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Form: A1 (12016) Page 1 State of California Department of Industrial Relations Office of Reinsurance Plans 11050 Olson Drive, Suite 230 Rancho Cordova, Ca. 95670 Phone (916) 4647000 Fax (916) 4647007ClearSavePrintState
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Form A-1 1-page is a specific document used for reporting certain financial information to the relevant tax authority, typically in the context of income and deductions.
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