Get Mn Wage Levy Disclosure Form

The Mn Wage Levy Disclosure Form is essential for employers who need to report specific information regarding their employees' wage statuses. This guide provides a clear, step-by-step approach to completing the form online, ensuring that you can efficiently provide the necessary details.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the employer's name and payroll address in the specified fields. This includes the city, state, and zip code. If the wage levy was not sent to the correct address, provide the accurate address in the designated space.
3. Enter the employee's name, Social Security number, last known address, and last known phone number. Ensure this information is accurate and up-to-date to avoid any potential issues.
4. Check the appropriate box that describes the employee's current status. If the employee is no longer working for the employer, provide the termination date. If the employee is still employed but not currently working, enter the expected return date.
5. If the employee is no longer wage-earning and works as an independent contractor, fill in the last date they were a wage-earning employee.
6. If applicable, provide the name and address of the employee’s new employer if known.
7. Fill in the contact information of the person completing the disclosure, including their printed name, title, phone number, and fax number.
8. Finally, enter the date of completion. Once all sections are filled out, you can save your changes, download, print, or share the form.

Complete your Mn Wage Levy Disclosure Form online today for accurate and timely reporting.