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FORM HIC NO.1- REVISED 9/15 T O W N O F E A S T H A M P T O N TOWN CLERK S OFFICE 159 Santiago Road, East Hampton, N. Y., 11937 Phones: (631) 324-4142 A P P L I C A T I O N TWO YEAR LICENSE FOR LICENSE

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4. Be mindful of any deadlines associated with the form hic no. Make sure you complete and submit the form within the specified timeframe to avoid any potential delays or penalties.

Who needs form hic no:

1. Individuals who are required to provide information related to their health insurance coverage may need to fill out form hic no. This form is typically used by employers or health insurance providers to report information to the Internal Revenue Service (IRS) for tax purposes.
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