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ATTACHMENT XIII FAMILY HEALTH PLUS NOTICE OF DECISION ON YOUR REQUEST TO DISENROLL FROM YOUR HEALTH PLAN FOR GOOD CAUSE FH 234 NAME AND ADDRESS OF AGENCY/CENTER DISTRICT OFFICE NOTICE DATE CASE NUMBER CIN/RID NUMBER CASE NAME And C/O Name if Present AND ADDRESS GENERAL TELEPHONE NO. To phone find the closest city to your home and use the phone number shown. Please have this notice with you when you call. 716 852-4868 Buffalo 716 266-4868 Rochester 516 739-4868 Hempstead 315 422-4868 Syracuse...
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What is attachment xiii?
Attachment XIII is a form used to report specific information to the tax authorities.
Who is required to file attachment xiii?
Entities or individuals who meet certain criteria set by the tax authorities are required to file attachment XIII.
How to fill out attachment xiii?
Attachment XIII can be filled out manually or electronically, following the guidelines provided by the tax authorities.
What is the purpose of attachment xiii?
The purpose of attachment XIII is to provide detailed information about certain financial transactions or activities.
What information must be reported on attachment xiii?
Information such as income, expenses, investments, and other financial data may need to be reported on attachment XIII.
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