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This data is current as of the previous work day with the exception of information relating to the existence of disciplinary orders. FacilityDoctor Phone and Fax Numbers 10.


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Employers Fax Number or Email Address if known 8.

. Your gross earnings amount for each week. FacilityDoctor Address Street City State ZIP Code 11. Contact OurTime customer support at toll-free or legal phone number.

800 821-3205 voice mail for complaint referrals. Work search activities for each week if applicable. Call or write an email to resolve OurTime issues.

512 305-8075fax Open Records. WORK STATUS INFORMATION Fully complete one box including estimated dates and a description in 13c if. Activation Cancellation Account Payments and Charges.

Gross income in the week you received the income even if you performed the work in a prior week. Total amount of earnings and commissions before deductions such as operating expenses. Carriers Fax Number or Email Address if known II.

If you are self-employed. Number of hours you worked each week.


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