A 1 131 Form

A 1 131 Form

Use a A 1 131 Form template to make your document workflow more streamlined.

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NO.: WORKERS' COMPENSATION POLICY NO.: PROJECT AND LOCATION: (9) (7) (8) GROSS AMOUNT EARNED DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS S NET WGS PAID FOR WEEK CHECK NO. HOURS WORKED EACH DAY THIS PROJECT ALL PROJECTS FED. TAX FICA (SOC. SEC.) TRAING. FUND ADMIN FED. TAX FICA (SOC. SEC.) TRAING. FUND ADMIN FED. TAX FICA (SOC. SEC.) TRAING. FUND ADMIN FED. TAX FICA (SOC. SEC.) TRAING. FUND ADMIN STATE TAX SDI VAC/ HOLIDAY HEALTH &.

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