This form is used to inform the plaintiff's employer that an attorney has been retained by plaintiff and that plaintiff authorizes the release to attorney of employee's records.
Pennsylvania Authorization for Wage and Employment Information with Revocation of Any Previous Authorizations
State:
Multi-State
Control #:
US-PI-0243
Format:
Word;
Rich Text
Instant download
Description
How to fill out Authorization For Wage And Employment Information With Revocation Of Any Previous Authorizations?
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FAQ
PURPOSE OF FORM Complete Form REV-419 so that your employer can with- hold the correct Pennsylvania personal income tax from your pay. Complete a new Form REV-419 every year or when your personal or financial situation changes. Photo- copies of this form are acceptable.
SSA uses the form SSA-8240 to collect authorization from the public to obtain their wage and employment information from payroll data providers to determine program eligibility and payment amounts.
If you download, print and complete a paper form, please mail or take it to your local Social Security office or the office that requested it from you.
Burden to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401.
You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimant's electronic folder through the Access Claimant's Electronic Folder link.
Pennsylvania Withholding Tax Account Number and Filing Frequency. If you are a new business, register online with the PA Department of Revenue to retrieve your account number and filing frequency. You can also contact the agency at 1-888-PATAXES (1-888-728-2937).
SSA uses the form SSA-8240 to collect authorization from the public to obtain their wage and employment information from payroll data providers to determine program eligibility and payment amounts.
YOU MUST SIGN, DATE, AND RETURN THE ENGLISH VERSION OF THE SSA-827 TO YOUR LOCAL SOCIAL SECURITY OFFICE TO HAVE YOUR DISABILITY CLAIM PROCESSED.
