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Pomona California Form W-3PR: What You Should Know

It shall be deemed a disclosure under section 20.20.220(l) and is subject to the Failure to furnish the Information required under this section is an information system security violation and, if the information contained in the statement could result in a loss of property, breach of faith and goodwill, or violations of a federal or state criminal statute, a criminal violation or an act of terrorism, the person providing such information shall be liable to make restitution in the amount of 50 percent of the sum determined by the judge, or to make the court pursuant to section 5324.23(k). SECTION 1, SECTION 2 (f) Information to be furnished :  1. Personal information. A copy of the Social Security card issued by the Social Security Administration (SSA) shall be furnished in paper form by the person to the person furnishing such request. 2. Employer identification number. Each employer which maintains a database on its employees shall include each individual's Social Security number and the employer identification number for each individual in the employee's database. If you are furnishing information about an individual, and you did not know how that individual is identified, and the employer has no record of him, then include his social security number and the name of the company where he may be found on the employee's record; 3. Name. A copy of the Social Security Card issued to the individual by the Social Security Administration (SSA) shall be furnished in paper format by the person to the person furnishing such request. Information furnished : (f) The following information shall be furnished: (1) The names, addresses and birthdates of all individuals in the group of persons to be described by the request. (2) The names, addresses, birthdates, social security numbers, and employer identification numbers of such individuals. (3) The names and addresses of their supervisors (if any). For purposes of this rule, “information system security violation” means a disclosure pursuant to Section 2330 of the Internal Revenue Code by any person of information that is protected by the Social Security Act or the Social Security Administration Program Information Security and Privacy Act. . . . . . 1. Any information required to be furnished by this section may be furnished in electronic or analog form only.

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