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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Employer Information section. Enter the employer's name, address, telephone number, and Federal ID Number (EIN) in Boxes 3-5.
Next, complete the Applicant Information section. In Box 6, input the applicant's name and Social Security Number. Indicate if they have worked for this employer before in Box 8.
Proceed to the Applicant Characteristics section (Boxes 12-21). Carefully read each question and provide accurate answers. If applicable, include additional information as requested.
In Box 22, document any sources used to verify eligibility. List all relevant documentation that supports your answers.
Finally, ensure that the form is signed in Box 23 by the appropriate individual and enter the date in Box 24.
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