TN 4 (02-95)
If the answer to question 3(a) is “Yes,” complete 3(b) and (c). If the answer to 3(a) is “No,” go to 3(d).
If 3(d) is answered “Yes,” complete 3(e), if applicable, and show the following information in 3(f):
rate of pay
amount (e.g., 35 hours) worked per pay period
how often paid
pay day (e.g., “paid every Friday” or “paid on 1st and 15th of each month”)
date last paid
If the individual expects any change in wages (question 3(g)), explain in (h).
If questions 3(a) and (d) are both answered “No,” go to question 4.
Definition of wages, SI 00820.100.
Estimating future wages, SI 00820.150.