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Get the free Part 1: Member Information (to be completed by the member) - healthspan

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COMMERCIAL PRESCRIPTION DRUG CLAIM FORM INSTRUCTIONS Please read carefully before completing this form. Claim forms without the required information cannot be processed and will be returned to sender.
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Part 1 member information includes details about the members of a tax entity.
Part 1 member information must be filed by all tax entities.
Part 1 member information can be filled out online or through paper forms provided by the tax authority.
The purpose of part 1 member information is to provide the tax authority with information about the members of a tax entity for tax assessment purposes.
Part 1 member information must include the names, addresses, and taxpayer identification numbers of all members of the tax entity.
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