Form LO403.5 Request for Rate Based on Weeks of Employment - New York

Form LO403.5 Request for Rate Based on Weeks of Employment - New York

What Is Form LO403.5?

This is a legal form that was released by the New York State Department of Labor - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LO403.5?
A: Form LO403.5 is the Request for Rate Based on Weeks of Employment form.

Q: What is the purpose of Form LO403.5?
A: The purpose of Form LO403.5 is to request a rate based on weeks of employment in New York.

Q: Who needs to fill out Form LO403.5?
A: Employees who want to request a rate based on weeks of employment in New York need to fill out Form LO403.5.

Q: What information is required on Form LO403.5?
A: Form LO403.5 requires information about the employee's name, address, social security number, and the number of weeks employed.

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Form Details:

  • Released on September 1, 2019;
  • The latest edition provided by the New York State Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form LO403.5 by clicking the link below or browse more documents and templates provided by the New York State Department of Labor.

Download Form LO403.5 Request for Rate Based on Weeks of Employment - New York

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