UB-217-C - Arizona
Unemployment Insurance Administration. WAGE PROTEST Send by fax to 602-532-5564 or - email to UITAXWAGE.PROTEST@AZDES.GOV YOUR NAME (Last, First, M.I.) LAST 4 DIGITS OF YOUR SOC. SEC. NO. MY WAGES ARE MISSING FROM THE EMPLOYER LISTED BELOW. Note: You must submit a separate Wage Protest if you are missing wages from more than one (1) employer. ................
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