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This form will be completed by the unit based preceptor and submitted to Laura Smith MS RN, Coordinator for Nursing Student Placements, via email:lgeshay1 HMI.edu or fax: 4438735057; phone 4105835257Name

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What is this form?

This form is a tax filing document required by the relevant tax authority.

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Individuals or entities that meet specific criteria defined by the tax authority must file this form.

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What is the purpose of this form?

The purpose of this form is to report income, claim deductions, and calculate tax liability.

What information must be reported on this form?

Required information typically includes personal identification data, income sources, deductions, and tax credits.