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PRINTED: 09/08/2016 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Printed 0917 department is a form used for reporting certain tax information.
Employers who have made payments of $600 or more for services performed by non-employees must file printed 0917 department.
Printed 0917 department can be filled out manually or electronically by providing information such as recipient's name, address, Taxpayer Identification Number, and amount paid.
The purpose of printed 0917 department is to report payments made to non-employees for services rendered.
Information such as recipient's name, address, Taxpayer Identification Number, and amount paid must be reported on the printed 0917 department.
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