Employee benefits news

    • [PDF File]Form 941 for 2019: Employer’s QUARTERLY Federal Tax Return

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      Form 941 for 2019: (Rev. January 2019) Employer’s QUARTERLY Federal Tax Return Department of the Treasury — Internal Revenue Service ... Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions for details.

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    • [PDF File]Request for Social Security Earnings Information

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      Social Security benefits. However, we may use it for the administration and integrity of Social Security programs. We may also disclose information to another person or to another agency in accordance with approved routine uses, which include but are not limited to the following: 1.

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    • [PDF File]Enhanced Driver's License and ID Card Identification ...

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      14. Valid city, county, state or federal employee identification card 15. U.S. high school ID card with a certified transcript from the school, both issued no more than 180 days before the EDL of EID application 16. U.S. college or university ID card with a certified transcript from the same college or university, both

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    • [PDF File]5304-SIMPLE Savings Incentive Match Plan Form for ...

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      Article I—Employee Eligibility Requirements ... The Employer elects to exclude employees covered under a collective bargaining agreement for which retirement benefits were the subject of good faith bargaining. ... later years, the limit may be increased for cost-of-living adjustments. The IRS announces the increase, if any, in a news release ...

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    • [PDF File]Request for Leave or Approved Absence

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      Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN)) 3. Organization: 4. ... Benefits carriers regarding a claim; to a Federal, State, or local law enforcement agency when your agency becomes aware of a violation or possible violation of

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    • [PDF File]APPLICATION FOR CERTIFICATE OF TITLE AND REGISTRATION

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      The information, including Social Security Number, is requested in accordance with Virginia Code §§46.2-623 and 46.2-629. Any person who refuses to supply the required information will be denied a certificate of title and/or registration.

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    • [PDF File]Thrift Savings Plan

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      Changing or canceling your designation of beneficiary. To cancel a Form TSP-3 already on file, follow the instructions for Section II. Keep your designation (and your beneficiaries’ addresses) current. It is a good idea to review how you have designated your beneficiaries from time to time—particularly when your life situation changes (e.g.,

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    • [PDF File]REASSIGNMENT OF MEDICARE BENEFITS CMS-855R

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      terminate a reassignment of Medicare benefits after enrollment in the Medicare program or make a change in their reassignment of Medicare benefit information using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855R application. Be sure you are using the most current version.

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    • [PDF File]Patient Health Questionnaire (PHQ-9)

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      PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half the days Nearly every day (use " ü " to indicate your answer) 1. Little interest or pleasure in doing things 0 1 2 3

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    • [PDF File]Application for Social Security Card

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      9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST show the parents' Social Security numbers unless the parent was never assigned a Social Security number. If the number is not known and you cannot obtain it, check the “unknown” box. 13.

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