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PATIENT REGISTRATION FORM Date: ___ Patient name: ___ Lactate of Birth: ___ Age: ___FirstMiddleMarital Status: SingleS ex: Headdress:___ StreetCityStateZip_Employer___ SSN#: ___Work Phone ___ Home
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The employer SSN (Social Security Number) is a unique number assigned to a business entity for tax identification purposes, particularly for reporting income and payroll taxes.
Employers who pay wages to employees or are required to report income and employment taxes must obtain and report their employer SSN.
To fill out the employer SSN, enter the nine-digit Social Security Number as specified on tax forms. Ensure that the number is valid and correctly formatted.
The purpose of the employer SSN is to identify a business entity for tax reporting and compliance with federal tax laws.
Employers must report employee wages, tips, and other compensation, along with federal and state taxes withheld, using their employer SSN.
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