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Informational Medical and Family History Form 20112012MedicalFamily Name Home Phone Number Critical Medication, blood type & Students Full Name Date of Birth Food/Drug Allergies other pertinent medical
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What is Inational Medical and Family History 2011-2012 Form?

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Instructions for the Inational Medical and Family History 2011-2012 form

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Informational medical and family is a form that employers use to report the cost of employer-sponsored health coverage provided to employees and their families.
Employers who provide employer-sponsored health coverage to their employees are required to file informational medical and family.
Employers can fill out informational medical and family using the provided form by reporting the required information accurately.
The purpose of informational medical and family is to provide the IRS with information about the cost of employer-sponsored health coverage for tax purposes.
Employers must report the cost of employer-sponsored health coverage provided to employees and their families on informational medical and family.
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