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Reginfo. gov/public/do/PRAMain. If desired you can call 1-800-827-1000 to get information on where to send comments or suggestions about this form. VA FORM 21-4138 JUN 2021 Page 2. If completed by hand print the information requested in ink neatly and legibly and insert one letter per box to help expedite processing of the form. 1. DATE SIGNED 9. SIGNATURE OF VETERAN/BENEFICIARY Required PENALTY The law provides severe penalties which include fine or imprisonment or both for the willful...
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The Florida Department of Economic Opportunity presents a guide to reporting your employment information during the application. It is important that you provide all employment for the last 18 months whether it is full-time, part-time, temporary or self-employment. This will avoid delays in your claim being processed. If your employer was bought out by another company or changed their leasing company this is treated as separate employment and you will need to report each period individually. Let's go over the information that you will need to provide for each employer. First you'll need to provide the employers name as it appears in your w-2 or pay stub this could be a leasing agency for example you may be employed by Acme but the name on the pay stub is a company called Lease Co, you would report the name as Lease Co. Second you'll need to provide the contact information which is the physical address where the work was performed, the legal address of the company as it appears on the

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