Plaintiff Employment History - Kentucky - Kentucky 2025

1. Click ‘Get Form’ to open the Plaintiff Employment History form in the editor.
2. Begin by entering your name at the top of the form. This personal identification is crucial for processing your employment history.
3. In the 'Name and Address of Employer' section, list your most recent employer first. Include their full address for accurate record-keeping.
4. Fill in your Social Security Number or Green Card number to verify your identity and employment eligibility.
5. Specify the 'Type of Industry' where you were employed, as this information helps categorize your work experience.
6. For each period of employment, provide the 'Occupation', 'Begin Date', and 'End Date'. Ensure these dates are accurate to reflect your work history.
7. If applicable, indicate any exposure to substances causing occupational disease by specifying the substance in the designated field.
8. Answer whether an injury was sustained while working for each employer listed. This is important for legal documentation.
9. Finally, certify that all provided information is true by signing and dating the form at the bottom.

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