Get the free This form must accompany the Academic Healthplans Enrollment Form
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Send completed form, required documentation, and premium payment to: Academic Healthline, Inc. PO Box 1605 Coffeyville, TX 760341605 Enrollment by Qualifying Event This form must accompany the Academic
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What is this form must accompany?
This form must accompany Form 1040.
Who is required to file this form must accompany?
Individual taxpayers are required to file this form must accompany.
How to fill out this form must accompany?
This form must be filled out following the instructions provided by the IRS.
What is the purpose of this form must accompany?
The purpose of this form is to report additional income not listed on Form 1040.
What information must be reported on this form must accompany?
Information about additional income sources must be reported on this form.
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