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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip*
11. Email Address:*
12. Date of Hire:*
14. Terms and Conditions
    By clicking "I Accept", you have reviewed, understood and agree with the Referee Agreement set forth by the City of Westlake. I also acknowledge the Ohio New Hire Reporting Form. Contract will expire on the 31st day of December each year. Separate email will be sent to obtain Date of Birth and Tax ID Number.
15. Contract Link
    To view both the Referee Contract and Ohio New Hire Reporting Form. click this link:

    .
17. I Accept*

    1. Terms and conditions for both Referee contract and Ohio New Hire Reporting Form.
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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