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Get NY SW 4 2013

S self-employment.) If “Yes,” complete “a” through “c.” a. How many days did you work? 1 2 3 4 or more b. Excluding earnings from self employment, did you earn more than $405 during the week? Yes No c. Are you still working for this employer? Yes No If No, complete the questions below. i. What was your last day of work with this employer? ___/___/___ ii. What is the reason you are no longer working for this employer? Quit Discharged Lack of Work Labor Dispute iii. Employer’s name a.

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