Vets 4212 Form PDF Details

Are you an animal owner looking to ensure the best care for your pet? The Veterinary Clinical Care Form 4212, often referred to as the Vets 4212 form, can be a highly beneficial tool in ensuring your pet’s health and well being. This specialized document is used by many veterinarians during annual check-ups or visits with new patients. It is designed to accurately record all of your pet’s medical information and provide a comprehensive overview of their current condition, while also facilitating dialogue between yourself and your veterinarian regarding potential changes that may need to be made going forward. In this blog post, we will discuss how it works, what benefits it offers both pet owners and veterinarians alike, as well as why it's important to complete one upon signing up at a new vet clinic.

QuestionAnswer
Form NameVets 4212 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesvets form, vets 4212 form 2020, vets 4212 filing instructions, vets 4212 form

Form Preview Example

FEDERAL CONTRACTOR VETERANS’ EMPLOYMENT REPORT VETS-4212

OMB NO: 1293-0005

Expires: xxxxx

Persons are not required to respond to this collection of information unless it displays a valid OMB number. It is mandatory for a covered Federal contractor respond to this information collection. SEE 38 U.S.C. § 4212(d) and “Who Must File” section of instructions.

ATTN: Human Resource/EEO Department

RETURN COMPLETED REPORT TO:

VETS-4212 Submission

VETERANS’ EMPLOYMENT AND TRAINING SERVICE (VETS)

Service Center

In care of: Department of Labor National Contact Center (DOL-NCC)

14120 Newbrook Drive

Chantilly, VA 20194

TYPE OF REPORTING ORGANIZATION

TYPE OF FORM (Check only one)

(Check one or both, as applicable)

Single Establishment

Prime Contractor

Multiple Establishment-Headquarters

Subcontractor

Multiple Establishment-Hiring Location

 

Multiple Establishment-State Consolidated

 

(specify number of locations) (MSC)

 

 

COMPANY IDENTIFICATION INFORMATION (Omit items preprinted above-ADD Company Contact Information Below)

COMPANY NO:

TWELVE MONTH PERIOD ENDING

 

 

 

 

 

 

 

 

M M

NAME OF PARENT COMPANY:

ADDRESS (NUMBER AND STREET):

 

 

2

0

 

 

 

 

D D

Y

Y

X X

Y Y

CITY:

COUNTY:

STATE:

ZIP CODE:

NAME OF COMPANY CONTACT:

TELEPHONE FOR CONTACT:

EMAIL:

NAME OF HIRING LOCATION:

ADDRESS (NUMBER AND STREET):

CITY:

COUNTY:

STATE:

ZIP CODE:

NAICS:

 

 

 

_

 

 

 

_

 

 

 

 

EMPLOYER ID

 

 

_

 

 

 

 

 

 

 

DUNS:

 

 

 

 

 

 

 

 

 

(IRS TAX NO.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION ON EMPLOYEES

REPORT THE TOTAL NUMBER OF EMPLOYEES AND NEW HIRES WHO ARE PROTECTED VETERANS, AS DEFINED IN THE INSTRUCTIONS. DATA ON NUMBER OF EMPLOYEES ARE TO BE ENTERED IN COLUMN A AND B, LINES 1.1 THROUGH 9. DATA FOR NEW HIRES ARE ENTERED IN COLUMNS C AND D. LINE 10 IS TOTAL OF EACH COLUMN. ENTRIES IN COLUMNS C AND D, LINES 1.1 THROUGH 9 (GRAY SHADED AREAS) ARE OPTIONAL. ENTER THE MAXIMUM AND MINIMUM NUMBER OF EMPLOYEES.

JOB

NUMBER OF EMPLOYEES

 

NEW HIRES (PREVIOUS 12 MONTHS)

PROTECTED VETERANS

TOTAL EMPLOYEES

PROTECTED VETERANS

TOTAL NEW HIRES

CATEGORIES

(A)

(B)

(C)

(D)

 

EXECUTIVE/SENIOR LEVEL OFFICIALS AND MANAGERS

1.1

FIRST/MID LEVEL

OFFICIALS AND

MANAGERS 1.2

PROFESSIONALS 2

TECHNICIANS

3

 

 

 

 

 

 

 

 

SALES WORKERS

4

 

 

 

 

 

 

 

 

ADMINISTRATIVE

 

 

 

 

SUPPORT WORKERS

5

 

 

 

CRAFT WORKERS

6

 

 

 

 

 

 

 

 

OPERATIVES

7

 

 

 

 

 

 

 

 

LABORERS/HELPERS

8

 

 

 

 

 

 

 

 

SERVICE WORKERS

9

 

 

 

 

 

 

 

 

TOTAL EMPLOYEES

10

 

 

 

 

 

 

 

 

Report the total maximum and minimum number of permanent employees during the period covered by this report.

Maximum Number

Minimum Number

 

 

Form VETS-4212 MM/YYYY

How to Edit Vets 4212 Form Online for Free

When you intend to fill out vets form, you don't have to download any programs - just try our PDF editor. The tool is constantly upgraded by us, acquiring powerful functions and growing to be greater. Here is what you'll want to do to get going:

Step 1: Press the "Get Form" button at the top of this page to get into our editor.

Step 2: The editor gives you the opportunity to work with your PDF file in various ways. Change it by including customized text, adjust what is already in the PDF, and include a signature - all close at hand!

So as to complete this PDF form, be sure you type in the necessary details in each blank field:

1. Begin filling out the vets form with a group of essential blanks. Gather all the necessary information and ensure there is nothing neglected!

Writing segment 1 in vets 4212 faq

2. After this selection of fields is completed, proceed to enter the relevant details in these: PROTECTED VETERANS, TOTAL EMPLOYEES, PROTECTED VETERANS, TOTAL NEW HIRES, CATEGORIES, EXECUTIVESENIOR LEVEL OFFICIALS, FIRSTMID LEVEL OFFICIALS AND, PROFESSIONALS, TECHNICIANS, SALES WORKERS, ADMINISTRATIVE SUPPORT WORKERS, CRAFT WORKERS, OPERATIVES, LABORERSHELPERS, and SERVICE WORKERS.

PROTECTED VETERANS, SALES WORKERS, and PROTECTED VETERANS of vets 4212 faq

Be extremely careful when filling in PROTECTED VETERANS and SALES WORKERS, as this is where most people make mistakes.

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