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- Click ‘Get Form’ to open the CCA - Division Of Taxation in the editor.
- Begin by entering your social security number, first name, middle initial, and last name in the designated fields. Ensure accuracy to avoid processing delays.
- Fill in your current home address, including city, state, and ZIP code. If applicable, check the box indicating if you worked outside your normal workplace due to COVID-19.
- Select the reason for your claim by checking the appropriate box. Be sure to attach any required documentation as specified for each reason.
- Complete the Claim Summary section by providing details about your employer and any over-withholding amounts. Make sure to include all necessary calculations from pages 2 and 3.
- Review all entered information for accuracy before signing and dating the form at the bottom. This ensures that your claim is processed without issues.
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