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Referral to employer for employee income information

Nyc referral to employer for employee income information form rev 216 2010-2025

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The document is a referral form from the NYC Administration for Children’s Services, requesting income verification from an employer for an employee who is applying for publicly funded day care services. It includes sections for the employee's personal information, employment details, and income reporting over the last three months.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Employee’s Name and Program Number at the top of the form. This identifies the individual for whom you are providing income information.
Fill in the Street Address and RA Address, along with City, State & Zip Code. Ensure accuracy as this information is crucial for correspondence.
In the section designated for employer’s personnel or payroll department, indicate the Period of Employment by entering the Start Date and End Date.
Specify the Type of Work and Number of Work Days Per Week. Then, detail Daily Working Hours by filling in From and To times.
Complete the table by recording Hours Worked, Regular Gross Pay, Overtime/Tips, and any Other Earnings. Be meticulous to ensure all earnings are accurately reported.
Finally, provide your Employer’s Name, Address, Telephone Number, and include a signature along with your title before submitting.

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2016	4.8 Satisfied (101 Votes)
2015	4.3 Satisfied (72 Votes)
2010	4.3 Satisfied (132 Votes)

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Which form is used by an employer to report an employees income to the IRS?

At the end of the year, you must prepare and file Form W-2, Wage and Tax Statement to report wages, tips and other compensation (including noncash payments) paid to each employee in your trade or business.

What is the employee verification form for employers?

Use Form I-9, Employment Eligibility Verification, to verify the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must properly complete Form I-9 for every individual they hire for employment in the United States. This includes citizens and aliens.

What is an income verification from an employer?

Referral to Employer for Employee Income Information. Authorization and Consent to Release Information. (To be completed by Employee)