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CLAIM INSTRUCTIONS Use this form to obtain reimbursement for services. Part A to be completed by Employee. Part B to be completed by your Eye Care Professional (Optional). Scan and submit the form
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What is use this form to?
Use this form to report your annual income for tax purposes.
Who is required to file use this form to?
Individuals who have earned income during the tax year are required to file this form.
How to fill out use this form to?
You can fill out this form online or by mail, providing accurate information about your annual income.
What is the purpose of use this form to?
The purpose of this form is to report your income to the tax authorities and calculate your tax liability.
What information must be reported on use this form to?
You must report all sources of income, including wages, rental income, investment income, etc.
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