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JOHN L. CLARK, M.D., F.A.A.P ROBERT C. PEPPER, M.D., F.A.A.P. ERIN DUPLECHIEN, APRN, PLEASE FILL OUT COMPLETE Orchids Full Name:Name Child is called: lasted:MFfirstmiddleD. O.B.:SSN:Mailing Address:
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Culpepper M is a form used to report certain financial information.
Employers are required to file Culpepper M for their employees.
Culpepper M can be filled out online or through paper forms, by providing the necessary financial information.
The purpose of Culpepper M is to report financial information related to employee compensation.
Information such as salary, bonuses, and other forms of compensation must be reported on Culpepper M.
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