It 201 form 2020 pdf: Fill out & sign online

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Click ‘Get Form’ to open the LS58C form in the editor.
Begin by filling out the Employer Information section. Enter the name of your business, DBA name, physical address, and contact phone number.
In the Prevailing Rate Jobs Pay Rate(s) section, indicate your pay rate for each occupation listed. If applicable, check any allowances such as tips or meals and specify amounts.
Complete the Non-Prevailing Rate Jobs Pay Rate section by entering your hourly wage for non-prevailing jobs.
Fill in the Regular payday section with your designated pay frequency (weekly, bi-weekly, etc.).
In the Employee Acknowledgement area, ensure that you sign and date the form after reviewing all information provided.

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