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CERTIFICATION OF PRIOR EMPLOYMENT HOURS FOR ANNUAL/VACATION LEAVE RATE EARNED INSTRUCTIONS TO ELIGIBLE EMPLOYEES: Complete lines 1, 2, 3, 4 and 5 and send a copy of this form to each previous public employer. Give esti
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Document Date: 2014-11-03 17:55:22
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CERTIFICATION OF PRIOR EMPLOYMENT HOURS FOR ANNUAL/VACATION LEAVE RATE EARNED INSTRUCTIONS TO ELIGIBLE EMPLOYEES: Complete lines 1, 2, 3, 4 and 5 and send a copy of this form to each previous public employer. Give esti