Ee 4 form 2026

1. Click ‘Get Form’ to open the EE-4 form in the editor.
2. Begin by filling out the Employee’s Information section. Clearly print the employee's name, maiden/former name, and Social Security Number if known.
3. Next, provide your information. Include your name, telephone numbers, address, and your relationship to the employee by checking all applicable boxes.
4. In the Employee’s Work History section, detail where and for whom the employee worked. Be specific about facility names and locations.
5. Complete the Employment Narrative by describing the type of work performed by the employee at this facility. Attach additional sheets if necessary.
6. Finally, sign and date the declaration at the bottom of page two to affirm that all provided information is accurate.

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