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  • Employee's Statement

Get Employee's Statement

IMPORTANT NOTICE: Completion of this form is necessary to accomplish the requirements outlined in 225 ILCS 446/1 et. seq. (Illinois Compiled Statutes). Disclosure of this information is REQUIRED.

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How to fill out the employee's statement online

Completing the employee's statement is essential for fulfilling the requirements outlined in Illinois Compiled Statutes. This guide provides step-by-step instructions to help users navigate the online completion process with confidence.

Follow the steps to successfully complete the employee's statement.

  1. Click 'Get Form' button to access the document and open it in a suitable editor for your needs.
  2. Begin by entering your employee number in the designated field. This number is typically assigned by your employing agency.
  3. Fill in the name and address of the employing agency. Ensure accuracy to prevent any processing delays.
  4. Provide your full name as the employee. This should match the name on your official identification.
  5. Input your date of employment. This is the date you started working with the agency.
  6. Enter your social security number carefully. This information is crucial for identity verification.
  7. Complete your current address, including street, city, state, and zip code, ensuring all details are correct.
  8. Fill in your date of birth in the format Month/Day/Year.
  9. Provide your place of birth as requested in the corresponding field.
  10. Indicate whether you have ever been dishonorably discharged from the armed services by selecting 'Yes' or 'No.'
  11. Answer the question regarding any past criminal convictions. If applicable, include a detailed explanation of the offense and its final outcome.
  12. State whether you have been declared incompetent by any court due to mental or physical reasons. An explanation is required if the answer is 'Yes.'
  13. Provide information regarding any history of habitual drunkenness or narcotic dependence, with an explanation if you answer 'Yes.'
  14. Answer the question regarding any certificate denial related to the Private Detective Act. Fill in details if applicable.
  15. Detail your business or occupation for the last five years, including locations and employer names.
  16. Finally, input the date of completion, sign, and ensure all information is accurate before submission.
  17. Once completely filled out, you can save the changes, download, print, or share the form as needed.

Complete the employee's statement online to meet your agency’s requirements efficiently.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232