TD4 Declaration of Exemption - Employment at a Special Work Site
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TD4 Declaration of Exemption - Employment at a Special Work Site
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You must download the accessible fillable PDF to your computer. Use Acrobat Reader 10 or later to open the file. Do not click the link to open it in your web browser.
- Download and save the PDF to your computer
- Open the downloaded PDF in Acrobat Reader 10 or later
You use this form if you are an employee who works at a special work site. It will allow your employer to determine if the certain benefits can be excluded from income.
Ways to get the form
Download and fill out with Acrobat Reader
You must download and open fillable PDFs in Acrobat Reader 10 or higher.
Print and fill out by hand
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You can order alternate formats such as digital audio, electronic text, braille, and large print.
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2025-07-31