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West Virginia Department of Health and Human Resources EMPLOYER CONTACT FORM County: Name: SSN: Phone: Address: Date Time of Employer/Company Name Contact and Telephone Number Must be returned by:.

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How to fill out the Employer Contact Form online

Filling out the Employer Contact Form accurately is essential for effective communication with potential employers. This guide will provide you with clear and detailed instructions to assist you in completing the form online.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to access the Employer Contact Form and open it in your document editor.
  2. Begin by filling out the 'County' section, specifying the county where the employment contact took place.
  3. Enter your 'Name' and 'SSN' (Social Security Number) in the designated fields, ensuring you provide accurate information.
  4. Provide your 'Phone' number and 'Address' for any necessary follow-up communication.
  5. Fill in the 'Date' of the employer contact to record when the communication occurred.
  6. Complete the 'Employer/Company Name' and 'Telephone Number' fields with the contact details of the employer.
  7. Indicate the 'Person Contacted' by entering the name of the individual you spoke with at the company.
  8. Choose the 'Type of Contact' made, whether it was in person, through internet communication, or over the phone.
  9. Specify if an 'Interview' took place by selecting 'Yes' or 'No.'
  10. Indicate the 'Position of Interest' for which you are applying or inquiring.
  11. Record the 'Response of Employer,' detailing any feedback or information provided by the employer.
  12. Document the 'Time Spent' in hours and minutes that you dedicated to the employer contact.
  13. If applicable, enter the 'Mileage (Round Trip)' related to your travel for the contact.
  14. Finally, certify the accuracy of the information by signing the form in the designated field.
  15. After completing the form, you can save your changes, download a copy for your records, print the form, or share it as required.

Complete your Employer Contact Form online today to improve your job search efforts.

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Contact support

Employer contact means participant communication with an employer or employer's representative through a visit, phone call, or mail to request consideration for employment.¶

Items to Put on an Emergency Contact List Family physician and hospital. The first name and number on your list should be your family's doctor and a local hospital. ... School contacts. ... Local contact. ... Next of kin. ... Work contact. ... Additional emergency contacts. ... Electric and utility companies. ... Poison control center.

Make sure you and new hires complete employment forms required by law. W-4 form (or W-9 for contractors) I-9 Employment Eligibility Verification form. State Tax Withholding form. Direct Deposit form. E-Verify system: This is not a form, but a way to verify employee eligibility in the U.S.

Since accidents happen in the workplace, it's important for employers to know who to contact in case of an emergency. Having a reliable data quality system to keep this information intact can be of immense help in that regard.

The form should contain basic information such as the employee's name, address, and date of birth. Contact details are often included in case you need to get in touch with an employee in an emergency or other important situation.

The Employee Emergency Contact Form is used by an Employer to collect the contact information of an Employee's family or partner in case of emergency. For instance, if an Employee suffers an injury at the work place and must be taken to an Emergency Room, he or she may require a spouse or a parent to be contacted.

An emergency contact is the first person medical personnel will get in touch with in an emergency, but your emergency contact may not have the legal authority to act on your behalf unless you explicitly provide that power.

The form should contain basic information such as the employee's name, address, and date of birth. Contact details are often included in case you need to get in touch with an employee in an emergency or other important situation.

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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