Form De 196 - Electronic Notice Of Wages Page 2

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If you would like to use the electronic DE 1545 to reduce the amount of paper you shuffle, minimize
processing errors, and reduce clerical workload, please complete the information below.
Electronic DE 1545
Mail to:
Employment Development Department
Contribution Rate Group, MIC 4
P.O. Box 826880
Sacramento, CA 94280-0001
or fax to (916) 324-0381.
Contact Person _________________________________________________________________
Company
_________________________________________________________________
Address
_________________________________________________________________
City/State/Zip
_________________________________________________________________
Phone
_________________________________________________________________
Fax
_________________________________________________________________
DE 196 (12-96) (INTERNET)
Page 2 of 2
CU

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