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Welcome to the online version of the Special Request for Employee's Weekly Earnings Report of Hire form. If you are familiar with the Online Form process, click Report of Hire Form. If you want more information click Employer Help. |
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RECEIVING CONFIRMATION |
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A unique confirmation number will be displayed when the form is successfully submitted. Any submission received after 5:00 PM EST will not be processed until the next business day. (For example, information submitted on Friday after 5:00 PM EST will be processed the following Monday) |
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DO NOT MAIL OR FAX A DUPLICATE COPY OF THE FORM IF YOU HAVE SUCCESSFULLY SUBMITTED ONE ONLINE. |
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PLEASE NOTE: If you cannot complete all required fields on the online form, you will need to submit the request you received by mail. The paper form can be returned either by mail, in the self-addressed return envelope, or by fax to (410) 767-2610. Please be aware that the law provides penalties for false statements. |
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