General Partners / Client Company’s Partners / Social Security Number Officers Limited Liability Company / Technical Services Management / General Partners (Attach separate sheet if necessary) Residential Address / Phone CORPORATION LIMITED LIABILITY COMPANY LIMITED PARTNERSHIP / /
Facility
OTHER THAN HEADQUARTERS / / /
IndustryTerm
public relations / data processing / /
Organization
TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT DIVISION OF EMPLOYMENT SECURITY APPLICATION FOR CLIENT NUMBER / Internal Revenue Service / Professional Employer Organization / / /