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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]Instructions for Form W-8BEN (Rev. July 2017)

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      financial institution (FFI) may rely on a properly completed Form W-8BEN to establish your chapter 4 status as a foreign person. The Form W-8BEN should be provided to the FFI when requested. Failure to do so could result in 30% withholding on income paid or credited to you as a recalcitrant account holder from sources within the United States.

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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]VISA MERCHANT CATEGORY CLASSIFICATION (MCC) CODES …

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      3280 air jamaica 3282 air djibouti 3284 aero virgin islands 3285 aero peru 3286 aerolineas nicaraguensis 3287 aero coach avaiation 3291 ariana afghan 3292 cyprus airways 3293 ecuatoriana 3294 ethiopian airlines 3295 kenya airlines 3298 air mauritius 3299 widero’s flyveselskap 3351 affiliated auto rental

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    • [PDF File]Claim for Amounts Due in the Case of a Deceased Social ...

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      CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED BENEFICIARY. Form Approved OMB No. 0960-0101 Page 1. PRINT NAME OF DECEASED SOCIAL SECURITY NUMBER OF DECEASED . If the deceased received benefits on another person's record, print …

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    • [PDF File]Consent for Release of Information

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      If you want us to release a minor child's medical records, do not use this form. Instead, contact your local Social Security office. I am the individual, to whom the requested information or record applies, or the parent or legal guardian of a minor, or the legal guardian of a legally incompetent adult.

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