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NEW HIRE REPORTING INFORMATION FOR …

NEW HIRE REPORTING INFORMATION FOR …

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NEW HIRE REPORTING INFORMATION FOR PENNSYLVANIA 01116-44-02T 080108 2 of 3 A contact person at the employer A phone number for the contact person at the employer The employee’s name (full name: first, middle and last) The employee’s address The employee’s Social Security Number The employee’s date of hire The employee’s date of birth (optional)

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