Baltimore city retirement system

• [PDF File]Designation of Beneficiary

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  INSTRUCTIONS: The Insured or assignee must sign this form. Two people must witness the signature and sign as witnesses. The Insured's agency (or U.S. Office of Personnel Management [OPM], if the Insured is an annuitant or insured as a compensationer) must receive the designation before the Insured's death.

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

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  I authorize the Social Security Administration to verify my name and SSN to the Company and/or the Company's Agent, if applicable, for the purpose I identified. The name and address of the Company's Agent is: I am the individual to whom the Social Security number was issued or the parent or legal guardian of a

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• [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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  separation retirement other for use outus only 12. mode of travel. air bus. car train 11a. leaving area of permdusta. yes no 11b. taking leave inconus. yes no 13. days requested. 14. from (hour, date) (yymmdd) 15. to (hour, date) (yymmdd) 16. normal working hours. day of departure:

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• [PDF File]Form N-648, Medical Certification for Disability Exceptions

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  Form N-648, Medical Certification for Disability Exceptions. ALL parts of this form, except the "APPLICANT ATTESTATION" and "INTERPRETER'S CERTIFICATION" must be certified by a licensed medical professional as provided in the instructions for Form N-648. Before certifying this form, the medical professional must

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• [PDF File]AUTHORIZATION, AGREEMENT B. Request Status Resubmission ...

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  included in the Governmentwide electronic system, (the Enterprise Human Resource Integration system (EHRI) and is subject to all of the published routine uses of that system of records. Effects and Nondisclosure ─ Providing the personal information requested is

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

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  The chart includes only aid codes used to bill for services through the Medi-Cal claims processing system and for other non Medi-Cal programs that need to verify eligibility through AEVS. Note: Unless stated otherwise, these aid codes cover United States citizens, United States nationals and immigrants in a satisfactory immigration status.

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• [DOCX File]MODIFICATIONS GUIDE

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  MODIFICATIONS GUIDE. REFERENCES: - FAR Part 43 & SUPS …to include the PGIs! - Miscellaneous parts of the FAR & SUPS for the quick reference table - AFSPC Modification Checklist (May 2006) - AFSPC 64-4 Checklists- Guidebook 1 - Contract Action Review. and . Guidebook 1 – Clearance, as applicable

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

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  City, state, and ZIP code. Requester’s name and address (optional) 7. List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN).

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