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Employee action request - California

STATE OF California STATE CONTROLLER S OFFICE Employee action request STD. 686 (REV 12/2020) **IMPORTANT** Before completing Section E, you must read the instructions on Internal Revenue Service (IRS) Form W-4 and the applicable state tax form. (For California , use Form DE-4)WITHHOLDING CHANGE OR NEW EMPLOYEENOTE: Social Security Number and Last Name, First Name, and Middle Initial must be entered exactly as shown on Social Security claim that the wages I will be receiving from the State are either a 1) MINISTER OF A CHURCH in the exercise of his/her ministry, 2) NONRESIDENT ALIEN wages, or 3) DECEASED Employee WAGES. Indicate reason (See General Information on reverse)III. ADDITIONAL DEDUCTIONS Part I and Part II must be completed. Complete box(es) 11 and/or 12 if you wish additional Federal and/or State tax withheld from your wages. IF BOXES ARE NOT COMPLETED, CURRENT DEDUCTIONS (IF ANY) WILL BE CANCELLED.

new employee - this information may be used to locate prior public employment service for state service credits and/or retirement system benefits. new employee or birthdate correction. employee signature personnel office use. mo day birthdate. …

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COVID-19 Industry Guidance: Office Workspaces

files.covid19.ca.gov

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files.covid19.ca.gov

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files.covid19.ca.gov

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files.covid19.ca.gov

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files.covid19.ca.gov

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files.covid19.ca.gov

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mn.gov

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it.snhu.edu

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www.massmutual.com

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