Dshs stop work form 2026

1. Click ‘Get Form’ to open the dshs stop work form in the editor.
2. Begin by filling out the top section with your name, client identification number, telephone number, and date. Ensure all information is accurate for proper processing.
3. In Section 1, sign and date the form to authorize your employer to complete it. Clearly print your name and provide the company details including address.
4. Move to Section 2 where a company representative will fill in employment details. They should enter the last working date, final paycheck amount, and any other paychecks received that month.
5. Indicate the reason for job termination by selecting from options provided. If applicable, detail severance pay and vacation/sick pay availability.
6. Finally, ensure that the representative signs and dates the form, providing their name and position for verification.

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