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Employer Info

Law requires we ask for your occupation, employer, and employer address. If you are retired, unemployed, or self-employed, please see the directions below.


If you are retired or unemployed, put "retired" or "unemployed" in all fields and "00000" in the zip code field; if you are self-employed put "self-employed" in employer, describe your occupation, and use your home address or the address associated with your business.
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