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2015 Nomination Form TIMOTHY S. LLEWELLYN, MD MEMORIAL AWARD Submission Deadline: Wednesday, July 15 Nominee: Organization: Address: Phone: Fax: Email: Fax: Email: Nominator: Organization: Address:
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Who needs the Harris Award form?
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Anyone who is interested in learning more about the Harris Award and the application process, even if they do not meet the eligibility criteria.
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What is harris award form?
A form used to report awards or prizes of $600 or more received by an individual.
Who is required to file harris award form?
Individuals who have received awards or prizes of $600 or more.
How to fill out harris award form?
Fill out the form with details of the award or prize received, including the amount and recipient information.
What is the purpose of harris award form?
To report awards or prizes received by individuals for tax purposes.
What information must be reported on harris award form?
The amount of the award or prize, recipient information, and any taxes withheld.
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