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[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
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[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
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[PDF File]NICHQ Vanderbilt Assessment Scale—PARENT Informant
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Symptoms (continued) Never Occasionally Often Very Often 33. Deliberately destroys others’ property 0 1 2 3 34. Has used a weapon that can cause serious harm (bat ...
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[PDF File]Power of Attorney for Health Care
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questions about the availability of the Power of Attorney for Health Care form or obtaining larger quantities of the form, you may contact the Division of Public Health by telephoning 608-266-1251. Definitions ‘Department’ means the Department of Health Services.
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[PDF File]THIS FORM SHOULD NOT BE FILED WITH THE COURT FL-142 ...
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11. STOCKS, BONDS, SECURED NOTES, MUTUAL FUNDS (Give certificate number and attach copy of the certificate or copy of latest statement.) 12. RETIREMENT AND PENSIONS (Attach copy of latest summary plan documents and latest benefit statement.)
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[PDF File]8862 Information To Claim Certain Credits After Disallowance
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Answer the following questions for each child who meets the conditions to be a qualifying child of any other person (other than your spouse if filing jointly). If you have more than four qualifying children, attach a statement also answering questions 20–22 for those children.
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[PDF File]Standard Form 86 - Questionnaire for National Security
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50, U.S.C.; and parts 2, 5, 731, 732, and 736 of title 5, Code of Federal Regulations (CFR). you . ... you have any questions, contact the office that provided you the form. ... The investigator may ask you to explain your answers to any question on this form. This provides you the opportunity to update,
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[PDF File]STOP-BANG Sleep Apnea Questionnaire
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www.sleepmedicine.com OHIOSLEEPMEDICINEINSTITUTE CENTER OF SLEEP MEDICINE EXCELLENCE TM 4975 Bradenton Avenue, Dublin Ohio 43017 T 614.766.0773
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[PDF File]Leaves and Passes
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o Implements the Don’t Ask, Don’t Tell Repeal Act of 2010 in the area of policy for payment of accrued leave by deleting all references to separation for homosexuality or homosexual conduct (rescinded paras 2-4h(1)(d) and 2-4h(2)(c)). o Makes administrative changes (app A: corrected form title: HHS Form CDC 731; obsolete publication marked).
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[PDF File]Instructions for Form I-130, Petition for Alien Relative ...
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Form I-130 Instructions 02/13/19 Page 2 of 12 5. If you are the lawful permanent resident petitioner and the beneficiary qualifies under Items 2.A., 2.B., or 2.C. above, you are not required to file separate petitions for the beneficiary’s unmarried children under 21 years of age.
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50 questions to ask kids