Who was your principal employer during the week of April 15, 1999?
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked

Employer Name: _________________________________________
City/Town: ______________________________________________
State/Foreign Country: ____________________________________
ZIP Code: ________________________________________________

Who was your principal employer during the week of April 15, 1999?
If more than one job: Record employer for whom you worked the most hours that week
If employer had more than one location: Record location where you usually worked

Employer Name _______________________________________________
City/Town ____________________________________________
State/Foreign Country ____________________________________________
ZIP Code ______________________________________________

Who was your principal employer during the week of April 15, 1999?
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week.
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked.

Employer Name: ______________________________
City or Town: _________________________________
State/Foreign Country: __________________________
ZIP Code: ____________________________________

Who was your principal employer during the week of April 15, 1997?
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked

Employer: _____________________________
Name: ________________________________
City/Town: _____________________________
State/Foreign Country: ____________________
ZIP Code: ______________________________

Who was your principal employer during the week of April 15, 1997?
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked

Employer Name: ______________________________________
City/Town: __________________________________________
State/Foreign Country: _________________________________
ZIP Code: ___________________________________________

Who was your principal employer during the week of April 15, 1997?
IF MORE THAN ONE JOB: Record employer for whom you worked the most hours that week.
IF EMPLOYER HAD MORE THAN ONE LOCATION: Record location where you usually worked.

Employer Name: _____________________________
City or Town: ________________________________
State/Foreign Country: _________________________
ZIP Code: ___________________________________