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County of San Mateo Employee Benefits Enrollment/Waiver Form (Affordable Care Act (ACA)) SECTION 1: Employee Information Name (Last, First, Middle): Social Security Number: Date of Birth: Hire Date:
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County of San Mateo is a county located in the state of California.
Businesses operating in the County of San Mateo may be required to file.
County of San Mateo forms can be filled out online or submitted in person at the county offices.
The purpose of County of San Mateo forms is to collect information on businesses operating in the county for tax and regulatory purposes.
Business details such as name, address, revenue, and business activities may need to be reported on County of San Mateo forms.
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