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Health Benefits Program Application/Change Form www.nyc.gov/olrEmployees Return Form to:Retirees (212) 5130470 For Domestic Partner Return Form to: Changes Return Form to:Your Agencies Payroll or
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Your agency refers to a government or regulatory body responsible for overseeing specific regulations or compliance mandates.
Entities subject to the regulations of the agency, such as businesses, individuals, or organizations involved in certain activities or transactions.
Typically, you fill out forms provided by the agency, ensuring all required information is accurate and submitted through the designated channels, which may be online or via mail.
The purpose is to enforce laws, ensure compliance, and protect public interests related to the agency's regulatory scope.
The information usually includes entity details, financial records, compliance statements, and any other data required by the specific regulations.
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