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Table of Contents State/Territory Name: CA State Plan Amendment (SPA) #: CA220009 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form (with
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Begin by obtaining a copy of the Puerto Rico state plan form.
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Fill in the necessary contact information, including your name, address, and contact number.
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Provide details about your business or organization, including its name, address, and type of industry.
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Include any relevant information about your employees, such as the number of staff members and their roles.
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Once the form is completed, review all the information for accuracy and completeness before submitting it.

Who needs puerto rico state plan?

01
Any business or organization operating in Puerto Rico that is required to comply with workplace safety and health regulations needs to fill out the Puerto Rico state plan.
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Puerto Rico state plan is a document that outlines the benefits and services provided by the state to its residents.
All employers in Puerto Rico are required to file a state plan.
Puerto Rico state plan can be filled out online or submitted through mail.
The purpose of Puerto Rico state plan is to ensure compliance with state regulations and provide benefits to employees.
Information such as number of employees, wages, benefits, and safety measures must be reported on Puerto Rico state plan.
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