cadcss.prod.simpligov.com
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Submitted URL: http://url9826.simpligov.com/ss/c/u001.ggqGqII79OykmCUTR5nY5DMbLatU8Q59jyObvM2DqGsn1tsx_euutAqHcMlLFAKHxlCXMjmXK9mVZaES1Ppkm7...
Effective URL: https://cadcss.prod.simpligov.com/prod/portal/ShowWorkFlow/AnonymousShowStage?token=ce0d4cb1-c9af-4a00-a291-7049c7f0bee9&resultSet...
Submission: On October 15 via manual from HK — Scanned from US
Effective URL: https://cadcss.prod.simpligov.com/prod/portal/ShowWorkFlow/AnonymousShowStage?token=ce0d4cb1-c9af-4a00-a291-7049c7f0bee9&resultSet...
Submission: On October 15 via manual from HK — Scanned from US
Form analysis 1 forms found in the DOM
POST /prod/portal/ShowWorkFlow/AnonymousSubmitStage
<form action="/prod/portal/ShowWorkFlow/AnonymousSubmitStage" method="post" id="StageSubmitForm" enctype="multipart/form-data" autocomplete="off" novalidate="novalidate" class="validate-workflow-form">
<input name="__RequestVerificationToken" type="hidden" value="CfDJ8DpwTYVWVTRNo6_p-Kr6fnv9Bct8wpUcRspcjICEbGZ8dSjG31yGh6iQJolwPwH8KDv8cYQNFcJq41Qx9iH2hBE_eeJgvczNJu9GLUlMBAYWjc2wnN5mNSnxTbFvck8srVv5K0Hnxb2q8sa2Cw1WdAY">
<input id="restoredFromSubmitQueueId" name="restoredFromSubmitQueueId" type="hidden" value="">
<div id="formPartialDiv" class="field-wrapper">
<link href="/prod/portal/ShowWorkFlow/GetAnonymousStageCss/b60acbfc-6640-4ca4-b71d-031439ddf601/StageStyle.css" rel="stylesheet">
<input id="stageId" name="stageId" type="hidden" value="b60acbfc-6640-4ca4-b71d-031439ddf601"><input data-val="true" data-val-required="The Boolean field is required." id="anonymousUser" name="anonymousUser" type="hidden" value="True"><input
data-val="true" data-val-required="The Boolean field is required." id="notLoggedInUser" name="notLoggedInUser" type="hidden" value="True"><input id="isSaveOnTimeout" name="isSaveOnTimeout" type="hidden" value="True"><input
class="additional-signature" id="z_signer1" name="__signer1" type="hidden" value=""><input id="submissionId" name="submissionId" type="hidden" value="8d5f06a4-29b5-4ade-85d3-cfd4dc381bc6"> <input id="token" name="token" type="hidden"
value="ce0d4cb1-c9af-4a00-a291-7049c7f0bee9">
<input id="resultSetID" name="resultSetID" type="hidden" value="07eb5a4a-ed63-48aa-9b8c-f786a1912cf9"><input id="stepID" name="stepID" type="hidden" value="b60acbfc-6640-4ca4-b71d-031439ddf601"><input id="FormWorkflowID" name="FormWorkflowID"
type="hidden" value="00160244-76bc-457a-9ee1-219da8ee87b4"><input id="workflowRevisionId" name="workflowRevisionId" type="hidden" value="00160244-76bc-457a-9ee1-219da8ee87b4"><input id="tempResultSetID" name="tempResultSetID" type="hidden"
value="00000000-0000-0000-0000-000000000000"><input id="resultTitle" name="resultTitle" type="hidden" value="EmployerServ0017734">
<div id="formHeaderDiv">
<button type="button" id="print-preview" aria-label="Print preview">
<i class="fa-print fa-lg fa"></i>
</button>
<div role="tablist" id="section-breadcrumbs" class="">
<button type="button" role="tab" aria-selected="true" aria-controls="form-section-0" id="breadcrumb-item-0" section-index="2" data-section-index="0" class="section-breadcrumb-item active" tabindex="0"> Info + Industry Type </button>
<button type="button" role="tab" aria-selected="false" aria-controls="form-section-1" id="breadcrumb-item-1" section-index="5" data-section-index="1" class="section-breadcrumb-item hidden" tabindex="-1"> HIDDEN </button>
</div>
<script>
$(function() {
initializeWizardTabs();
});
</script>
</div>
<div role="tabpanel" aria-live="assertive" data-section-index="0" id="form-section-0" class="form-section" aria-hidden="false">
<script type="text/javascript">
$("#multi-users-select-import-dialog").kendoWindow({
width: "600px",
title: "Import users by email",
visible: false,
modal: true,
resizable: false,
actions: ["Close"]
});
</script>
<div id="form-element-wrapper_5" class="formFieldWrapper static-html-wrapper style-selector_5" data-field-code="" style="">
<div class="form-static-html form-item">
<p style="text-align: center"><img alt="" class="mCS_img_loaded" src="https://cadcss.prod.simpligov.com/prod/portal/file/ab36d2e7ba38427ba1179ab520f0f6fb.png?t=1688633490441" style="width: 733px; height: 164px; max-width: 100%"
data-hasqtip="true"></p>
</div>
</div>
<div id="form-element-wrapper_6" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_6" data-field-code="ESB_LegalBus_Name" style="">
<div>
<label id="label-element6" for="element6" class="form-label label-text-box"> Employer Legal/Registered Name (Corp/Inc/LLC) </label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield" data-field-name="element6" id="element6" maxlength="300" name="element6" size="35" type="text" value="" data-hasqtip="true" tabindex="0">
</div>
</div>
</div>
<div id="form-element-wrapper_7" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_7" data-field-code="ESB_Bus_Email" style="">
<div>
<label id="label-element7" for="element7" class="form-label label-text-box"> Business Email </label>
<div>
<input autocomplete="email" class="withQTip toCheck input-text textfield validate-email" data-field-name="element7" id="element7" maxlength="300" name="element7" size="35" type="text" value="" data-hasqtip="true" tabindex="0">
<div aria-hidden="true" role="alert" class="validation-text requiredLabelEmail truncateWithEllipsis" style="color: #EE0000; display: none;"> Email <span class="select2-hidden-accessible">form field Business Email </span> is not in correct
form </div>
</div>
</div>
</div>
<div id="form-element-wrapper_8" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_8" data-field-code="ESB_FEIN" style="">
<div>
<label id="label-element8" for="element8" class="form-label label-text-box"> Federal Employer Identification Number (FEIN) <span class="sub-heading">Do not include the dash</span>
</label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield validate-regex condition-trigger" data-field-name="element8" data-regex="/^([0][1-6]|1[0-6]|(?!70)[27][0-7]|(?!31)[35][0-9]|[468][0-8]|9[0-589])?\d{7}$/"
data-regex-message="Please verify your entry - FEIN must contain exactly NINE (9) numbers" id="element8" maxlength="300" name="element8" onchange="CalculateFormula(this);" size="35" type="text" value="" data-hasqtip="true" tabindex="0">
<div aria-hidden="true" role="alert" class="validation-text regexErrorLabel truncateWithEllipsis" style="color: #EE0000; display: none;"></div>
<div aria-hidden="true" role="alert" class="validation-text regexInvalidLabel truncateWithEllipsis" style="color: #EE0000; display: none;"></div>
</div>
</div>
</div>
<div id="form-element-wrapper_11" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_11" data-field-code="ESB_Bus_Phone" style="">
<div>
<label id="label-element11" for="element11" class="form-label label-text-box"> Business Phone Number </label>
<div>
<span class="k-widget k-maskedtextbox withQTip toCheck input-text textfield validate-phone validate-regex" style=""><input autocomplete="off" class="withQTip toCheck input-text textfield validate-phone validate-regex k-textbox"
data-field-name="element11" data-regex="/^(\(\d{3}\)\s?|\d{3})-?\d{3}-?\d{4}$/" data-regex-message="Phone <span class="select2-hidden-accessible">form field Business Phone Number</span> must be in the format: (000) 000-0000"
id="element11" mask="(000) 000-0000" maxlength="300" name="element11" size="35" type="text" value="" data-hasqtip="true" data-role="maskedtextbox" tabindex="0" aria-live="assertive" style="width: auto;"><span
class="k-icon k-i-warning"></span></span>
<div aria-hidden="true" role="alert" class="validation-text regexErrorLabel truncateWithEllipsis" style="color: #EE0000; display: none;"> Phone <span class="select2-hidden-accessible">form field Business Phone Number</span> must be in the
format: (000) 000-0000 </div>
<div aria-hidden="true" role="alert" class="validation-text regexInvalidLabel truncateWithEllipsis" style="color: #EE0000; display: none;"></div>
</div>
</div>
</div>
<div id="form-element-wrapper_12" class="formFieldWrapper align-block-30 address-wrapper style-selector_12" data-field-code="ESB_Bus_Address" style="">
<div>
<label id="label-element12" for="element12" class="form-label label-address"> Business Address </label>
<div>
<input addr-filter="" aria-autocomplete="list" aria-required="false" autocomplete="off" class="withQTip toCheck input-text textfield autocomplete-place address-field" data-field-name="element12" id="element12" maxlength="300"
name="element12" placeholder="" size="35" title="" type="text" value="" data-hasqtip="true" tabindex="0"> <input aria-hidden="true" type="hidden" name="element12_address" data-field-name="element12_address" onchange="" value="">
</div>
</div>
</div>
<div id="form-element-wrapper_13" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_13" data-field-code="ESB_NumberOf_Employees" style="">
<div>
<label id="label-element13" for="element13" class="form-label label-text-box"> Number of Employees </label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield validate-numeric" data-field-name="element13" id="element13" maxlength="300" name="element13" size="35" type="text" value="" data-hasqtip="true" tabindex="0">
<div aria-hidden="true" role="alert" class="validation-text numericErrorLabel truncateWithEllipsis" style="color: #EE0000; display: none;"><span class="select2-hidden-accessible">Form field Number of Employees has </span>Invalid numeric
value.</div>
</div>
</div>
</div>
<div id="form-element-wrapper_73" class="formFieldWrapper align-block-30 drop-down-wrapper style-selector_73" data-field-code="ESB_CountyOfHQ" style="">
<div>
<label id="label-element73" for="element73" class="form-label label-drop-down"> What County is your Headquarters Located in? <span aria-live="off" aria-atomic="true" class="aria-previous-result select2-hidden-accessible">Value is not
selected</span>
<span class="select2-hidden-accessible"></span>
</label>
<div>
<div style="display: inline" title="" class="withQTip field-wrapper" data-hasqtip="true">
<select aria-required="false" id="element73" name="element73" data-field-name="element73" data-type="drop-down" data-verification="data-source" title=""
class="withQTip toCheck dataSource form-element-wrapper drop-down align-block-30 ui-sortable-handle field-wrapper select2-hidden-accessible" style="width: 250px" data-data-source-id="4cef9969-efc4-4079-8fb0-ebaa8e8ea59f"
data-parent-data-source-dropdown="" tabindex="-1" aria-hidden="true" data-hasqtip="true">
<option value="">-- Select one --</option>
<option value="Alameda County">Alameda County</option>
<option value="Alpine County">Alpine County</option>
<option value="Amador County">Amador County</option>
<option value="Butte County">Butte County</option>
<option value="Calaveras County">Calaveras County</option>
<option value="Colusa County">Colusa County</option>
<option value="Contra Costa County">Contra Costa County</option>
<option value="Del Norte County">Del Norte County</option>
<option value="El Dorado County">El Dorado County</option>
<option value="Fresno County">Fresno County</option>
<option value="Glenn County">Glenn County</option>
<option value="Humboldt County">Humboldt County</option>
<option value="Imperial County">Imperial County</option>
<option value="Inyo County">Inyo County</option>
<option value="Kern County">Kern County</option>
<option value="Kings County">Kings County</option>
<option value="Lake County">Lake County</option>
<option value="Lassen County">Lassen County</option>
<option value="Los Angeles County">Los Angeles County</option>
<option value="Madera County">Madera County</option>
<option value="Marin County">Marin County</option>
<option value="Mariposa County">Mariposa County</option>
<option value="Mendocino County">Mendocino County</option>
<option value="Merced County">Merced County</option>
<option value="Modoc County">Modoc County</option>
<option value="Mono County">Mono County</option>
<option value="Monterey County">Monterey County</option>
<option value="Napa County">Napa County</option>
<option value="Nevada County">Nevada County</option>
<option value="Orange County">Orange County</option>
<option value="Placer County">Placer County</option>
<option value="Plumas County">Plumas County</option>
<option value="Riverside County">Riverside County</option>
<option value="Sacramento County">Sacramento County</option>
<option value="San Benito County">San Benito County</option>
<option value="San Bernardino County">San Bernardino County</option>
<option value="San Diego County">San Diego County</option>
<option value="San Francisco County">San Francisco County</option>
<option value="San Joaquin County">San Joaquin County</option>
<option value="San Luis Obispo County">San Luis Obispo County</option>
<option value="San Mateo County">San Mateo County</option>
<option value="Santa Barbara County">Santa Barbara County</option>
<option value="Santa Clara County">Santa Clara County</option>
<option value="Santa Cruz County">Santa Cruz County</option>
<option value="Shasta County">Shasta County</option>
<option value="Sierra County">Sierra County</option>
<option value="Siskiyou County">Siskiyou County</option>
<option value="Solano County">Solano County</option>
<option value="Sonoma County">Sonoma County</option>
<option value="Stanislaus County">Stanislaus County</option>
<option value="Sutter County">Sutter County</option>
<option value="Tehama County">Tehama County</option>
<option value="Trinity County">Trinity County</option>
<option value="Tulare County">Tulare County</option>
<option value="Tuolumne County">Tuolumne County</option>
<option value="Ventura County">Ventura County</option>
<option value="Yolo County">Yolo County</option>
<option value="Yuba County">Yuba County</option>
<option value="Test County">Test County</option>
</select><span class="select2 select2-container select2-container--bootstrap withQTip toCheck dataSource form-element-wrapper drop-down align-block-30 ui-sortable-handle field-wrapper" dir="ltr" id="s2id_element73" style="width: 250px"
data-hasqtip="true"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="label-element73"><span
class="select2-selection__rendered" id="select2-element73-container" title="-- Select one --">-- Select one --</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span><span aria-live="polite" aria-atomic="true"
class="select2-aria-focused-item select2-hidden-accessible"></span><span aria-live="polite" aria-atomic="true" class="select2-aria-search-result select2-hidden-accessible"></span></span>
<input data-field-name="element73_text" id="element73_text" name="element73_text" type="hidden" value="">
</div>
<script>
$("#element73").select2();
</script>
</div>
</div>
</div>
<div id="form-element-wrapper_17" class="formFieldWrapper align-block-30 radio-button-wrapper style-selector_17" data-field-code="ESB_LumpSumBonus" style="">
<div>
<label id="label-element17" aria-hidden="true" class="form-label label-radio-button"> Does your company pay bonus or lump sum payments? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button align-block-30 ui-sortable-handle condition-trigger field-wrapper">
<input data-field-name="element17_text" id="element17_text" name="element17_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element17">
<legend class="select2-hidden-accessible">Does your company pay bonus or lump sum payments? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element17_Option_1" name="element17" data-field-name="element17" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle condition-trigger"
data-search-index="0" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element17_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element17_Option_2" name="element17" data-field-name="element17" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle condition-trigger"
data-search-index="1" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element17_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_76" class="formFieldWrapper align-block-30 radio-button-wrapper style-selector_76" data-field-code="ESB_LumpSumBonus_REPORTED" style="display: none;" aria-hidden="true">
<div>
<label id="label-element76" aria-hidden="true" class="form-label label-radio-button"> Does your company currently report bonus or lump sum payments to California Child Support Services? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button align-block-30 ui-sortable-handle field-wrapper">
<input data-field-name="element76_text" id="element76_text" name="element76_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element76">
<legend class="select2-hidden-accessible">Does your company currently report bonus or lump sum payments to California Child Support Services? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element76_Option_1" name="element76" data-field-name="element76" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="0"
data-hasqtip="true">
</div>
<div class="radioButtonCaption">
<label for="element76_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element76_Option_2" name="element76" data-field-name="element76" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="1"
data-hasqtip="true">
</div>
<div class="radioButtonCaption">
<label for="element76_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_77" class="formFieldWrapper align-block-30 radio-button-wrapper style-selector_77" data-field-code="ESB_ContractorsORW2" style="">
<div>
<div role="alert" style="display: none" class="select2-hidden-accessible aria-tip" aria-hidden="true">How to determine if the individual is an independent contractor or an employee? Pay basis: W-2 Employee- If you pay a worker on an hourly,
weekly, or monthly basis, the IRS will consider it a sign the worker is your employee. Independent Contractor/1099- An independent is generally paid by the job, project, assignment, etc., or receives a commission or similar fee.</div>
<label id="label-element77" aria-hidden="true" class="form-label label-radio-button"> Do you have W-2 or Independent Contractors? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button align-block-30 ui-sortable-handle field-wrapper">
<input data-field-name="element77_text" id="element77_text" name="element77_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element77">
<legend class="select2-hidden-accessible">Do you have W-2 or Independent Contractors? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" id="element77_Option_1" name="element77" data-field-name="element77" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="0" oldtitle="How to determine if the individual is an independent contractor or an employee?
Pay basis:
W-2 Employee-
If you pay a worker on an hourly, weekly, or monthly basis, the IRS will consider it a sign the worker is your employee.
Independent Contractor/1099-
An independent is generally paid by the job, project, assignment, etc., or receives a commission or similar fee." title="" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element77_Option_1" class="radio-checkbox-label">Independent Contractors</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" id="element77_Option_2" name="element77" data-field-name="element77" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="1" oldtitle="How to determine if the individual is an independent contractor or an employee?
Pay basis:
W-2 Employee-
If you pay a worker on an hourly, weekly, or monthly basis, the IRS will consider it a sign the worker is your employee.
Independent Contractor/1099-
An independent is generally paid by the job, project, assignment, etc., or receives a commission or similar fee." title="" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element77_Option_2" class="radio-checkbox-label">W-2 Employees</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 3" id="element77_Option_3" name="element77" data-field-name="element77" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="2" oldtitle="How to determine if the individual is an independent contractor or an employee?
Pay basis:
W-2 Employee-
If you pay a worker on an hourly, weekly, or monthly basis, the IRS will consider it a sign the worker is your employee.
Independent Contractor/1099-
An independent is generally paid by the job, project, assignment, etc., or receives a commission or similar fee." title="" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element77_Option_3" class="radio-checkbox-label">Both</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_54" class="formFieldWrapper align-block-30 radio-button-wrapper style-selector_54" data-field-code="ESB_Franchise" style="">
<div>
<label id="label-element54" aria-hidden="true" class="form-label label-radio-button"> Is this a franchise? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button align-block-30 ui-sortable-handle field-wrapper">
<input data-field-name="element54_text" id="element54_text" name="element54_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element54">
<legend class="select2-hidden-accessible">Is this a franchise? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element54_Option_1" name="element54" data-field-name="element54" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="0"
data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element54_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element54_Option_2" name="element54" data-field-name="element54" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="1"
data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element54_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_51" class="formFieldWrapper align-block-30 radio-button-wrapper style-selector_51" data-field-code="ESB_Seasonal_Workers" style="">
<div>
<label id="label-element51" aria-hidden="true" class="form-label label-radio-button"> Does your company employee seasonal workers? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button align-block-30 ui-sortable-handle field-wrapper">
<input data-field-name="element51_text" id="element51_text" name="element51_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element51">
<legend class="select2-hidden-accessible">Does your company employee seasonal workers? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element51_Option_1" name="element51" data-field-name="element51" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="0"
data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element51_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element51_Option_2" name="element51" data-field-name="element51" class="withQTip toCheck form-element-wrapper radio-button align-block-30 ui-sortable-handle" data-search-index="1"
data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element51_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_15" class="formFieldWrapper align-block-30 drop-down-wrapper style-selector_15" data-field-code="ESB_Industry_Type" style="">
<div>
<label id="label-element15" for="element15" class="form-label label-drop-down"> Industry Type <span aria-live="off" aria-atomic="true" class="aria-previous-result select2-hidden-accessible">Value is not selected</span>
<span class="select2-hidden-accessible"></span>
</label>
<div>
<div style="display: inline" title="" class="withQTip field-wrapper" data-hasqtip="true">
<select aria-required="false" id="element15" name="element15" data-field-name="element15" data-type="drop-down" data-verification="drop-down" title=""
class="withQTip toCheck form-element-wrapper drop-down align-block-30 ui-sortable-handle condition-trigger field-wrapper select2-hidden-accessible" style="width: 250px" tabindex="-1" aria-hidden="true" data-hasqtip="true">
<option value="">-- Select one --</option>
<option value="Option 16">Aerospace & Defense</option>
<option value="Option 17">Agriculture & Forestry</option>
<option value="Option 12">Automotive</option>
<option value="Option 13">Business & Consumer Services</option>
<option value="Option 6">Construction</option>
<option value="Option 3">Employment Agency</option>
<option value="Option 18">Financial Services</option>
<option value="Option 19">Government</option>
<option value="Option 20">Healthcare</option>
<option value="Option 21">Oil & Gas</option>
<option value="Option 22">Packaging</option>
<option value="Option 23">Power & Utilities</option>
<option value="Option 24">Restaurant/Food Services</option>
<option value="Option 25">Retail & Wholesale</option>
<option value="Option 26">Sports</option>
<option value="Option 27">Technology, Media & Telecom</option>
<option value="Option 28">Transportation, Infrastructure & Logistics</option>
<option value="Option 29">Travel & Tourism</option>
<option value="Option 30">OTHER</option>
</select><span class="select2 select2-container select2-container--bootstrap withQTip toCheck form-element-wrapper drop-down align-block-30 ui-sortable-handle condition-trigger field-wrapper" dir="ltr" id="s2id_element15"
style="width: 250px" data-hasqtip="true"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox" aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="label-element15"><span
class="select2-selection__rendered" id="select2-element15-container" title="-- Select one --">-- Select one --</span><span class="select2-selection__arrow"
role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span><span aria-live="polite" aria-atomic="true"
class="select2-aria-focused-item select2-hidden-accessible"></span><span aria-live="polite" aria-atomic="true" class="select2-aria-search-result select2-hidden-accessible"></span></span>
<input data-field-name="element15_text" id="element15_text" name="element15_text" type="hidden" value="">
</div>
<script>
$("#element15").select2();
</script>
</div>
</div>
</div>
<div id="form-element-wrapper_16" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_16" data-field-code="ESB_Industry_Type_Other" style="display: none;" aria-hidden="true">
<div>
<label id="label-element16" for="element16" class="form-label label-text-box"> Other - Please specify the industry type </label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield " data-field-name="element16" id="element16" maxlength="300" name="element16" size="35" type="text" value="" data-hasqtip="true">
</div>
</div>
</div>
<div id="form-element-wrapper_10" class="formFieldWrapper radio-button-wrapper style-selector_10" data-field-code="ESB_EIWO" style="">
<div>
<label id="label-element10" aria-hidden="true" class="form-label label-radio-button"> Is your company enrolled in Electronic Income Withholding Orders? (E-IWO) </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button no-align ui-sortable-handle field-wrapper">
<input data-field-name="element10_text" id="element10_text" name="element10_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element10">
<legend class="select2-hidden-accessible">Is your company enrolled in Electronic Income Withholding Orders? (E-IWO) </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element10_Option_1" name="element10" data-field-name="element10" class="withQTip toCheck form-element-wrapper radio-button no-align ui-sortable-handle" data-search-index="0"
data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element10_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element10_Option_2" name="element10" data-field-name="element10" class="withQTip toCheck form-element-wrapper radio-button no-align ui-sortable-handle" data-search-index="1"
data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element10_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_14" class="formFieldWrapper radio-button-wrapper style-selector_14" data-field-code="ESB_Workshop" style="">
<div>
<label id="label-element14" aria-hidden="true" class="form-label label-radio-button"> Has your company attended an employer workshop? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button no-align ui-sortable-handle condition-trigger field-wrapper">
<input data-field-name="element14_text" id="element14_text" name="element14_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element14">
<legend class="select2-hidden-accessible">Has your company attended an employer workshop? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element14_Option_1" name="element14" data-field-name="element14" class="withQTip toCheck form-element-wrapper radio-button no-align ui-sortable-handle condition-trigger"
data-search-index="0" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element14_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element14_Option_2" name="element14" data-field-name="element14" class="withQTip toCheck form-element-wrapper radio-button no-align ui-sortable-handle condition-trigger"
data-search-index="1" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element14_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_56" class="formFieldWrapper align-block text-box-wrapper style-selector_56" data-field-code="ESB_Workshop_LCSA" style="display: none;" aria-hidden="true">
<div>
<label id="label-element56" for="element56" class="form-label label-text-box"> Which Local Child Support Agency hosted the workshop? <span class="sub-heading">example: San Bernardino County</span>
</label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield " data-field-name="element56" id="element56" maxlength="300" name="element56" size="35" type="text" value="" data-hasqtip="true">
</div>
</div>
</div>
<div id="form-element-wrapper_55" class="formFieldWrapper align-block datepicker-wrapper style-selector_55" data-field-code="ESB_Workshop_Date" style="display: none;" aria-hidden="true">
<div>
<label id="label-element55" for="element55" class="form-label label-datepicker"> What date did you attend the workshop? <span class="sub-heading">Approximate date is ok if exact date(s) are unknown</span>
</label>
<div>
<div class="field-wrapper">
<input aria-required="false" autocomplete="off" btformat="MM[/]DD[/]YYYY" class="withQTip toCheck dateField " data-auto-picker-position="true" data-field-name="element55" data-value="" default-date="false"
default-date-format="MM[/]DD[/]YYYY" id="element55" name="element55" placeholder="MM/dd/yyyy" type="text" value="" data-hasqtip="true"><input data-field-name="element55_date" id="element55_date" name="element55_date" type="hidden"
value="">
</div>
<div aria-hidden="true" role="alert" class="validation-text datePickerFormatError truncateWithEllipsis" style="color: #EE0000; display: none;"> Date <span class="select2-hidden-accessible">form field What date did you attend the workshop?
</span> must be in the format: MM/dd/yyyy </div>
</div>
</div>
</div>
<div id="form-element-wrapper_18" class="formFieldWrapper radio-button-wrapper style-selector_18" data-field-code="ESB_Payroll_Processor" style="">
<div>
<label id="label-element18" aria-hidden="true" class="form-label label-radio-button"> Do you have a Payroll Processor? </label>
<div>
<div class="form-options-wrapper form-element-wrapper radio-button no-align ui-sortable-handle condition-trigger field-wrapper">
<input data-field-name="element18_text" id="element18_text" name="element18_text" type="hidden" value="">
<fieldset role="radiogroup" aria-required="false" data-type="radio-button" data-verification="radio-button" id="element18">
<legend class="select2-hidden-accessible">Do you have a Payroll Processor? </legend>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 1" title="" id="element18_Option_1" name="element18" data-field-name="element18" class="withQTip toCheck form-element-wrapper radio-button no-align ui-sortable-handle condition-trigger"
data-search-index="0" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element18_Option_1" class="radio-checkbox-label">Yes</label>
</div>
</div>
<div class="form-option checkbox-form-option">
<div class="radioButtonContainer">
<input type="radio" value="Option 2" title="" id="element18_Option_2" name="element18" data-field-name="element18" class="withQTip toCheck form-element-wrapper radio-button no-align ui-sortable-handle condition-trigger"
data-search-index="1" data-hasqtip="true" tabindex="0">
</div>
<div class="radioButtonCaption">
<label for="element18_Option_2" class="radio-checkbox-label">No</label>
</div>
</div>
</fieldset>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_19" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_19" data-field-code="ESB_Payroll_Processor_name" style="display: none;" aria-hidden="true">
<div>
<label id="label-element19" for="element19" class="form-label label-text-box"> Payroll Processor's Name </label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield " data-field-name="element19" id="element19" maxlength="300" name="element19" size="35" type="text" value="" data-hasqtip="true">
</div>
</div>
</div>
<div id="form-element-wrapper_20" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_20" data-field-code="ESB_Payroll_Processor_phone" style="display: none;" aria-hidden="true">
<div>
<label id="label-element20" for="element20" class="form-label label-text-box"> Payroll Processor's Phone </label>
<div>
<span class="k-widget k-maskedtextbox withQTip toCheck input-text textfield validate-phone validate-regex" style=""><input autocomplete="off" class="withQTip toCheck input-text textfield validate-phone validate-regex k-textbox"
data-field-name="element20" data-regex="/^(\(\d{3}\)\s?|\d{3})-?\d{3}-?\d{4}$/"
data-regex-message="Phone <span class="select2-hidden-accessible">form field Payroll Processor's Phone</span> must be in the format: (000) 000-0000" id="element20" mask="(000) 000-0000" maxlength="300" name="element20"
size="35" type="text" value="" data-hasqtip="true" data-role="maskedtextbox" aria-live="assertive" style="width: auto;"><span class="k-icon k-i-warning"></span></span>
<div aria-hidden="true" role="alert" class="validation-text regexErrorLabel truncateWithEllipsis" style="color: #EE0000; display: none;"> Phone <span class="select2-hidden-accessible">form field Payroll Processor's Phone</span> must be in
the format: (000) 000-0000 </div>
<div aria-hidden="true" role="alert" class="validation-text regexInvalidLabel truncateWithEllipsis" style="color: #EE0000; display: none;"></div>
</div>
</div>
</div>
<div id="form-element-wrapper_21" class="formFieldWrapper align-block-30 text-box-wrapper style-selector_21" data-field-code="ESB_Payroll_Processor_email" style="display: none;" aria-hidden="true">
<div>
<label id="label-element21" for="element21" class="form-label label-text-box"> Payroll Processor's Email </label>
<div>
<input autocomplete="email" class="withQTip toCheck input-text textfield validate-email" data-field-name="element21" id="element21" maxlength="300" name="element21" size="35" type="text" value="" data-hasqtip="true">
<div aria-hidden="true" role="alert" class="validation-text requiredLabelEmail truncateWithEllipsis" style="color: #EE0000; display: none;"> Email <span class="select2-hidden-accessible">form field Payroll Processor's Email </span> is not
in correct form </div>
</div>
</div>
</div>
<div class="form-section-buttons" aria-hidden="false">
<input data-section-index="1" class="form-section-next form-change-section" type="button" value="Next" name="element2" style="display: none;">
<input type="submit" style="" class="form-submit-button withQTip toCheck ignore-reset buttonMargin form-wizard-submit-button cancel" name="element2" value="Submit" data-hasqtip="true" tabindex="0">
</div>
</div>
<div role="tabpanel" aria-live="assertive" id="form-section-1" data-section-index="1" class="form-section hidden-form-section" aria-hidden="true">
<div id="form-element-wrapper_91" class="formFieldWrapper boolean-check-box-wrapper style-selector_91" data-field-code="Unsubscribe" style="display: none;" aria-hidden="true">
<div>
<div>
<fieldset role="group">
<legend style="display: none;"></legend>
<div class="radioButtonContainer">
<input aria-required="false" id="element91" type="checkbox" name="element91" data-field-name="element91" title="" value="Checked" class="withQTip toCheck form-element-wrapper check-box no-align ui-sortable-handle bool-checkbox"
data-hasqtip="true">
</div>
<div class="radioButtonCaption">
<label for="element91" class="radio-checkbox-label ">
<span class="form-label">Unsubscribe</span>
</label>
</div>
</fieldset>
</div>
</div>
</div>
<div id="form-element-wrapper_92" class="formFieldWrapper text-box-wrapper style-selector_92" data-field-code="HIDDEN_NewORBatch" style="display: none;" aria-hidden="true">
<div>
<label id="label-element92" for="element92" class="form-label label-text-box"> HIDDEN_New or Batch </label>
<div>
<div class="previous-result-text">
<strong style="margin: 5px;"> Batch</strong>
<div class="form-item-offscreen" aria-hidden="true" tabindex="-1">
<input autocomplete="off" class="withQTip toCheck input-text textfield previous-result formula-result" data-field-name="element92" id="element92" name="element92" readonly="True" size="35" type="text" value="Batch"
data-hasqtip="true">
</div>
</div>
</div>
</div>
</div>
<div id="form-element-wrapper_68" class="formFieldWrapper text-box-wrapper style-selector_68" data-field-code="element68" style="display: none;" aria-hidden="true">
<div>
<label id="label-element68" for="element68" class="form-label label-text-box"> HIDDEN_No employer Response to Emp. Info Form <span class="sub-heading">case when IsDefault(@FORMelement27) then 'No Response' when IsDefault(@FORMelement8)
then 'No Response' else 'Employer Responded' end</span>
</label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield " data-field-name="element68" id="element68" maxlength="300" name="element68" size="35" type="text" value="" data-hasqtip="true">
</div>
</div>
</div>
<div id="form-element-wrapper_75" class="formFieldWrapper text-box-wrapper style-selector_75" data-field-code="element75" style="display: none;" aria-hidden="true">
<div>
<label id="label-element75" for="element75" class="form-label label-text-box"> HIDDEN_Number of Characters in FEIN </label>
<div>
<input autocomplete="off" class="withQTip toCheck input-text textfield formula-result" data-field-name="element75" id="element75" name="element75" placeholder="0" readonly="True" size="35" type="text" value="0" data-hasqtip="true">
</div>
</div>
</div>
<div id="form-element-wrapper_2" class="formFieldWrapper submit-button-wrapper style-selector_2" data-field-code="" style="">
<div style="width: 100%; text-align: center; display: inline-block;">
<input style="margin-right:4px" data-section-index="0" class="form-section-prev form-change-section tabbable-element" type="button" value="Back" name="element2" tabindex="-1"><input type="submit" name="element2" value="Submit"
class="form-submit-button withQTip toCheck ignore-reset buttonMargin cancel tabbable-element" data-hasqtip="true" tabindex="-1">
</div>
</div>
</div>
<div id="signer-window" class="hidden"></div>
<style>
.page-content .workflowContent .style-selector_51 {
margin: 5px 0px 0px 0px;
padding: 15px 10px 7px 10px;
border-radius: 3px;
border-color: rgba(0, 0, 0, 0);
border-style: solid;
border-top-width: 0.833333px;
border-bottom-width: 0.833333px;
border-left-width: 0.833333px;
border-right-width: 0.833333px;
}
.page-content .workflowContent .style-selector_10 {
margin: 0px 0px 0px 0px;
padding: 15px 10px 7px 10px;
border-radius: 3px;
border-color: rgba(0, 0, 0, 0);
border-style: solid;
border-top-width: 0px;
border-bottom-width: 0.909091px;
border-left-width: 0.909091px;
border-right-width: 0.909091px;
}
.page-content .workflowContent .style-selector_17 {
margin: 5px 0px 0px 0px;
padding: 15px 10px 7px 10px;
border-radius: 3px;
border-color: rgba(0, 0, 0, 0);
border-style: solid;
border-top-width: 0.833333px;
border-bottom-width: 0.833333px;
border-left-width: 0.833333px;
border-right-width: 0.833333px;
}
.page-content .workflowContent .style-selector_54 {
margin: 0px 0px 0px 0px;
padding: 15px 10px 7px 10px;
border-radius: 3px;
border-color: rgba(0, 0, 0, 0);
border-style: solid;
border-top-width: 0px;
border-bottom-width: 0.833333px;
border-left-width: 0.833333px;
border-right-width: 0.833333px;
}
.page-content .workflowContent .style-selector_84 {
margin: 0px 0px 0px 0px;
padding: 15px 10px 7px 10px;
border-radius: 3px;
border-color: rgba(0, 0, 0, 0);
border-style: solid;
border-top-width: 0.909091px;
border-bottom-width: 0.909091px;
border-left-width: 0.909091px;
border-right-width: 0.909091px;
}
.workflowContent .style-selector_1 .form-static-html {
margin: 0px 0px 0px 0px;
padding: 10px 0px 0px 0px;
border-radius: 0px;
border-color: rgb(255, 255, 255);
border-style: solid;
border-top-width: 0px;
border-bottom-width: 0px;
border-left-width: 0px;
border-right-width: 0px;
}
</style>
<script type="text/javascript">
$(document).ready(function() {
$(".k-upload-button").addClass("buttonPopup big blue");
handleAccessibility();
setTimeout(initScrollHelper(), 500);
prefillFormFromParams();
if (Common.isChrome) {
preventAutocomplete();
}
});
var submitBackButton = "<input style=\"margin-right:4px\" data-section-index=\"0\" class=\"form-section-prev form-change-section\" type=\"button\" value=\"Back\" name=\"element2\" />";
$(".formFieldWrapper input[type=submit], .formFieldWrapper input.form-collaboration-stage-submit-button").before(submitBackButton);
</script>
</div>
</form>Text Content
× Sign out YOUR SESSION HAS TIMED OUT. CLICK HERE TO ACCESS THE APPLICATION. minutes × POPUP WINDOW ... × ... ... EMPLOYER SERVICES BUILD Info + Industry Type HIDDEN Employer Legal/Registered Name (Corp/Inc/LLC) Business Email Email form field Business Email is not in correct form Federal Employer Identification Number (FEIN) Do not include the dash Business Phone Number Phone form field Business Phone Number must be in the format: (000) 000-0000 Business Address Number of Employees Form field Number of Employees has Invalid numeric value. What County is your Headquarters Located in? Value is not selected -- Select one -- Alameda County Alpine County Amador County Butte County Calaveras County Colusa County Contra Costa County Del Norte County El Dorado County Fresno County Glenn County Humboldt County Imperial County Inyo County Kern County Kings County Lake County Lassen County Los Angeles County Madera County Marin County Mariposa County Mendocino County Merced County Modoc County Mono County Monterey County Napa County Nevada County Orange County Placer County Plumas County Riverside County Sacramento County San Benito County San Bernardino County San Diego County San Francisco County San Joaquin County San Luis Obispo County San Mateo County Santa Barbara County Santa Clara County Santa Cruz County Shasta County Sierra County Siskiyou County Solano County Sonoma County Stanislaus County Sutter County Tehama County Trinity County Tulare County Tuolumne County Ventura County Yolo County Yuba County Test County -- Select one -- Does your company pay bonus or lump sum payments? Does your company pay bonus or lump sum payments? Yes No Does your company currently report bonus or lump sum payments to California Child Support Services? Does your company currently report bonus or lump sum payments to California Child Support Services? Yes No How to determine if the individual is an independent contractor or an employee? Pay basis: W-2 Employee- If you pay a worker on an hourly, weekly, or monthly basis, the IRS will consider it a sign the worker is your employee. Independent Contractor/1099- An independent is generally paid by the job, project, assignment, etc., or receives a commission or similar fee. Do you have W-2 or Independent Contractors? Do you have W-2 or Independent Contractors? Independent Contractors W-2 Employees Both Is this a franchise? Is this a franchise? Yes No Does your company employee seasonal workers? Does your company employee seasonal workers? Yes No Industry Type Value is not selected -- Select one -- Aerospace & Defense Agriculture & Forestry Automotive Business & Consumer Services Construction Employment Agency Financial Services Government Healthcare Oil & Gas Packaging Power & Utilities Restaurant/Food Services Retail & Wholesale Sports Technology, Media & Telecom Transportation, Infrastructure & Logistics Travel & Tourism OTHER -- Select one -- Other - Please specify the industry type Is your company enrolled in Electronic Income Withholding Orders? (E-IWO) Is your company enrolled in Electronic Income Withholding Orders? (E-IWO) Yes No Has your company attended an employer workshop? Has your company attended an employer workshop? Yes No Which Local Child Support Agency hosted the workshop? example: San Bernardino County What date did you attend the workshop? Approximate date is ok if exact date(s) are unknown Date form field What date did you attend the workshop? must be in the format: MM/dd/yyyy Do you have a Payroll Processor? Do you have a Payroll Processor? Yes No Payroll Processor's Name Payroll Processor's Phone Phone form field Payroll Processor's Phone must be in the format: (000) 000-0000 Payroll Processor's Email Email form field Payroll Processor's Email is not in correct form Unsubscribe HIDDEN_New or Batch Batch HIDDEN_No employer Response to Emp. Info Form case when IsDefault(@FORMelement27) then 'No Response' when IsDefault(@FORMelement8) then 'No Response' else 'Employer Responded' end HIDDEN_Number of Characters in FEIN Email Address: -------------------------------------------------------------------------------- Back to Dashboard Continue Editing Send Import users by email Added emails 0 Incorrect emails 0 Skipped emails 0 Add users to selection Skip unregistered users Drag and drop csv file with emails Select files... Drop files here to upload Close Import Previous15 October 2024 Next13:0013:0513:1013:1513:2013:2513:3013:3513:4013:4513:5013:55TodayClear Previous15 October 2024 Next0:001:002:003:004:005:006:007:008:009:0010:0011:0012:0013:0014:0015:0016:0017:0018:0019:0020:0021:0022:0023:00TodayClear PreviousOctober 2024 NextSuMoTuWeThFrSa293012345678910111213141516171819202122232425262728293031123456789TodayClear Previous2024 NextJanFebMarAprMayJunJulAugSepOctNovDecTodayClear Previous2020-2029 Next201920202021202220232024202520262027202820292030TodayClear Workflow error Close