Application for out of State Supplemental Reporting
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
Application for out of State Supplemental Reporting (A fillable form - 145 KB PDF)
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| Description | The purpose of form 212-234-000 -Out of state applications- is to provide a means for an employer to formally request to receive the out-of-state supplemental report for a specific year and state. The form will also allow the department to convey out-of-state reporting requirements and to obtain information needed by the department to set a business up for supplemental reporting. | |
| Detail | ||
| Form number | F212-234-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | extraterritorial, extraterritorial coverage, out-of-state, supplemental report | |
| Languages | English | |
| Valid dates | 11-2008 | |
| Contact information | ||
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