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20152016 University of California, Davis Statement of StudentAthlete Medical/Dental Coverage ATHLETES NAME SPORT SOCIAL SECURITY NUMBER BIRTHDATE PARENT/GUARDIAN SS# PHONE ADDRESS street city state
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How to fill out insurance form 20153
How to fill out insurance form 20153:
01
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What is insurance form 20153?
Insurance form 20153 is a document used to report information related to insurance coverage.
Who is required to file insurance form 20153?
Employers and insurance providers are required to file insurance form 20153.
How to fill out insurance form 20153?
Insurance form 20153 can be filled out online or through a paper form provided by the IRS.
What is the purpose of insurance form 20153?
The purpose of insurance form 20153 is to provide the IRS with information about the type and coverage of insurance plans offered.
What information must be reported on insurance form 20153?
Information such as the employer's name, EIN, the type of insurance plan offered, and information about covered individuals must be reported on insurance form 20153.
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