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PRINTED: 11/19/2020 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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The printed 1119 form approved is a tax form used by businesses to report their federal tax liabilities.
Businesses with employees and certain types of income are required to file the printed 1119 form approved.
The printed 1119 form approved can be filled out manually or electronically, following the instructions provided by the IRS.
The purpose of the printed 1119 form approved is to report federal tax liabilities and ensure compliance with tax laws.
Information such as total wages, tips, and other compensation paid to employees, as well as federal income tax withheld, must be reported on the printed 1119 form approved.
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