Bureau of fiscal service forms
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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Provides full-scope, no SOC health care services (medical, dental, and vision), through fee-for-service Medi-Cal, to pregnant women who are California residents with a MAGI above 213 percent and up to and including 322 percent of the FPL. This code is not valid for an infant using the mother’s ID. ... Aid Codes Master Chart (aid codes) ...
[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,
[PDF File]Form W-9 (Rev. October 2018)
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Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and. 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt ...
[PDF File]FS Form 5336 Disposition of Treasury Securities Belonging ...
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FS Form 5336 Department of the Treasury | Bureau of the Fiscal Service 1. FS Form 5336 (Revised March 2019) OMB No. 1530-0055 . Disposition of Treasury Securities Belonging to a . Decedent’s Estate Being Settled Without Administration. IMPORTANT: Follow instructions in filling out this form.
[PDF File]Overseas Service - United States Army
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mand and local forms are prohibited with-out prior approval from the Deputy Chief of Staff, G–1 (DAPE– MPE), 300 Army Pen- ... Eligibility for overseas service criteria (reassignment), ... Approve or deny requests for more than one PCS within the same fiscal year (FY), unless otherwise delegated. ...
[PDF File]AUTHORIZATION, AGREEMENT B. Request Status …
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to continue my employment. I understand that if there is a transfer of my service obligation to another Federal agency or other organization in any branch of the Government, the agreements will remain in effect until I have completed my obligated service with that other agency or organization. 6.
[PDF File]Declaration for Federal Employment* OMB No. 3206-0182
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A false statement on any part of this declaration or attached forms or sheets may be grounds for not hiring you, or for firing you after you begin work. Also, you may be punished by a fine or imprisonment (U.S. Code, title 18, section 1001). Either type your responses on this form or print clearly in dark ink.
[PDF File]Instructions for Form 2848 (Rev. January 2018)
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only represent taxpayers before revenue agents, customer service representatives, or similar officers and employees of the Internal Revenue Service (including the Taxpayer Advocate Service) during an examination of the taxable period covered by the tax return they prepared and signed (or prepared if there is no signature space on the form).
Standard Form 1199A, Direct Deposit Sign-up Form
directed to the Financial Management Service, Records Management BranchRoom 135, , 3700 East-West Highway, Hyattsville, MD 20782. ... This information will be disclosed to the Department of the Treasury and its fiscal and financial agents, and other federal agencies, as necessary to process your direct deposit. This information may also be ...
[PDF File]FS Form 1522
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FS Form 1522 Department of the Treasury | Bureau of the Fiscal Service 1. FS Form 1522 (Revised February 2019) OMB No. 1530-0028 . Special Form of Request for Payment of United States Savings and Retirement Securities Where Use of a Detached Request Is Authorized. IMPORTANT: Follow instructions in filling out this form.
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