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Click ‘Get Form’ to open the Employer Information Form in the editor.
Begin with SECTION A. Fill in your Employer (legal) Name and any DBAs, Customer/Group#, Federal Employer Identification Number (EIN), Nature of Business, Telephone #, Email Address, Physical Address, and Website if applicable.
Move to SECTION B. Select the Type of Business Organization by checking the appropriate box for Sole Proprietor, C-Corporation, S-Corporation, Partnership/LLP, Non-Profit, Farm, or LLC.
In SECTION C, answer the questions regarding contribution requirements and employee listings. If applicable, provide ownership documents as instructed.
SECTION D requires you to certify that the information provided is accurate. Print your name and title, then sign and date the form.
SECTION E asks for a copy of your most recent quarterly wage and tax statement. Ensure all necessary documentation is attached as specified.
Finally, complete SECTION F by indicating average hours worked next to each employee listed on your documentation.
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