Follow the steps to complete the form efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Enter the date when you are submitting the form in the 'Eingangsdatum' field, ensuring that it is accurate and current.
3. Fill in your name and surname under the 'Name und Vorname' section, as well as your personnel number in the 'Pers.-Nr.' field.
4. Provide your AHV number in the designated field to ensure proper identification.
5. Input your postal code, place of residence, street, and house number in the 'PLZ, Wohnort, Strasse, Nummer' section.
6. Complete your birth date and year accurately to establish your identity.
7. Select your marital status from the 'Zivilstand' options to clarify your personal circumstances.
8. Detail the occupation you are engaged in under 'Ausgeübte Tätigkeit' and enter the corresponding hours worked for each calendar day as instructed.
9. Respond to the questions about whether a written employment contract exists and if a weekly working time was agreed upon. Provide details as necessary.
10. Indicate whether the business operates under a collective labor agreement and clarify if more hours were offered to you in the specified month.
11. Document any declined work offers with reasons and provide any income details from self-employment as needed.
12. Fill out the gross salary information, including hourly and monthly amounts, and breakdowns of other earnings or components.
13. Indicate whether contributions to occupational pensions were made and name the relevant pension insurer.
14. Complete the sections regarding family allowances, continued employment status, and contract termination reasons.
15. Conclude by providing the necessary employer information and signing the document in the designated area.
16. Finally, review all entries for accuracy, then save changes and download, print, or share the completed form as required.

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