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PRINTED: 01/06/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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{'form': 'Employment Tax Form'}
{'required': 'Employers who pay wages to employees are required to file the Employment Tax Form'}
{'filling out': 'Employers need to provide information about wages, tips, and other compensation paid to employees'}
{'purpose': 'The Employment Tax Form is used to report employment taxes, such as Social Security and Medicare taxes, withheld from employees'}
{'information reported': 'Wages, tips, and other compensation paid to employees, as well as taxes withheld, must be reported on the Employment Tax Form'}
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