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01/30/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Printed 1008 department form is used for reporting information related to employee wages, tips, and other compensation.
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Employers are required to file printed 1008 department form for each employee who received wages, tips, or other compensation.
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Information that must be reported on printed 1008 department form includes employee name, address, social security number, wages, tips, and other compensation received.
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