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ES/111CAPITAL PROJECTS and PLANNING DIVISION (Revised 02/95 updated 03/02)FORM OF TENDERIMPERIAL COLLEGE LONDON SOUTH KENSINGTON, LONDON SW7 2AZName of Tenderer...........................................................................................................FIRM
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ES111 is a form used for reporting information about employer contributions to employee health care coverage.
Employers who provide health care coverage to their employees are required to file ES111.
To fill out ES111, employers need to provide information about the contributions made towards employee health care coverage.
The purpose of ES111 is to report the employer's contributions towards employee health care coverage.
Employers must report the total amount of contributions made towards employee health care coverage on ES111.
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