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[PDF File]VA Form 40-1330, CLAIM FOR STANDARD GOVERNMENT HEADSTONE ...
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Should you have questions when filling out this form, you may contact our Applicant Assistance Unit toll free at: 1-800-697-6947, or via e-mail at . mps.headstones@va.gov. If additional assistance is needed to complete this claim, contact the nearest VA Regional Office, national cemetery, or a local veterans' organization.

[PDF File]FL-150 INCOME AND EXPENSE DECLARATION
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Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your Social Security number. If you have more than one business, provide the information above for each of your businesses.

[PDF File]7 Catheter-associated Urinary Tract Infection (CAUTI)
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Other Urinary System Infection [USI]) Events Introduction: Urinary tract infections (UTIs) are the fourth most common type of healthcare-associated infection, with an estimated 93,300 UTIs in acute care hospitals in 2011. UTIs additionally account for more than 12% of infections reported by acute care hospitals1. Virtually all healthcare ...

[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
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Influenza vaccine does not cause flu. Influenza vaccine may be given at the same time as other vaccines. 3 Talk with your health care provider Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of influenza vaccine, or has any severe, life-threatening allergies.

[PDF File]Form ST-124:(12/15):Certificate of Capital Improvement:ST124
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• get information and manage your taxes online • check for new online services and features Page 2 of 2 ST-124 (12/15) Instructions When the customer completes this certificate and gives it to the contractor, who accepts it in good faith, it is evidence that the work to be performed will result in a capital improvement to real property.

[PDF File]MEDICARE CREDIT BALANCE REPORT
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as DRG payments made to hospitals under the Medicare prospective payment system. For purposes of completing the CMS-838, a Medicare credit balance is an amount determined to be refundable to Medicare. Generally, when a provider receives an improper or excess payment for a claim, it is reflected in ... Submit a completed CMS-838 to your fiscal ...

Cleaning out your system