W-2 and Federal Insurance Contribution Act (Fica) Match Service Agreement Sample Contracts

EMPLOYER NAME
W-2 and Federal Insurance Contribution Act (Fica) Match Service Agreement • November 11th, 2020

By completing the following agreement, you authorize Hartford Life Insurance Company / Hartford Life and Accident Insurance Company / Hartford Comprehensive Benefit Services Company (The Hartford) to report, withhold and deposit the taxes described below.

Sample 1
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