UsTaxCare - USA Tax Refunds

Registration

Personal information

	Name*
	Surname*
	Family Name*
	Sex
	Address*
	Phone*
	E-mail 1*
	E-mail 2
	Birthday*
	Country*
	How did you know about us


Information about your journey in USA

	Social Security Number*	- -
	Work year*
	Arrival date to USA*
	Departure date from USA*
	Type of visa*
	Have you worked past years in USA
	Type of program*
	How many employers did you have*


Information about your employers

	Employer 1

	Company name *
	Street*
	City*
	Zip code
	State*
	Phone
	Fax
	E-mail/web*
	Do you keep your final paycheck*
	Have you get already your W-2 form*

	Employer 2

	Company name
	Street
	City
	Zip code
	State
	Phone
	Fax
	E-mail/web
	Do you keep your final paycheck
	Have you get already your W-2 form

	Employer3

	Company name
	Street
	City
	Zip code
	State
	Phone
	Fax
	E-mail/web
	Do you keep your final paycheck
	Have you get already your W-2 form


	Comment