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AFFIDAVIT OF PHYSICIAN PER SECTION 28-33-8 c OF THE RHODE ISLAND WORKERS COMPENSATION ACT State of Rhode Island Workers Compensation Court Medical Advisory Board One Dorrance Plaza Providence RI 02903 Phone 401-458-3460 TDD 401-458-5275 SIX 6 EIGHTEEN 18 THIRTY 30 OTHER EMPLOYEE INFORMATION XXX-XXSocial Security No. last 4 digits only Name Address City State Zip Phone Date of Birth IF IDENTITY OF THE INSURER IS UNKNOWN CONTACT THE DIVISION OF WOR...
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Obtain the necessary form: Download the ri affidavit 28 33 form from the official website or obtain a physical copy from a relevant authority.
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Read the instructions: Carefully review the provided instructions to understand the requirements and purpose of the affidavit.
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Fill in personal information: Provide accurate personal details such as your full name, address, contact information, and any other requested information.
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State the purpose of the affidavit: Clearly state the reason why you are filling out the ri affidavit 28 33, whether it is for legal proceedings, immigration purposes, or any other specific purpose.
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The RI Affidavit 28 33 is a form used in Rhode Island for reporting certain business financial information.
Any business entity that meets the criteria outlined by the state of Rhode Island must file the RI Affidavit 28 33. This includes businesses operating in Rhode Island and meeting the specified financial thresholds.
To fill out the RI Affidavit 28 33, you will need to gather the required financial information and complete the form with accurate and up-to-date data. The form should be filled out according to the instructions provided by the Rhode Island Department of Revenue.
The purpose of the RI Affidavit 28 33 is to collect important financial data from businesses in Rhode Island. This information is used for various purposes, such as taxation and economic analysis.
The RI Affidavit 28 33 requires businesses to report specific financial information, including revenue, expenses, assets, liabilities, and other relevant financial data. The exact details may vary depending on the specific requirements of the form for the given tax year.
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