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SUN Downstate IRB & Privacy Board FORM 818: HIPAA Waiver (Version 04.20.2022) Instructions: 1) Open form in Adobe Reader. 2) Use Fill & Sign tool to complete. 3) Confirm any preformatted fields are
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Individuals who are applying for a specific government program or benefit that requires form 11-a1 application to be filled out.
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Form 11-a1 application is for requesting a tax refund or claiming a tax credit.
Individuals who have overpaid their taxes or are eligible for tax credits.
Fill out the form with accurate information regarding your tax situation, including income, deductions, and credits.
The purpose of form 11-a1 application is to allow individuals to claim refunds or credits for overpaid taxes.
Income, deductions, tax credits, and any other relevant tax information must be reported on form 11-a1 application.
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