Information Form

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Form CMS L564/R297 (08/20) This form is used for proof of group health care coverage ... employer can find and complete the information about.

Additional contact and legal representation information. Barcode: Name: Address for service: Place and Postal Code: Phone: E-Mail:.

Complete one information form for each satellite club member. Please type or print clearly. Title (Mr. Ms.

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Information Sheet Guidance for Sponsors Clinical. Investigators

Please print this form complete the details and declaration below

1) This Transmittal Information Form;. 2) The Articles of Organization; and. 3) Filing fee of $110.00 ($100 filing fee + $10 paper filing service charge) 

23-Feb-2022 project our NuevaUnión copper project and our Project Satellite properties;. 2021 Annual Information Form. Teck Resources Limited.

By signing this form you authorize IRCC to release your information to the designated representative. Only original handwritten.

www irs gov Form 3949-A (Rev 10-2020) Form 3949-A (October 2020) Department of the Treasury - Internal Revenue Service Information Referral (See instructions on reverse) OMB Number 1545-1960 Use this form to report suspected tax law violations by a person or a business CAUTION: READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM

Employee Information Form DIRECT DEPOSIT INFORMATION Bank Routing Number * Bank Routing Number Bank Account Number * Bank Account Number Account Type (check one) * Checking Savings Account Type (check one) Checking Savings Partial Direct Deposit Distribution (check one) * Full Amount Partial $ $ Partial Direct Deposit Distribution (check

Use Form G-639 to request access to U S Citizenship and Immigration Services (USCIS) records under the Freedom of Information Act (FOIA) at 5 U S C 552 and the Privacy Act of 1974 (PA) at 5 U S C 552a if applicable You may also use this form to request amendment or correction of records pertaining to you under the PA if applicable

The information requested on this form is solicited under Title 38 U S C The form authorizes release of information in accordance with the Health Insurance Portability and Accountability Act 45 CFR Parts 160 and 164; 5 U S C 552a; and 38 U S C 5701 and 7332 that you specify

Form W-9 (Rev October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Go to www irs gov/FormW9 for instructions and the latest information Give Form to the requester Do not send to the IRS Print or type See Specific Instructions on page 3 1

For the latest information about developments related to Form 1099-MISC and its instructions such as legislation enacted after they were published go to www irs gov/Form1099MISC Free File Program Go to www irs gov/FreeFile to see if you qualify for no-cost online federal tax preparation e-filing and direct deposit or payment options Copy 2

Form 8821 (Rev January 2021) Tax Information Authorization Department of the Treasury Internal Revenue Service Go to www irs gov/Form8821 for instructions and the latest information Don’t sign this form unless all applicable lines have been completed Telephone Don’t use Form 8821 to request copies of your tax returns

this information or on whether you choose to provideit However if you choose not to providethe information and you have made this application in person Federal regulations require us to note your ethnicity race and sex on the basis of visual observation or surname If you do not wish to provide some or all

Form I-9 10/21/2019 Page 1 of 3 Employment Eligibility Verification Department of Homeland Security U S Citizenship and Immigration Services USCIS Form I-9 OMB No 1615-0047 Expires 10/31/2022 START HERE: Read instructions carefully before completing this form The instructions must be available either in paper or electronically

May 31 2021 · Part 6 Additional Information Contact Information of Attorney or Accredited Representative 3 I am associated with the attorney or accredited representative of record who previously filed Form G-28 in this case and my appearance as an attorney or accredited representative for a limited purpose is at his or her request 4 a