
Get the free Visio-Revised Small Emp Cert IBC - Form #7107- 4-05-05.vsd
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Independence Blue Cross 1901 Market Street Philadelphia, PA 19103 SMALL EMPLOYER CERTIFICATION Group Name: Group Contact : Group Address: (Street, including Department, Suite or Floor) (City) Telephone:
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What is visio-revised small emp cert?
The visio-revised small emp cert is a certification form specifically designed for small employers.
Who is required to file visio-revised small emp cert?
Small employers are required to file the visio-revised small emp cert.
How to fill out visio-revised small emp cert?
To fill out the visio-revised small emp cert, you need to provide all the requested information accurately and completely in the designated fields.
What is the purpose of visio-revised small emp cert?
The purpose of the visio-revised small emp cert is to certify the employment status of small employers.
What information must be reported on visio-revised small emp cert?
The visio-revised small emp cert requires information related to the employment status of small employers such as number of employees, financial status, and other relevant details.
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