Social Security Information Request {WKC-6156} | Pdf Fpdf Docx | Wisconsin

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Social Security Information Request {WKC-6156} | Pdf Fpdf Docx | Wisconsin

Social Security Information Request {WKC-6156}

This is a Wisconsin form that can be used for Workers Comp.

Alternate TextLast updated: 6/1/2018

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Description

I understand that the information requested is for computing the amount of worker222s compensation payments for which I Worker222s Compensation Division American LegalNet, Inc. www.FormsWorkFlow.com Enter employee222s nameEnter employee222s social security numberEnter employee222s addressif it is different from the number in 2233.224Return this form to the address in 2237.224 within 30 days. If you do not sign this form, your Attain Social Security Administration representative222s signatureEnter date of Social Security Administration representative222s signatureSend this completed form to the address in 2237.224Social Security Reverse Offset WorksheetWorker222s Compensation Division American LegalNet, Inc. www.FormsWorkFlow.com

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