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University Dental Resident Services PC CONSENT FORM MEDICAL RESIDENT FICA TAX REFUND CLAIM Name Address My signature herewith affirms my acknowledgement and consent to participate in the refund claim for FICA taxes withheld from residency wages for the noted period during which I was enrolled in this dental residency program. Select ONLY ONE of the following I consent to the Social Security and Medicare tax FICA refund filed or to be filed on my...
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What is university dental resident services?
University dental resident services refer to dental services provided by dental residents at a university dental clinic. These services are typically supervised by dental faculty members.
Who is required to file university dental resident services?
The university dental clinic or the dental program is typically required to file university dental resident services.
How to fill out university dental resident services?
To fill out university dental resident services, you typically need to provide information about the dental residents who provided the services, the patients they treated, the procedures performed, and any associated fees or charges.
What is the purpose of university dental resident services?
The purpose of university dental resident services is to provide dental residents with practical experience in delivering dental care while offering affordable dental services to patients.
What information must be reported on university dental resident services?
The information that must be reported on university dental resident services typically includes the names and credentials of the dental residents, the patients they treated, the procedures performed, the dates of service, and any fees or charges associated with the services.
When is the deadline to file university dental resident services in 2023?
The deadline to file university dental resident services in 2023 may vary depending on the university or program. It is recommended to contact the university dental clinic or dental program directly to determine the specific deadline.
What is the penalty for the late filing of university dental resident services?
The penalty for the late filing of university dental resident services may vary depending on the rules and regulations of the university or program. It is recommended to consult the university dental clinic or dental program for information regarding any penalties or consequences for late filing.
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