Check my florida insurance license status
[DOC File]Florida Attorney General - Home Page
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If hearing impaired, contact Ms. Sisask via the Florida Relay Service at: 711. 10. When you have completed the application form, send it to: Office of the Attorney General. Lemon Law Arbitration Program. ATTN: Kairi Sisask. The Capitol, PL-01. Tallahassee, Florida 32399-1050 (850) 414-3500 ext. 4494 (850) 488-7295 FAX
[DOC File]What is a Caregiver's Authorization Affidavit
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NOTE: Write your California driver’s license or identification card number on the line for Question 8 of the Caregiver’s Authorization Affidavit. TIP: If you don’t have a California driver’s license or identification card, other kinds of identification, such as your Social Security number or …
[DOC File]Avis Contract Summary - Florida Department of Management ...
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Sep 07, 2010 · Any person renting a car will be asked to produce I.D. to validate that they are an employee of the State of Florida or an employee of an Eligible User of the contract as defined under Rule 60-A1-005, Florida Administrative Code, section 163.3164, F.S. and will be asked to provide a valid driver’s license at time of rental.
[DOCX File]CR 1: Credentialing Policies
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For hospital providers, there is a web-based hospital directory that includes hospital name, location, accreditation status, and quality data from recognized sources. There is an explanation of the each item, its source, the frequency of validation and limitations regarding the hospital’s name, location, and accreditation status.
[DOCX File]Sample Independent Contractor Agreement
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5. Independent Contractor Status. Contractor is an independent contractor, and neither Contractor nor Contractor's employees or contract personnel are, or shall be deemed, Client's employees. In its capacity as an independent contractor, Contractor agrees and represents, and Client agrees, as follows [Check all …
[DOCX File]Health Care Licensing Application - FL Agency for Health ...
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Pursuant to section 408.815, Florida Statutes, I acknowledge that false representation of a material fact in the license application or omission of any material fact from the license application by a controlling interest may be used by the Agency for denying and revoking a license …
[DOC File]Exhibit 5-3: Acceptable Forms of Verification
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Elderly Status (when there is reasonable doubt that applicant is at least 62): birth certificate, baptismal certificate, social security records, driver’s license, census record, official record of birth or other authoritative document or receipt of SSI old age benefits or SS benefits.
Application for Licensure to Provide Substance Abuse Services
An application without the applicable licensure fee as required under Section 397.407, Florida Statutes and Section 65D-30.003, Florida Administrative Code, will be returned to the applicant. An application for renewal of a regular license must be submitted to the department at least 60 days before the license …
[DOC File]DEPARTMENT OF MANAGEMENT SERVICES
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Jimmy will check with Convergys IT staff to find out why these universities are experiencing problems. Within the last 60 days FGCU and UF have experienced issues with the life insurance premiums. Employees on leave without pay enrolled in basic life and experienced a slight overpayment in June when the premium increase went into effect.
[DOCX File]Health Care Licensing Application - FL Agency for Health ...
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Pursuant to section 408.806(1)(a) and (b), Florida Statutes, an application for licensure must include: the name, address and Social Security number of the applicant and each controlling interest, if the applicant or controlling interest is an individual; and the name, address, and federal employer identification number (EIN) of the applicant and each controlling interest, if the applicant or ...
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