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PRESCRIPTION BENEFIT PROGRAMMER SELF REIMBURSEMENT FORMCARDHOLDER PATIENT INFORMATION EMPLOYER NUMEROUS NAMECARDHOLDER NAME (Last Name, First Name, M.I.)GROUP NUMBER (from I.D. Card)CARDHOLDER IDENTIFICATION
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What is form i?
Form i is a tax form used to report income from various sources.
Who is required to file form i?
Individuals or entities who have received income that needs to be reported to the IRS are required to file form i.
How to fill out form i?
Form i can be filled out manually or electronically, following the instructions provided by the IRS.
What is the purpose of form i?
The purpose of form i is to report income to the IRS for tax purposes.
What information must be reported on form i?
Form i requires information on income earned, deductions, and tax liability.
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