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CALIFORNIA WORKERS COMPENSATION APPLICATION AGENCY NAME AND ADDRESSABLE (MM/DD/YYY)COMPANY: UNDERWRITER: APPLICANT NAME: OFFICE PHONE:MOBILE PHONE:MAILING ADDRESS (including ZIP + 4 or Canadian Postal
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Fill out personal information, such as your full name, contact details, date of birth, and social security number (for US) or social insurance number (for Canada).
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Unique US and Canadian is a combined form that needs to be filed by individuals who are both US and Canadian residents for tax purposes.
Individuals who are residents of both the US and Canada for tax purposes are required to file the Unique US and Canadian form.
The Unique US and Canadian form can be filled out by providing information about income, expenses, and any other relevant tax information for both the US and Canada.
The purpose of the Unique US and Canadian form is to ensure that individuals who are both US and Canadian residents are compliant with tax laws in both countries.
Information such as income, expenses, and any other tax-related details for both the US and Canada must be reported on the Unique US and Canadian form.
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