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HR10191217School Employees Health Benefits Program (SE HBP) EDUCATION RETIREEHEALTH BENEFIT DISABILITY APPLICATION 1. EMPLOYEE INFORMATION Last NameFirstMI Gender Birth Date Social Security Number
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hr-1019-1217indd is a tax form used for reporting information related to employment.
Employers are required to file hr-1019-1217indd for their employees.
hr-1019-1217indd can be filled out manually or electronically following the instructions provided by the tax authorities.
The purpose of hr-1019-1217indd is to report employment-related information to the tax authorities.
Information such as wages, taxes withheld, and other related data of employees must be reported on hr-1019-1217indd.
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