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DBL Reference No. New York State Insurance Fund 15 Computer Drive West, Albany, NY 12205 1-866-697-4332 www.nysif.com APPLICATION FOR NEW YORK STATE DISABILITY BENEFITS INSURANCE To apply for coverage,
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8666974332 is the form used to report information about an individual's income.
Individuals who have received income during the tax year are required to file 8666974332.
You can fill out 8666974332 by providing accurate information about your income, deductions, and credits.
The purpose of 8666974332 is to report income and determine the amount of tax owed by an individual.
On form 8666974332, you must report your income, deductions, credits, and any taxes already paid.
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