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LIC 500 Personnel Report

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What Is LIC 500 Personnel Report Form?

The LIC 500 Personnel Report Form is a type of form that is used to present information about a company's personnel. 

LIC 500 Personnel Report Form Screenshot

What Is LIC 500 Personnel Report Form Used For?

The LIC personnel report form is used to provide the government with information about a company's personnel. Personnel information includes the name, title, and salary of employees. Government uses the personnel report information to monitor the company's compliance with the law.

How to Fill Out LIC 500 Personnel Report Form?

You must give the following information on the LIC 500 form:

  • Employer information: The form must include the employer's name, address, and telephone number
  • Each employee's name and social security number
  • Dates of the pay period
  • Total number of hours worked by each employee during the pay period
  • Number of hours worked in each work category (e.g., office work, production work, etc.)
  • Number of hours worked overtime

How to Submit the LIC 500 Personnel Report Form?

The employer should submit the completed LIC 500 form to the labor inspector within 10 days of the date of the inspection.

Who Should Sign the LIC 500 Personnel Report Form?

The completed LIC 500 form should be signed by the employer. The employee's signature verifies that the employer is familiar with the form and that the information is accurate to the best of the employer's knowledge.

Fillable online LIC 500 Personnel Report
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