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Pay Notice for Workers Paid a Weekly Rate or Salary
The employee must receive a signed copy of this form. The employer must keep the original for 6 years. Employee Name: LS 56 (03/11)
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Form 6 pole-mount recloser control instructions
Reclosers equipped with Type B sensing CTs are compatible with all Eaton Cooper Power series recloser controls (Form. 2, Form 3, Form 3A, Form 4A, Form 4C, FXA,
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Notice and Acknowledgement of Pay Rate and Payday
LS 56 (09/22). 2. Notice given: At hiring. Before a change in pay rate(s), allowances claimed or payday. 3. Employees Pay Rate: $ per. Weekly hours
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