American financial services

    • [PDF File]INTENT TO FILE A CLAIM FOR COMPENSATION AND/OR …

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      indicate your intent to file for more than one general benefit on this form or you may submit a separate intent to file for each general benefit. Please complete as many fields in Section II as possible. VA cannot process this form if we cannot identify the claimant and veteran. PENSION. 13. I intend to file for the general benefit(s) checked ...

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    • [PDF File]Form SSA-89 (02-2018) Discontinue Previous Editions Page 1 ...

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      Form SSA-89 (02-2018) Discontinue Previous Editions Social Security Administration. Page 1 of 2 OMB No.0960-0760. Authorization for the Social Security Administration (SSA)

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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]Instructions for Form 2848 (Rev. January 2018)

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      All APO and FPO addresses, American Samoa, nonpermanent residents of Guam or the U.S. Virgin Islands**, Puerto Rico (or if excluding income under Internal Revenue Code section 933), a foreign country: U.S. citizens and those filing Form 2555, 2555-EZ, or 4563. Internal Revenue Service International CAF Team 2970 Market Street MS: 4-H14.123.

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    • [PDF File]Request for Social Security Earnings Information

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      entitled, the Financial Transactions of SSA Accounting and Finance Offices (60-0231). The notice, additional information regarding this form, routine uses of information, and our programs and systems is available on-line at . www.socialsecurity.gov or at your local Social Security office.

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    • REG 166, Lien Satisfied/Title Holder Release

      REG 166 (REV. 12/2016) WWW LIEN SATISFIED/LEGAL OWNER/TITLE HOLDER RELEASE NOTE: This form must be notarized unless submitted by an insurance company to obtain a Salvage Certificate (California Vehicle Code §5752).This form cannot be used for a vehicle with paperless title or a vehicle that is two model years or newer.

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    • [PDF File]Form I-693, Report of Medical Examination and Vaccination ...

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      Form I-693 07/15/19. Page 1 of 14. Report of Medical Examination and Vaccination Record . Department of Homeland Security . U.S. Citizenship and Immigration Services . USCIS Form I-693 . OMB No. 1615-0033 Expires 07/31/2022 START HERE - Type or print in black ink. Part 1.€ Information About You€

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    • [PDF File]Form W-9 (Rev. October 2018)

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      participating foreign financial institution to report all United States 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax

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    • [PDF File]Health Benefits Election Form

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      Health Benefits Election Form Form Approved: OMB No. 3206-0160 Standard Form 2809 Previous edition is not usable Revised November 2015 . Uses for Standard Form (SF) 2809

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    • [PDF File]Form I-864A, Contract Between Sponsor and Household …

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      Contract Between Sponsor and Household Member Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-864A OMB No. 1615-0075

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