Form pa 1897-2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Worker Name' and 'Telephone Number' fields at the top of the form. Ensure accuracy as this information is crucial for processing.
3. In the 'Subject of Inquiry' section, provide the employee's name and Social Security number. This identifies the individual related to the employment inquiry.
4. Complete the 'Employer Payroll Information' section. Indicate if the individual is currently employed and provide details regarding their employment status.
5. For earnings information, list each date of pay along with the gross amount earned. Remember to avoid using quarterly or yearly totals; actual dates are required.
6. Finally, have an employer’s representative sign and date the form, ensuring all necessary comments are included in the designated space.

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