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Appendix Notice of Completion & Environmental Document Transmittal Mail to : State Clearinghouse, P.O. Box 3044, Sacramento, CA 958123044 (916) 4450613 For Hand Delivery/Street Address: 1400 Tenth
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Appendix C notice is a form used to report certain information to the IRS.
Employers who sponsor self-insured health plans are required to file appendix C notice.
You can fill out appendix C notice by providing the required information such as employer details, plan information, and coverage data.
The purpose of appendix C notice is to provide the IRS with information about employer-sponsored health coverage.
Information such as employer identification details, plan coverage details, and employee enrollment information must be reported on appendix C notice.
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