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COBRA CONTINUATION COVERAGE ELECTION FORM
This form is to be filled out using information from the COBRA Continuation Coverage Election Notice.
Please follow the election procedures listed below:
1)
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What is this form is to?
This form is used to report financial information to the IRS.
Who is required to file this form is to?
Individuals and businesses meeting certain criteria are required to file this form.
How to fill out this form is to?
The form can be filled out manually or electronically, following the instructions provided by the IRS.
What is the purpose of this form is to?
The purpose of this form is to ensure the accurate reporting of financial information for tax purposes.
What information must be reported on this form is to?
Information such as income, expenses, deductions, and credits must be reported on this form.
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