Self Insured Payroll Report | Pdf Fpdf Docx | Arizona

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Self Insured Payroll Report | Pdf Fpdf Docx | Arizona

Self Insured Payroll Report

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

Alternate TextLast updated: 9/15/2020

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TOTAL PAYROLL See InstructionsSee Instructions TOTAL EMPLOYEE COUNT FOR CALENDAR YEAR (W-2 COUNT) REQUIRED American LegalNet, Inc. www.FormsWorkFlow.com

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