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Get MA JU-1 2016

St complete all sections. Sign and date the form.   Employee SSN/MassHealth ID Employee Name Section A. Current Job Information (You must complete this section.) I am currently working (fill out the following section(s)) 1. Current Job 1 Name of employer Address of employer a. Wages/tips (before taxes) $ Weekly  Every two weeks  Twice a month  Monthly  Yearly (Subtract any pre-tax deductions, such as non-taxable health insurance premiums.) b. How many hours a week do you wor.

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