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PRINTED: 07/15/2013 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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The printed 0715 form approved is a tax form used for reporting certain information to the IRS.
Employers who have employees and make payments for wages, salaries, or tips are required to file the printed 0715 form approved.
The printed 0715 form approved must be filled out with accurate information regarding the employer, employee, and payment details.
The purpose of the printed 0715 form approved is to report income paid to employees and taxes withheld from those payments.
The printed 0715 form approved must include information such as employee wages, tips, and other compensation, as well as federal income tax withheld.
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