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Get Wht 436 2020-2024

Partment of Taxes. You must retain this form for your records for three years. Quarter / Year Uncovered Employee Count: Did you have 5 or more full-time equivalent (FTE) employees who were all age 18 and older in the previous quarter?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes If you answered NO, check this box to certify no Health Care Fund Contributions will be d.

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