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

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      Note: LTC services refers to both those services included in the per diem base rate of the LTC provider, and those medically necessary services required as part of the patient’s day-to-day plan of care in the LTC facility (for example, pharmacy, support surfaces and therapies). ... Aid Codes Master Chart (aid …

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    • [PDF File]Form 941 for 2019: Employer’s QUARTERLY Federal Tax Return

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      Form 941 for 2019: (Rev. January 2019) Employer’s QUARTERLY Federal Tax Return Department of the Treasury — Internal Revenue Service 950117. OMB No. 1545-0029

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    • [PDF File]7 Catheter-associated Urinary Tract Infection (CAUTI)

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      January 2019 7-3 . Device-associated Module UTI Example of Associating Catheter Use to UTI: A patient in an inpatient unit has a n IUC inserted and the following day is the date of event

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    • [PDF File]Generalized Anxiety Disorder 7-item (GAD-7) scale

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      Generalized Anxiety Disorder 7-item (GAD-7) scale Over the last 2 weeks, how often have you been bothered by the following problems? Not at all sure

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    • [PDF File]Pneumococcal Vaccine Timing for Adults

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      Pneumococcal vaccine timing for adults with certain medical conditions. Indicated to receive 1 dose of PPSV23 at 19 through 64 years. PPSV23 (at 19–64 years)

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    • [PDF File]EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

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      EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE. 1. Number of allowances for Regular Withholding Allowances, Worksheet A Number of allowances from the Estimated Deductions, Worksheet B

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    • [PDF File]Instructions for Form 8594 (Rev. December 2012)

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      Instructions for Form 8594(Rev. December 2012) Asset Acquisition Statement Under Section 1060 Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise noted. Future Developments For the latest information about developments related to Form 8594 and its instructions, such as legislation

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    • [PDF File]Form: Thrift Savings Plan Election Form

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      in your account tax-deferred. Withdrawals of Roth contributions are tax-free. The earnings associated with Roth contributions are also tax-free, but only if 5 years have passed since January 1 of the calendar year in which you made your first Roth contribution, and you have reached age 59½, have a permanent disability, or have died. Note

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    • [PDF File]Oklahoma Annual Franchise Tax Return

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      Oklahoma Annual Franchise Tax Return Information • Requirement for Filing Return Every corporation organized under the laws of this state, or qualified to do or doing business in Oklahoma in a …

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    • [PDF File]State of New Jersey GIT/REP-3 (9-2015) SELLER’S RESIDENCY ...

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      Seller's Residency Certification/Exemption Instructions Individuals, estates, trusts, or any other entity selling or transferring property in New Jersey must complete this form if they

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