of Psychotropic MedicationsForm Number:GN4230Statutory Reference:55.19(1)(a)(2), Wisconsin StatutesBenchbook

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