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CLIENT INFORMATION Patient Name: Street Address: City, State, Zip: Date of Birth:SSN:Gender:Marital Status: EmployedWork Status: Unemployed Full time Student Part time StudentEmployer/School & Address:
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What is employerschool amp address?
Employerschool amp address is the address of the employer's school or educational institution where they are employed.
Who is required to file employerschool amp address?
Employers are required to file their school or educational institution address as part of their employee information.
How to fill out employerschool amp address?
Employers can fill out the school or educational institution address by providing the name, address, and contact information of the school.
What is the purpose of employerschool amp address?
The purpose of employerschool amp address is to accurately identify the employer's place of work or educational institution.
What information must be reported on employerschool amp address?
Employers must report the name, address, and contact information of the school or educational institution where they are employed.
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