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Total Long-term Care Independent Living Loss-of-independence Coverage Long-term Care Advance Accelerated Independence CLAIM M INSTRUCTIONS FOR FILING A CLAIM Please use this form to file a claim.

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What is it must be completed?

It must be completed by all employees.

Who is required to file it must be completed?

All individuals employed in the United States are required to file it.

How to fill out it must be completed?

It can be filled out online or on paper.

What is the purpose of it must be completed?

The purpose is to report income earned and taxes withheld.

What information must be reported on it must be completed?

Information such as name, Social Security Number, and income must be reported.