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Medical Program Guide Letter (MPG) # 743 January 17, 2012, Subject MEDICAL ANNUAL REDETERMINATION FORM MC210RV AND USE OF THE INCOME ELIGIBILITY VERIFICATION SYSTEM (IVs) AT ANNUAL REDETERMINATION
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MC210RV is a form used in California for reporting quarterly wages and contributions for the disability insurance and paid family leave programs.
Employers in California are required to file MC210RV if they have employees who are subject to state disability insurance or paid family leave.
Employers can fill out MC210RV by providing information about their employees' wages and contributions for the disability insurance and paid family leave programs.
The purpose of MC210RV is to report quarterly wages and contributions to the state disability insurance and paid family leave programs in California.
On MC210RV, employers must report their employees' wages, contributions to disability insurance and paid family leave, and other related information.
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