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Hacienda fillable forms 2010 Hacienda.gobierno. pr/patronos. Therefore if you file such forms using magnetic media they will be considered as not filed. If you filed the W-2 Forms using magnetic media CD and you are required to file a W-2c you must file this form through our website you must file this form through our website i FILING REMINDERS Make sure each data file submitted is complete. CODE SU THROUGH CODE RF RECORDS ARE ALL REQUIRED. For an example of the file layout see Appendix E page 38. We require that each record have a record delimiters CR - Carriage Return followed by LF - Line Feed at end of the record and placed immediately following character position 512. Government of Puerto Rico Department of the Treasury PUBLICATION 10-02 FORM 499R-2c/W-2cPR ELECTRONIC FILING REQUIREMENTS FOR TAX YEAR 2010 Analysis and Programming Division November 2010 EFW2CPR WHAT S NEW The Department of the Treasury Department has established that the W-2c filing will only be accepted through electronic transfer at the Hacienda s website www. hacienda.gobierno. pr/patronos. Therefore if you file such forms using magnetic media they will be considered as not filed. If you filed the W-2 Forms using magnetic media CD and you are required to file a W-2c you must file this form through our website you must file this form through our website i FILING REMINDERS Make sure each data file submitted is complete. CODE SU THROUGH CODE RF RECORDS ARE ALL REQUIRED. For an example of the file layout see Appendix E page 38. Government of Puerto Rico Department of the Treasury PUBLICATION 10-02 FORM 499R-2c/W-2cPR ELECTRONIC FILING REQUIREMENTS FOR TAX YEAR 2010 Analysis and Programming Division November 2010 EFW2CPR WHAT S NEW The Department of the Treasury Department has established that the W-2c filing will only be accepted through electronic transfer at the Hacienda s website www. CODE SU THROUGH CODE RF RECORDS ARE ALL REQUIRED. For an example of the file layout see Appendix E page 38. We require that each record have a record delimiters CR - Carriage Return followed by LF - Line Feed at end of the record and placed immediately following character position 512. All records included in the Electronic Filing must be for the SAME TAX YEAR* We are only accepting one employer per file EFW2C. TXT PDF OR W-2c FORMS* You must request authorization from the Forms and Publications Division to reproduce substitute forms of W-2c* Data filed through magnetic media will not be processed* Therefore the forms will be considered as not filed with the Department. ii AVOID COMMON MISTAKES Be sure to enter the Tax Year being Corrected in the Code SU record Submitter Record location 3-6. Remember to enter in the Code E0 record Employee Wage Record location 320-328 the Control Number assigned by the Department of the Treasury for the W-2c* This number is not the same as the Control Number of the W-2 that is being corrected* location 329-337 the Original Control Number assigned by the All money fields must be numeric* No decimal punctuation or high and low order signs are allowed in these fields.

Oir b1 1571 2004 2019 form 736 4 b Florida Statutes and may not be electronically furnished. Failure to furnish this form may result in non-payment of the claim. OIR-B1-1571 Pub. OFFICE OF INSURANCE REGULATION Bureau of Property Casualty Forms and Rates Standard Disclosure and Acknowledgement Form Personal Injury Protection - Initial Treatment or Service Provided The undersigned insured person or guardian of such person affirms 1. The services or treatment set forth below were actually rendered* This means that those services have already been provided* I have the right and the duty to confirm that the services have already been provided* I was not solicited by any person to seek any services from the medical provider of the services described above. The medical provider has explained the services to me for which payment is being claimed* 5. If I notify the insurer in writing of a billing error I may be entitled to a portion of any reduction in the amounts paid by my motor vehicle insurer. If entitled my share would be at least 20 of the amount of the reduction up to 500. Insured Person patient receiving treatment or services or Guardian of Insured Person Name PRINT or TYPE Signature Date and also A. I have not solicited or caused the insured person who was involved in a motor vehicle accident to be solicited to make a claim for Personal Injury Protection benefits. B. The treatment or services rendered were explained to the insured person or his or her guardian sufficiently for that person to sign this form with informed consent. C. The accompanying statement or bill is properly completed in all material provisions and all relevant information has been provided therein* This means that each request for information has been responded to truthfully accurately and in a substantially complete manner. D. The coding of procedures on the accompanying statement or bill is proper. This means that no service has been upcoded unbundled or constitutes an invalid or not medically necessary diagnostic test as defined by Section 627. 732 15 and 16 Florida Statutes or Section 627. 736 5 b 6 Florida Statutes. Licensed Medical Professional Rendering Treatment/Services or Medical Director if applicable Signature by his/ her own hand Any person who knowingly and with intent to injure defraud or deceive any insurer files a statement of Claim or an application containing any false incomplete or misleading information is guilty of a felony of the third degree per Section 817. 234 1 b Florida Statutes. Note The original of this form must be furnished to the insurer pursuant to Section 627. OFFICE OF INSURANCE REGULATION Bureau of Property Casualty Forms and Rates Standard Disclosure and Acknowledgement Form Personal Injury Protection - Initial Treatment or Service Provided The undersigned insured person or guardian of such person affirms 1. The services or treatment set forth below were actually rendered* This means that those services have already been provided* I have the right and the duty to confirm that the services have already been provided* I was not solicited by any person to seek any services from the medical provider of the services described above.

York childrens foundation form York Children's Foundation Guidelines for Submitting Grant Applications The York Children's Foundation was established in 1992 to disburse funds to non-profit organizations that work for the benefit

Texas writ mandamus form Cause No. CANDACE TAYLOR, Plaintiff vs. SECRETARY OF STATE OF TEXAS HOPE ANDRADE and TARRANT COUNTY ELECTIONS ADMINISTRATOR STEVE RABORN, Defendants IN THE SUPREME COURT OF THE STATE OF TEXAS PLAINTIFF'S

Abbott patient assistance foun... Form from www.needymeds.org Reset Form Abbott Patient Assistance Foundation's Application for Medical Nutrition Products The Abbott Patient Assistance Foundation provides Abbott Medical Nutrition

T82 recommendation draft ccitt... CCITT Draft Recommendation T.82 ISO/IEC Draft International Standard 11544 Coded Representation of Picture and Audio Information Progressive Bi-level Image Compression ******************************************************

Child care group home staffvol... ... IS CORRECT. Staff/Volunteer Signature. Date. Provider Signature. Date. G: Forms SGH sgh staff or volunteer attendance.doc(05/04) CCL form - 229.

Sba coldfusion programming sta... U.S. Small Business Administration Office of the Chief Information Officer Office of Information Systems Support SBA ColdFusion Programming Standards Version: 3.2.3 Modified: 11/06/2008 SBA ColdFusion

Maize seed research levy retur... Signed: Date: Foundation for Arable Research (Inc). Maize Seed Research Levy Return Form. (Maize grown for grain, seed, silage or grazing). TAX INVOICE ...

A w 9 form university of rhode... (Rev. 3/2011) State of Rhode Island - University of Rhode Island PAYER'S REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION THE IRS REQUIRES THAT YOU FURNISH YOUR TAXPAYER IDENTIFICATION

Confidential recommendation cl... Graduate School Office 950 Main Street Worcester, MA 01610-1477 508-793-7676 Phone 508-793-8834 Fax www.clarku.edu Application for Graduate Admissions Please type or print H I S T O RY Date For the

Adirondack tire corp form 1 Adirondack Tire Corp. Application for Employment Today's Date Name (Last Name, First Name) Social Security Number: Present Address City State Zip Code Permanent Address City State Zip Code Phone

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