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Get Ri Tdi Refund

CITY STATE ZIP CODE 2. Enter the calendar year for which a refund is being claimed, filing date, your signature , and telephone number. I hereby apply for a refund of taxes paid in excess during the calendar year to the R.I. Temporary Disability Insurance Fund. I certify that the facts presented including the attached W-2, are true to the best of my knowledge and belief. Date: Signature: Telephone : 3. IMPORTANT - ATTACH A COPY OF FEDERAL FORM W-2 FOR EACH EMPLOYER LISTED COMPA.

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