Form 22 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Employer FEIN, Employee’s Name, and Employer's Name in the designated fields. Ensure accuracy as this information is crucial for processing.
3. Fill in the Address and Telephone Number for both the employer and employee. This helps maintain clear communication regarding the claim.
4. In the earnings section, mark an 'X' in the appropriate squares to indicate days worked and paid leave. For any unpaid days, leave those squares blank.
5. Record total earnings for each month in the corresponding columns. If there were changes in job or pay rate during this period, note these changes clearly.
6. Finally, ensure that all required signatures are completed before submitting your form electronically through our platform.

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