Form De 1gs - Registration Form For Governmental Organizations And Public Schools Page 2

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I dreamt the government
was here to help...
• Understand who, what, how, and when to report state employment taxes.
• Avoid common pitfalls and costly mistakes.
• Control unemployment insurance costs.
• Learn the differences between independent contractors and employees.
• Discover services and resources, available at no additional cost.
Make this dream a reality. Attend an employment tax seminar designed especially for employers, sponsored by the
Employment Development Department. Please complete and mail the bottom portion of this form to the Employment
Development Department, P.O. Box 2068, Rancho Cordova, CA 95741-2068 or fax to (916) 464-3504. We will contact
you regarding the date, time, and location of the next seminar.
If you would like more information, please call (916) 464-3502 or visit EDD’s Web site at
Name:
Address:
Street
City
State
ZIP Code
Telephone: (
)
FAX: (
)
Preferred time and place to attend a seminar:
Day of week: Mon
Tue
Wed
Thu
Fri
Sat
(circle one)
Time of day:
Morning
Afternoon
Evening
(circle one)
Preferred city or area:
The dream is real.
The State of California Employment Development Department (EDD), as a recipient of federal and state funds, is an equal opportunity employment program and is subject
to Section 504 of the Rehabilitation Act and the Americans with Disabilities Act (ADA). Persons who require special accommodations may contact the above information
number.
(INTERNET)
Page 3 of 3

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