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Please complete in triplicate (type, if possible). Mail two copies to:State of CaliforniaAdminSureEMPLOYERS REPORT
OF OCCUPATIONAL
INJURY OR ILLNESS3380 Shelby Street, Ontario, CA 917645566
Reinsurance
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What is city of palm springs?
City of Palm Springs is a city located in California, known for its beautiful scenery and cultural attractions.
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Businesses operating within the city limits of Palm Springs are required to file the city of Palm Springs.
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City of Palm Springs can be filled out online on the official city website or by submitting a physical form to the city offices.
What is the purpose of city of palm springs?
The purpose of city of Palm Springs is to collect information on businesses operating within the city limits for tax and reporting purposes.
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Businesses must report their gross receipts, expenses, and other relevant financial information on the city of Palm Springs form.
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