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Notice of
Privacy PracticesEffective September 23, 2016State of New Jersey
Department of Human ServicesThis notice applies to individuals, or legal guardians or parents of
minor children receiving
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02
Provide accurate and detailed information in the designated sections of the notice.
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01
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02
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What is this notice applies to?
This notice applies to businesses with employees.
Who is required to file this notice applies to?
Employers with more than 50 employees are required to file this notice.
How to fill out this notice applies to?
The notice can be filled out online on the designated government website.
What is the purpose of this notice applies to?
The purpose of this notice is to report employee information for tax purposes.
What information must be reported on this notice applies to?
Employer identification number, number of employees, and income tax withheld.
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