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DASHED 877 Rev. 09/2012 State of Utah Department of Workforce Services HEAT Program Self-Employment Income Worksheet (Complete one worksheet for each business) Name: Name of Business: Address of Business:
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What is dws-hcd 877 rev?
dws-hcd 877 rev is a form used for reporting information related to healthcare coverage.
Who is required to file dws-hcd 877 rev?
Employers who provide healthcare coverage to their employees are required to file dws-hcd 877 rev.
How to fill out dws-hcd 877 rev?
To fill out dws-hcd 877 rev, you need to provide information about the healthcare coverage provided by your organization. This includes details about the type of coverage, number of employees covered, and the cost of the coverage.
What is the purpose of dws-hcd 877 rev?
The purpose of dws-hcd 877 rev is to gather data about healthcare coverage provided by employers. This information is used for analysis and decision-making related to healthcare policy.
What information must be reported on dws-hcd 877 rev?
On dws-hcd 877 rev, you must report information such as the number of employees covered, the type of healthcare coverage provided, the cost of the coverage, and any changes in coverage during the reporting period.
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