Form De 34 - Report Of New Employee(S)

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REPORT OF NEW EMPLOYEE(S)
NOTE: Failure to provide all of the information below may result in
this form being rejected and/or a penalty being assessed.
00340600
DATE
CA EMPLOYER ACCOUNT NUMBER
BRANCH CODE
FEDERAL ID NUMBER
M M D D Y Y
BUSINESS NAME
CONTACT PERSON
PHONE NUMBER
ADDRESS
STREET
CITY
STATE
ZIP CODE
EMPLOYEE FIRST NAME
MI
EMPLOYEE LAST NAME
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
CITY
STATE
ZIP CODE
START-OF-WORK DATE
M M D D Y Y
MI
EMPLOYEE FIRST NAME
EMPLOYEE LAST NAME
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
CITY
STATE
ZIP CODE
START-OF-WORK DATE
M M D D Y Y
MI
EMPLOYEE FIRST NAME
EMPLOYEE LAST NAME
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
CITY
STATE
ZIP CODE
START-OF-WORK DATE
M M D D Y Y
MI
EMPLOYEE FIRST NAME
EMPLOYEE LAST NAME
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
CITY
STATE
ZIP CODE
START-OF-WORK DATE
M M D D Y Y
MI
EMPLOYEE FIRST NAME
EMPLOYEE LAST NAME
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
CITY
STATE
ZIP CODE
START-OF-WORK DATE
M M D D Y Y
EMPLOYEE FIRST NAME
MI
EMPLOYEE LAST NAME
SOCIAL SECURITY NUMBER
STREET NUMBER
STREET NAME
UNIT/APT
CITY
STATE
ZIP CODE
START-OF-WORK DATE
M M D D Y Y
DE 34 Rev. 9 (1-15)
MAIL TO: Employment Development Department / P.O. Box 997016, Document Management Group, MIC 96
CU
West Sacramento, CA 95799-7016 or fax to 916-319-4400
DE 34 Rev. 9 (1-15)
INTERNET

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