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Report of New Employee(s) (DE 34)

DE 34 Rev. 10 (3-17) (INTERNET) Page 1 of 2 MAIL TO: Employment Development Department / PO Box 997016, MIC 96 CU West Sacramento, CA 95799-7016 or fax to 916-319-4400 Report OF NEW Employee(s) NOTE: Failure to provide all of the information below may result in this form being rejected and/or a penalty being TAT EZIP CODECITYBUSINESS NAMECONTACT PERSONPHONE NUMBERSTREET NAMESTREET NUMBERUNIT/APTSOCIAL SECURITY NUMBERCITYZIP CODES TAT ESTART-OF-WORK DATEM M D D Y YEMPLOYEE FIRST NAMEMIEMPLOYEE LAST NAMESTREET NAMESTREET NUMBERUNIT/APTSOCIAL SECURITY NUMBERCITYZIP CODES TAT ESTART-OF-WORK DATEM M D D Y YEMPLOYEE FIRST NAMEMIEMPLOYEE LAST NAMESTREET NAMESTREET NUMBERUNIT/APTSOCIAL SECURITY NUMBERCITYZIP C

INSTRUCTIONS FOR COMPLETING . ALL OF THE ELEMENTS ON THE . REPORT OF NEW EMPLOYEE(S), DE 34 REQUIREMENTS: Federal law requires all employers to report all newly hired employees, who work in California, to the Employment

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