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SMALL BUSINESS ATTESTATION This document is to be provided to Tufts Health Plan when a WR1 form is not required to be filed. Employer Group Name: Eligibility of Group: As a corporate officer of the
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What is this document is to?
This document is to provide important information.
Who is required to file this document is to?
This document is to be filed by all employees.
How to fill out this document is to?
This document is to be filled out completely and accurately.
What is the purpose of this document is to?
The purpose of this document is to ensure compliance with regulations.
What information must be reported on this document is to?
This document must include personal and financial information.
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