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Benefits Enrollment Worksheet Your Personal Information First Name:Last Name:SSN:Home Phone:Email:Date of Birth:Has any adult (19 and older) person to be insured used tobacco in the last 12 months?
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What is your dependents information?
Your dependents information includes details about individuals who rely on you for financial support.
Who is required to file your dependents information?
Anyone who has dependents and is required to file a tax return must also provide information about their dependents.
How to fill out your dependents information?
You can fill out your dependents information by providing their names, relationship to you, Social Security numbers, and any other required details on the tax form.
What is the purpose of your dependents information?
The purpose of your dependents information is to determine if you qualify for certain tax benefits, such as the Child Tax Credit or the Dependent Care Credit.
What information must be reported on your dependents information?
You must report the names, dates of birth, Social Security numbers, and relationships of your dependents.
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