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Rate table for self-employed. If your plan\'s contribution rate is a whole percentage (for ex ample, 12% rather than 121 2%), you can use the table on the next page to find your reduced contribution
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To fill out tuberculosis and public health forms, follow these steps:
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Obtain the necessary forms from your local public health department or healthcare provider.
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Read the instructions on the forms carefully to understand the information required and any specific guidelines for filling them out.
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Provide your personal information, including your full name, date of birth, gender, and contact details.
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Answer the questions regarding your medical history, including any past tuberculosis diagnosis, treatment, or exposure.
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Include information about any other health conditions you may have, as this may affect your risk of tuberculosis.
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If applicable, provide details about your employment or living situation, such as whether you work in a healthcare setting or live in a congregate setting with a higher risk of tuberculosis transmission.
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Complete any additional sections or questions specific to public health monitoring, reporting, or contact tracing efforts.
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Submit the completed forms to the designated authority or department as instructed.

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