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Patches Use Only Client BIS ID ___SECTION 1 EMPLOYEE INFORMATION (print)Election Form/Compensation Reduction Agreement Flexible Spending Account Office/Client Number ___Company Name ___ Employee Telephone
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01
Obtain a copy of the PBA017DOC form from Paychex.
02
Fill out your personal information such as name, address, and social security number.
03
Provide details about your employer, including their name and address.
04
Enter the requested information about your pay or benefits that are being reported.
05
Review the form for accuracy and make any necessary corrections.
06
Sign and date the form before submitting it to Paychex.

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01
Employees who receive pay or benefits through Paychex may need to fill out the PBA017DOC form for reporting purposes.
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pba017doc - paychex is a tax form used by employers to report wages paid to employees for tax purposes.
Employers who have employees and pay them wages are required to file pba017doc - paychex.
To fill out pba017doc - paychex, employers need to provide information about the wages paid to employees, including their names, social security numbers, and total wages.
The purpose of pba017doc - paychex is to report wages paid to employees to the IRS for tax purposes.
Information such as employee names, social security numbers, total wages paid, and any taxes withheld must be reported on pba017doc - paychex.
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