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Document Number: DETW-14391
Description: The purpose of this form is to collect data manually for input into the Employer Record System (ERS). Examples of when the form would be used are (1) when Job Center staff are visiting employers and collecting data that can be entered into ERS at a later time, or when (2) ERS is unavailable.
Comments: This form is not fill enabled. It can be printed and completed by hand.
Content Contact: DET Forms
Document Attachment: DETW-14391 (pdf/53 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.
DWD Contact Information
201 E. Washington Ave
P.O. Box 7946
Madison, WI 53707
(608) 266-3131
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