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Get NV NUCS-4375 2006-2024

INSTRUCTIONS: Prime (general) contractors are responsible for having Sections I and II completed and returned to the Employment Security Division. ESD Employer Account No. Federal Employer Identification No. Name: Address: Name(s) and location(s) of ALL Nevada contract(s): I hereby authorize the release of information of my financial obligations to the Nevada Employment Security Division to the below named prime (general) contractor: Print Name and Title of Subcontractor Signature of S.

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