PDF
Word
Form LO403.5 Request for Rate Based on Weeks of Employment - New York
What Is Form LO403.5?
This is a legal form that was released by the New York State Department of Labor - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LO403.5?A: Form LO403.5 is the Request for Rate Based on Weeks of Employment form.
Q: What is the purpose of Form LO403.5?A: The purpose of Form LO403.5 is to request a rate based on weeks of employment in New York.
Q: Who needs to fill out Form LO403.5?A: Employees who want to request a rate based on weeks of employment in New York need to fill out Form LO403.5.
Q: What information is required on Form LO403.5?A: Form LO403.5 requires information about the employee's name, address, social security number, and the number of weeks employed.
Form Details:
- Released on September 1, 2019;
- The latest edition provided by the New York State Department of Labor;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form LO403.5 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Department of Labor.
Download Form LO403.5 Request for Rate Based on Weeks of Employment - New York
1
2
