Application for out of State Supplemental Reporting


Application for out of State Supplemental Reporting

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Title	Application for out of State Supplemental Reporting (A fillable form - 145 KB PDF)
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
Keywords	extraterritorial, extraterritorial coverage, out-of-state, supplemental report
Languages	English
Valid dates	11-2008
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