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2014 MEDICARE advantage INDIVIDUAL ENROLLMENT REQUEST FORM Please contact Health Net if you need information in another language or format (Braille). To Enroll in Health Net, Please Provide the Following
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Benton, Clackamas, Columbia, and Lane are counties in Oregon.
Businesses operating in Benton, Clackamas, Columbia, and Lane counties may be required to file certain forms or reports.
The forms or reports can usually be completed online or submitted through the respective county's tax or revenue department.
The purpose is to report and pay certain taxes or fees to the counties and comply with local regulations.
Information such as income, expenses, and other relevant financial data may need to be reported.
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