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EXAMPLE #1 OF A WRITTEN EMPLOYEE HEALTH POLICY Reporting: Symptoms of Illness I agree to report to the manager when I have: 1. 2. 3. 4. 5. Diarrhea Vomiting Jaundice (yellowing of the skin and/or
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Example 1 of A is a form used for reporting income from a specific source.
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The purpose of Example 1 of A is to accurately report income from a specific source for tax purposes.
You must report the amount of income received from the specific source and any additional information required by the form.
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