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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]Medicare’s Wheelchair & Scooter Benefit

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      • K0861: Power wheelchair, group 3 std., multiple power option, sling/solid seat/ back, patient weight capacity up to and including 300 pounds Your doctor or supplier must get pre-approval (prior authorization) for other types of power-operated scooters and wheelchairs if …

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    • [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …

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    • [PDF File]12-302 Hotel Occupancy Tax Exemption Certificate

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      Texas Hotel Occupancy Tax Exemption Certificate. Guest certification: I declare that I am an occupant of this hotel on official business sanctioned by the exempt organization named above and that all information shown on this document is true and correct. I further understand that it …

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    • [PDF File]Form 911 Request for Taxpayer Advocate Service Assistance ...

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      other individuals have access to the answering machine or the voice mail and you do not wish for them to receive any confidential information about your tax issue, please do not check the box. 10. Indicate the best time to call you. Please specify A.M. or P.M. hours.

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    • [DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR …

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      LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED FMLA . Please note - this document should be placed on dept. letterhead. Date. Employee Name. Address, City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back ... LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA ...

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    • [DOT File]ocfs.ny.gov

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      If you are not sure which role to choose, refer to child day care regulations and/or consult with your licensor,

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