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Form 14581-C: Medicare Coverage Compliance Self-Assessment For State and Local Government Employers

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Product number
Form 14581-C
Title
Medicare Coverage Compliance Self-Assessment For State and Local Government Employers
Type
Forms
Issuing body
Internal Revenue Service (irs.gov)
Revision (per IRS index)
Jun 2017
Open official PDF on irs.gov
The number, title, and revision date above are reproduced verbatim from the official IRS index (captured July 2026). Newer revisions may exist — check irs.gov. This page adds no instructions or commentary. Not tax or legal advice.

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