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Get NY SW 4.1 2017-2024
, print your previous name: Waiting Week (Sunday Week Ending Date) Part A Employee Statement Enter the date and answer the questions for the week claimed: 1. Did you work for anyone other than your Shared Work employer on any day in the week? (This includes 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 $435 during the week? Yes No c. Are you still working fo.
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