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Ays and hours you work change often, give the days and hours you work the most. Applicant/Participant's Name: Cash Assistance Case Number: Employer's Name: Employer's Address: Work Location if Different from Employer's Address: If the work location is in New York City, answer the following question to the best of your knowledge. The employer has a total of 11 or more employees 10 or fewer employees Weekly Schedule Days Mon. Tues. Wed. Thurs. Fri. Sat. Sun. Start Time: Total Weekly.
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