Es posible que usted tenga derecho a beneficios de compensación de trabajadores si usted se lesiona o se enferma a causa de su trabajo. Complete Form W-4 so that your employer can withhold the correct federal income tax from your pay.Give Form W-4 to your employer. ❖ You ask Edgar to fill out the W4 form in Spanish. He gives it back as says he would rather you fill it out. THE ATTACHED MEDI-CAL ANNUAL REDETERMINATION FORM. No opten por no participar en el Acuerdo ("Miembros del Grupo Demandante del Acuerdo. How to Customize and Send the Acknowledgment. Agreement. The last page of this document includes a 'Signature. Acknowledgment'. The mission of the Special Supplemental Nutrition Program for Women, Infants and.