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(Modelo SC 2907) y copia de identificacin con foto vigente - This form will be used by all taxpayers who authorizes any Agency, Department or Entity (previously authorized by the Department of the Treasury) to request and receive on his/her behalf, copy of filed returns.
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State of New York WORKERS ' COMPENSATION BOARD CLAIMANT 'S RECORD OF MEDICAL AND TRAVEL EXPENSES AND REQUEST FOR REIMBURSEMENT CLAIMANT 'S NAME WCB CASE NO - clarkson
State of New York WORKERS ' COMPENSATION BOARD CLAIMANT 'S RECORD OF MEDICAL AND TRAVEL EXPENSES AND REQUEST FOR REIMBURSEMENT CLAIMANT 'S NAME WCB CASE NO - clarkson
It must be accompanied by the Request for Copy of the Return, Estate or Gift Certificate of. Release (Form AS 2907.1) and copy of a valid photo identification.
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