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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: CLW612 Facility ID: 00438 PART I TO BE COMPLETED BY THE STATE SURVEY

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What is id clw612?

ID CLW612 is a specific tax identification form used for reporting certain financial information to tax authorities.

Who is required to file id clw612?

Businesses and individuals who meet specific criteria set by the tax authority are required to file ID CLW612.

How to fill out id clw612?

To fill out ID CLW612, follow the instructions provided by the tax authority, ensuring all required fields are completed accurately.

What is the purpose of id clw612?

The purpose of ID CLW612 is to gather and report financial data for taxation and compliance purposes.

What information must be reported on id clw612?

ID CLW612 requires the reporting of income, expenses, deductions, and other relevant financial information.

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