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11/20/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Printed 1220 department refers to the form used for reporting income and taxes withheld by an employer.
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Printed 1220 department is typically filled out by entering income and tax information for each employee.
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Information such as employee name, income, and taxes withheld must be reported on printed 1220 department.
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