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PRINTED: 01/09/2023 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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What is printed 0109 department of?
The printed 0109 department is for reporting employment tax information.
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Employers who have employees that they pay wages to are required to file the printed 0109 department.
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Printed 0109 department can be filled out using payroll software or manually. It requires information about the employer, employee, wages paid, and taxes withheld.
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The purpose of printed 0109 department is to report employment tax information to the IRS.
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Information such as employer identification number, employee wages, taxes withheld, and other employment tax details must be reported on printed 0109 department.
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