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Certification of Dependency Confidential 1 Cameron Hill Circle Chattanooga, TN 37402 bcbst.com Subscriber Name: ID No.: Group No.: For purposes of establishing eligibility for dependent health care
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How to fill out certification of dependency
How to fill out certification of dependency:
01
Fill out the personal information of the dependent, including their name, date of birth, and relationship to you.
02
Provide details about the dependent's residency, such as their address and the duration of their stay at that location.
03
Indicate the type of support you provide for the dependent, such as financial, medical, or housing assistance.
04
Specify any government benefits the dependent receives, such as social security or disability payments.
05
Sign and date the certification form, affirming the accuracy of the information provided.
Who needs certification of dependency:
01
Individuals who have dependents, such as children, elderly parents, or disabled family members, may require certification of dependency.
02
Employers or government agencies may request this certification to determine eligibility for certain benefits or programs.
03
Students applying for financial aid or scholarships that consider their dependent status may also need to provide this certification.
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What is certification of dependency?
Certification of dependency is a form used to verify the relationship between a dependent and the taxpayer for tax purposes.
Who is required to file certification of dependency?
The taxpayer claiming a dependent on their tax return is required to file certification of dependency.
How to fill out certification of dependency?
Certification of dependency can be filled out by providing the necessary information about the dependent, including their name, relationship to the taxpayer, and social security number.
What is the purpose of certification of dependency?
The purpose of certification of dependency is to ensure that only eligible dependents are claimed on a taxpayer's tax return.
What information must be reported on certification of dependency?
The certification of dependency should include the dependent's name, relationship to the taxpayer, and social security number.
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