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Click ‘Get Form’ to open the dh1054b fillable in the editor.
Begin by filling out the 'Employee Details' section. Use BLOCK LETTERS and print in black or blue pen only. Enter the employee's title, last name, first and middle names, address details, and contact information.
Next, move to the 'Employment Details' section. Provide the employer's name, address, contact information, employment start date, end date (if applicable), and type of employment by ticking the appropriate box.
In the 'Income Details' section, input the pay period start and end dates. Fill in the gross salary/wages for that period, current weekly wage, salary sacrifice amount, travel reimbursement details, fringe benefits, deductions, allowances, and any days lost without pay.
Finally, declare that all details are correct by printing the employer’s representative name and providing a signature along with a company stamp or seal before entering the date.
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