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01. Edit your form 1a online online
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- Click ‘Get Form’ to open the Filing Status and Exemption form in our editor.
- Begin by entering your personal information in the EMPLOYEE section. Fill in your Name, Date of Birth, Address, City/Town, State, and Zip Code as required.
- In the FILING STATUS AND EXEMPTIONS section, select your Federal tax filing status based on your actual status at the time of injury. Ensure it matches your tax return.
- Indicate the number of exemptions you have as of the date of injury and specify if FICA was withheld for you by selecting YES or NO.
- Check any applicable boxes regarding age or blindness for yourself or your spouse.
- List names, dates of birth, and relationships for all exemptions included previously.
- If applicable, provide details about concurrent employment including employer name, address, and date of hire.
- Finally, sign and date the form to attest that all information is correct before submitting it through our platform.
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