Form PPO16 is a required form for Massachusetts employers with 20 or more employees. The purpose of the form is to report the wages and hours of all non-exempt employees. This form must be filed annually with the Department of Unemployment Assistance (DUA). Noncompliance can result in fines and penalties. The wage and hour information reported on Form PP016 is used to calculate unemployment insurance premiums. Let's take a closer look at what information needs to be included on this form. Form PPO16 must be filed annually by January 31st for the preceding calendar year. It includes information about each employee's name, social security number, address, occupation, hours worked per week, and hourly wage rate. In addition, it reports total wages paid to all employees during the year, as well as taxes withheld from those wages. Penalties may apply for late filing or inaccurate information on the form. Employers who have 20 or more employees owe an annual contribution rate fixed by
| Question | Answer |
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| Form Name | Form Ppo16 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | PPO 16 Legal Runner Application Form legal runner applcation online form |
Los Angeles County Sheriff’s Department
Legal Runner Application
READ CAREFULLY: Please print or type. The information requested will be used by officials of the Sheriff’s Department to determine whether your application will be approved or disapproved. The information will be maintained in a file pertaining to the inmate.
In accordance with the Privacy Act of 1974 (PL
Please mail this form directly to the Legal Unit of the institution where the inmate is confined, or the inmate may submit this directly to the Legal Unit.
1. NAME OF INMATE, BOOKING NUMBER |
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CURRENT HOUSING LOCATION |
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2. YOUR LAST NAME |
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FIRST |
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TELEPHONE (HOME) |
MOBILE |
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3. MAIDEN NAME |
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LIST ANY OTHER NAMES USED |
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4. BIRTH DATE |
AGE |
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BIRTHPLACE: CITY/STATE/COUNTY |
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5. DRIVERS LICENSE # AND STATE |
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I.D. CARD # AND STATE |
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6. WHAT TYPE OF VEHICLE WILL YOU USE AS A LEGAL RUNNER? |
MAKE/MODEL/YEAR/CALIFORNIA LICENSE PLATE NUMBER |
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7. PRESENT ADDRESS (NO. AND STREET) |
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CITY |
STATE |
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ZIP CODE |
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8. MAILING ADDRESS (IF DIFFERENT FROM ABOVE) |
CITY |
STATE |
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ZIP CODE |
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9. PREVIOUS ADDRESS (IF LESS THAN TWO YEARS) |
CITY |
STATE |
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ZIP CODE |
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10. RELATIONSHIP TO INMATE (WIFE, DAUGHTER, SON, FRIEND, ETC.) |
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11. IN THE PAST I HAVE PROVIDED LEGAL RUNNER ASSISTANCE TO ANOTHER INMATE IN L.A. COUNTY JAIL? |
YES |
NO |
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IF YES, INDICATE NAME OF INMATE(S) BELOW (11a, 11b) |
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11 a. |
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11 b. |
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12. HAVE YOU EVER BEEN ARRESTED? |
YES |
NO |
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IF YES, LIST REASON (S) BELOW (FAILURE TO REPORT ARRESTS AND/OR CONVICTIONS MAY BE CAUSE FOR DENIAL OF VISITING PRIVILEGES) |
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OFFENSE |
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APPROXIMATE DATE |
DISPO/PROB/JAIL TERM |
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12a. _____________________________________________________________________________________________________________________________________
12b. _____________________________________________________________________________________________________________________________________
12c. _____________________________________________________________________________________________________________________________________
13. ARE YOU CURRENTLY ON PROBATION/PAROLE? |
YES |
NO |
ARE YOU A FORMER INMATE? |
YES |
NO |
14. ARE YOU CURRENTLY UNDER ANY TYPE OF COURT IMPOSED PROGRAM? |
YES |
NO |
DO YOU HAVE ANY METAL IMPLANT OR PROSTHESIS? |
YES |
NO |
IF YES TO EITHER QUESTION ABOVE, ATTACH ANOTHER SHEET AND EXPLAIN. |
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FORM PPO16 |
PAGE 1 OF 2 |
Legal Runner Application (cont.)
15.LEGAL RUNNERS ENTERING THE CORRECTIONAL INSTITUTION, FACILITY, CAMP, JAIL, OR GROUNDS ARE SUBJECT TO SEARCH OF THEIR PERSON, VEHICLE AND PROPERTY. REFUSAL TO SUBMIT TO SUCH SEARCH WILL RESULT IN THE IMMEDIATE DENIAL OF LEGAL RUNNER STATUS.
ANY PERSON(S) WHO ASSIST INMATES IN ESCAPES OR WHO BRINGS FIREARMS, DEADLY WEAPONS OR EXPLOSIVES ONTO JAIL GROUNDS OR PROVIDES INMATES WITH FIREARMS, WEAPONS, EXPLOSIVES, LIQUOR, COCAINE OR ANY OTHER NARCOTICS, OR ANY KIND OF DRUGS INCLUDING MARIJUANA IS GUILTY OF A FELONY (SECTIONS 2772, 2790, 4535, 4550, 4573, 4573.5, 4573.6, 4574, 4600 PENAL CODE).
ANYONE WHO FALSELY IDENTIFIES HIMSELF/HERSELF TO GAIN ACCESS OR ADMISSION TO A JAIL FACILITY IS GUILTY OF A MISDEMEANOR. PERSONS PREVIOUSLY CONVICTED OF A FELONY IN THIS STATE WHO COME UPON THE GROUNDS OF A JAIL FACILITY WITHOUT PERMISSION OF THE OFFICIAL IN CHARGE ARE GUILTY OF A FELONY (SECTIONS 4570.5, 4571, PENAL CODE).
ENTRY ON INSTITUTIONAL/JAIL PROPERTY FOR UNAUTHORIZED PURPOSES WILL BE CONSIDERED TRESPASSING AS PROVIDED IN SECTION 602(j)
OF THE PENAL CODE. REFUSAL OR FAILURE TO LEAVE THE PROPERTY WHEN REQUESTED TO DO SO BY AN OFFICIAL WILL BE CONSIDERED TRESPASSING AS PROVIDED IN SECTION 602 (p) OF THE PENAL CODE.
HOSTAGES WILL NOT BE RECOGNIZED FOR BARGAINING PURPOSES DURING ATTEMPTED ESCAPES BY INMATES (SECTION 3304, TITLE 15, DIV 3, CAL. ADM. CODE).
16.IF YOU ARE APPROVED TO BE AN INMATE’S LEGAL RUNNER, THE INMATE WILL BE NOTIFIED BY THE LEGAL STAFF
17.IF THE LEGAL RUNNER IS DENIED ACCESS, YOU WILL NOT BE ALLOWED TO PROVIDE LEGAL RUNNER SERVICES
I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION |
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SIGNATURE |
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APPROVED _________________________________________ |
DISAPPROVED ____________________________________ |
DATE ______________________________________________ |
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REASON FOR DISAPPROVAL
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INMATE LEGAL RUNNER NOTIFIED |
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DATE _____________________________________ |
BY WHOM ______________________________________________ |
FORM PPO16 |
PAGE 2 OF 2 |