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APPENDIX B
Portland State University
HEPATITIS B VACCINE ACCEPTANCE OR DECLINATION FORM
Revised 6/2017
Acceptance Statement
I, the undersigned, acknowledge that my employer, Portland State University,
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What is appendix b - hep?
Appendix B - HEP is a form used to report certain information related to health coverage.
Who is required to file appendix b - hep?
Employers who provide health coverage must file Appendix B - HEP.
How to fill out appendix b - hep?
Appendix B - HEP can be filled out electronically or on paper, following the instructions provided by the IRS.
What is the purpose of appendix b - hep?
The purpose of Appendix B - HEP is to report information about health coverage provided to employees.
What information must be reported on appendix b - hep?
Information such as employer identification number, employee names, and health coverage details must be reported on Appendix B - HEP.
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