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Click ‘Get Form’ to open it in the editor.
Begin by entering the employee's Social Security Number (SSN) in Line 10. Ensure that you include all nine digits, including leading zeros.
In Line 11, input the employee's last name followed by their first name and middle initial. Remember, only the first twelve characters of the last name and eight characters of the first name will be printed on the EAD card.
For Lines 12a, 12b, and 12c, enter the respective gross wages, taxable wages, and wages under a contract with an educational institution for each employee.
Calculate total gross wages in Line 13a and total taxable wages in Line 13b. These totals must be included in your main report.
Complete the E-Verify Certification section by signing and dating it to confirm compliance with employment eligibility verification requirements.
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