RetroTax Mapping Template: Form A to API
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Form A Section/Question BoxForm A QuestionAPI ObjectAPI Key
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EMPLOYER SECTION:Location:employee_infolocation_id
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EMPLOYER SECTION:Position:hiring_manager_infooccupation_id
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EMPLOYER SECTION:Starting Wage: $hiring_manager_infostarting_wage
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EMPLOYEE SECTION:First Name:employee_infofirst_name
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EMPLOYEE SECTION:Last Name:employee_infolast_name
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EMPLOYEE SECTION:Suffix:employee_infosuffix
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EMPLOYEE SECTION:Street Address:employee_infoaddress_line_1
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EMPLOYEE SECTION:City/employee_infocity
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EMPLOYEE SECTION:State:employee_infostate
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EMPLOYEE SECTION:Zip:employee_infozip
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EMPLOYEE SECTION:SS#:employee_infossn
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EMPLOYEE SECTION:Date of Birth:employee_infodob
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EMPLOYEE SECTION:Have you worked for this company before?employee_inforehire
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Queston 1
Have you or has anyone living with you received Temporary Assistance to Needy Families (TANF)
at any time since August 5, 1997?
questionnaireafdc
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Question 2
Have you or has anyone living with you received Food Stamps (SNAP) at any time during the past 15 months?
questionnairefood_stamps
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Question 3
Have you received Supplemental Security Income (SSI) at any time within the past 3 months?
questionnairessi
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Question 4
Have you received any type of vocational rehabilitation services within the past two years?
questionnairevoc_rehab
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Question 5Are you a Veteran of the U.S. Military?questionnaireveteran
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Question 6Have you been unemployed at any time during the last 12 months?questionnaireunemployed
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Question 7
Have you been convicted of a felony or released from prison for a felony conviction in the past 12 months?
questionnairefelon
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Additional Tax Credits SectionIEC (Native American): Are you or your spouse a member of a Native American Tribe?questionnairecdib
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Additional Tax Credits SectionCA Residents: Are you the child of foster parents? questionnaireca_foster
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Additional Tax Credits SectionCA Residents: Do you receive CalWorks? questionnaireca_cal_works
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Additional Tax Credits SectionCA Residents: questionnaireca_farmer
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Additional Tax Credits SectionCA Residents: Have you ever been convicted of a misdemeanor?questionnaireca_misdemeanor
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Additional Tax Credits SectionCA Residents: Workforce Investment Act? questionnaireca_wia
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Additional Tax Credits SectionSC Residents: Do you receive Family Independence Benefits? questionnairesc_fib
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Queston 1 Name of the person receiving benefits:afdc_recipient_infoname
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Queston 1 Relationship to you: afdc_recipient_inforelationship
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Queston 1 Cityafdc_recipient_infocity_received
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Queston 1 Countyafdc_recipient_infocounty_received
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Queston 1 Stateafdc_recipient_infostate_received
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Question 2Name of the person receiving benefits:foodstamps_recipient_infoname
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Question 2Relationship to you: foodstamps_recipient_inforelationship
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Question 2Cityfoodstamps_recipient_infocity_received
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Question 2Countyfoodstamps_recipient_infocounty_received
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Question 2Statefoodstamps_recipient_infostate_received
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Question 4Vocational Rehabilitation Agencyvoc_rehab_infois_agency
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Question 4Dept. of Veterans Affairsvoc_rehab_infodept_va
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Question 4Employment Network (Ticket to Work Program)voc_rehab_infottw
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Question 4Name of Agency:voc_rehab_infoagency_name
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Question 4City:voc_rehab_infocity
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Question 4State:voc_rehab_infostate
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Question 4County:voc_rehab_infocounty
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Question 4Phone #:voc_rehab_infophone
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Question 5Dates of Service - From: veteran_infoservice_start
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Question 5To:veteran_infoservice_stop
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Question 5Branch of Service:veteran_infobranch
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Question 5Are you entitled to or are you receiving compensation for a service-connected disability?veteran_infodisabled
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Question 6If yes, dates of unemployment - From:unemployment_infounemployment_start_date
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Question 6To:unemployment_infounemployment_stop_date
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Question 6Did you receive unemployment compensation at any point during your unemployment?unemployment_infocompensated
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Question 6If yes, in which state did you receive unemployment compensation?unemployment_infounemployment_compensation_state
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Question 7Conviction Date:felon_infoconviction_date
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Question 7Release Date:felon_inforelease_date
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Question 7Was this a Federal conviction?felon_infois_federal_conviction
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Question 7Or State conviction? felon_infois_state_conviction
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Question 7If State - County:felon_infofelony_county
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Question 7State:felon_infofelony_state
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PLEASE READ, SIGN, AND DATE:New Employee Signature:e_signatures.emp_signatureesign
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PLEASE READ, SIGN, AND DATE:New Employee Signature:e_signatures.emp_signatureauthorization
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