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Request for Court Forms 5/08

Request for Court Forms 5/08

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Arbitrator Application

Arbitrator Application

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Petition-Appeal by Employer-IC Determination


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Compromise Settlement

Compromise Settlement

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Request for Prehearing Conference

Request for Prehearing Conference

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Joint Petition

Joint Petition

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Form SS-4 Application for EIN

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INSTRUCTIONS : APPLICATION FOR EMPLOYER IDENTIFICATION NUMBER (Form SS-4)


The SS-4 Form is a United States Internal Revenue Service tax form used to apply for an Employer Identification Number (EIN).  An EIN is used as the corporate identification number for taxation purposes, similar to a social security number for an individual taxpayer.  

The SS-4 Form can be obtained through the I.R.S’ website or by obtaining the documents through a local tax office.  

The form is to be filled out upon the creation of a new entity which is a corporation, partnership, trust, estate, church, government agency, certain individuals, or other taxable entities. 


1. The first step is to fill out all general information required on lines 1 through 7.  


2. On line 1, put the legal name of the entity for which the EIN is to be given.  If the trade name is different than the legal name, provide the trade name on line 2. 


3. If the EIN is for a trust or estate, provide the administrator or trustee name on line 3.  


4. Enter all applicable mailing and business addresses in lines 4 through 6.  


5. The responsible party who will answer for the entity must be listed on line 7, with their social security number.  


6. On lines 8 through 9, state the type of entity applying for the EIN.  Identify the corporate status, if any, or if the entity is a trust, estate, non-profit, or other entity required to have an EIN. 


7. If the entity is a corporation, write the place of incorporation on line 9b.


8. Select the reason for using the SS-4 Form on line 10.  You must choose if it is a new business, changed business, or creation of another type that requires an EIN.


9. You must further detail your business on lines 11 through 17.  You must indicate the date the entity was created, any employees, the type of employees, the principle activity if a business, and the type of merchandise, if any, that is sold. 


10. If the named entity has previously used an SS-4 Form, indicate so on line 18, and state the previous EIN.


11. Sign and certify the SS-4 Form, providing any third party if applicable.  Once completed, submit the SS-4 Form to the IRS and retain a copy for your records. 

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SNA-1009A Work Activity Report

SNA-1009A Work Activity Report

 

INSTRUCTIONS: ARIZONA WORK ACTIVITY REPORT (Form SNA-1009A)

 

 

Arizona residents employed in the state's Supplemental Nutrition Assistance Employment and Training Program are required to complete a form SNA-1009A documenting their work activity on a weekly basis. This document can be obtained from the website maintained by the Arizona Department of Economic Security.

 

Arizona Work Activity Report SNA-1009A Step 1: In the first blank box, enter your last name, first name and middle initial.

 

Arizona Work Activity Report SNA-1009A Step 2: In the second blank box, enter your JAS ID number.

 

Arizona Work Activity Report SNA-1009A Step 3: In the third blank box, enter the date of the week for which you are reporting.

 

Arizona Work Activity Report SNA-1009A Step 4: In the fourth blank box, enter your supervising specialist's name.

 

Arizona Work Activity Report SNA-1009A Step 5: In the fifth blank box, enter your supervising specialist's phone number.

 

Arizona Work Activity Report SNA-1009A Step 6: In the sixth blank box, enter your supervising specialist's fax number.

 

Arizona Work Activity Report SNA-1009A Step 7: In the seventh blank box, enter your supervising specialist's email address.

 

Arizona Work Activity Report SNA-1009A Step 8: The table below requires to document the number of hours spent per day on activities pertaining to the program. The first line concerns hours spent conducting a job search.

 

Arizona Work Activity Report SNA-1009A Step 9: The second line concerns hours spent on job readiness training.

 

Arizona Work Activity Report SNA-1009A Step 10: The third line concerns hours spent on education and training.

 

Arizona Work Activity Report SNA-1009A Step 11: The fourth line concerns hours spent on homework.

 

Arizona Work Activity Report SNA-1009A Step 12: The fifth line concerns hours spent on gaining work experience.

 

Arizona Work Activity Report SNA-1009A Step 13: The sixth line concerns hours spent in employment.

 

Arizona Work Activity Report SNA-1009A Step 14: The last line is for documentation other related activities. Specify the activity being conducted where indicated.

 

Arizona Work Activity Report SNA-1009A Step 15: For each line where indicated, the official activity site member's name should be printed and signed.

 

Arizona Work Activity Report SNA-1009A Step 16: Enter miscellaneous comments where indicated.

 

Arizona Work Activity Report SNA-1009A Step 17: Document job search activities as directed on the second page.

 

Arizona Work Activity Report SNA-1009A Step 18: Sign and date the first page.

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Small Claims Judge Pro Tem Application

Small Claims Judge Pro Tem Application

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Memorandum of Agreement as to Fact with Relation to an Injury and Payment of Disability Compensation

Memorandum of Agreement as to Fact with Relation to an Injury and Payment of Disability Compensation

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