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Attachment #10-Page 1 of 2 ADVISORY COMMITTEE APPLICATION FOR BOARD APPOINTMENT It is the applicants' responsibility to keep this information current. To advise the County of any changes please contact
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Attachment 10 - cms is a form used to report certain information to the IRS.
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Attachment 10 - cms must be filled out with accurate information regarding the health insurance coverage provided to employees.
The purpose of attachment 10 - cms is to provide the IRS with information about the health insurance coverage offered by employers.
Information such as the name and address of the employer, the number of employees receiving coverage, and the type of coverage provided must be reported on attachment 10 - cms.
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