Form 14737-A CPEO Responsible Individual Personal Attestation

Certified Professional Employer Organization (CPEO) Forms: 14737,14737-A,14751, 8973 and TD 9860

CPEO Responsible Individual Personal Attestation

Responsible Individual Personal Attestation

OMB: 1545-2266

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1545-2266 can be found here:

2024-05-31 - Revision of a currently approved collection

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DRAFT WORKING DOCUMENT

WORKING DRAFT FOR INTERNAL USE ONLY

Form 14737A, Responsible
Individual Personal
Attestation (RIPA)

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File Type	application/pdf
File Modified	2016-11-14
File Created	2016-11-14