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P.O. Box 71107 Oakland, CA 94612 1.800.617.4729 1.888.410.7361 www.sterlingadministration.com EMPLOYER APPLICATION HEALTH REIMBURSEMENT ARRANGEMENT EMPLOYER INFORMATION Company Name: (Full and complete
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What is name of form representative?
The name of form representative is the individual or entity designated to act on behalf of a corporation or organization in legal matters.
Who is required to file name of form representative?
The corporation or organization is required to file the name of form representative.
How to fill out name of form representative?
The name of form representative can be filled out by providing the full legal name and contact information of the individual or entity designated to represent the corporation or organization.
What is the purpose of name of form representative?
The purpose of name of form representative is to ensure that there is a designated point of contact for legal matters related to the corporation or organization.
What information must be reported on name of form representative?
The information reported on name of form representative must include the full legal name, address, phone number, and email of the designated representative.
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