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[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR …
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City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back [tweak language as appropriate for the employee's or family member’s situation]. Regrettably, I am writing to inform you that you are about to exhaust your 12 weeks (480 hours) of leave under the Family and Medical Leave Act (FMLA) as of [date
[DOC File]www.dol.gov
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Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.
[DOCX File]Application for Kentucky Certificate of Title or Registration
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APPLICATION FOR KENTUCKY CERTIFICATE OF TITLE OR REGISTRATION. TC 96-182. 03/2019. Check the type of application desired _____ Duplicate Title Only Transfer First Time Salvage Classic : If Duplicate is checked, the original Certificate of Title is: _____ Lost Destroyed Damaged Illegible Other ... Application for Kentucky Certificate of Title or ...
[PDF File]CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) - …
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description of operations / locations / vehicles (attach acord 101, additional remarks schedule, if more space is required) insr ltr type of insurance policy number policy eff (mm/dd/yyyy) policy exp (mm/dd/yyyy) limits wc statu-tory limits oth-er e.l. each accident e.l. disease - ea employee e.l. disease - policy limit $ $ $ any proprietor ...
[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,
[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 …
[DOC File]Sample Schedule A Letter - Veterans Benefits Administration
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Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.
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