Department of public and social services

    • [PDF File]Application for Social Security Card

      https://info.5y1.org/department-of-public-and-social-services_1_2f3b83.html

      9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST show the parents' Social Security numbers unless the parent was never assigned a Social Security number. If the number is not known and you cannot obtain it, check the “unknown” box. 13.


    • [PDF File]Request for Social Security Earnings Information

      https://info.5y1.org/department-of-public-and-social-services_1_6555c9.html

      1. To enable a third party or an agency to assist Social Security in establishing rights to Social Security benefits and/or coverage; 2. To comply with Federal laws requiring the release of information from Social Security records (e.g., to the Government Accountability Office and Department of Veterans' Affairs); 3.


    • [PDF File]FL-150 INCOME AND EXPENSE DECLARATION

      https://info.5y1.org/department-of-public-and-social-services_1_0a7206.html

      Income (For average monthly, add up all the income you received in each category in the last 12 months and divide the total by 12.) FL-150 [Rev. January 1, 2019]


    • [PDF File]Health Benefits Election Form

      https://info.5y1.org/department-of-public-and-social-services_1_27b0a2.html

      Health Benefits Election Form Form Approved: OMB No. 3206-0160 Standard Form 2809 Previous edition is not usable Revised November 2015 . Uses for Standard Form (SF) 2809


    • [PDF File]Instructions for Form 5471 (Rev. December 2018)

      https://info.5y1.org/department-of-public-and-social-services_1_79d649.html

      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 5471, its schedules, and its instructions, such as legislation enacted after they were published, go to IRS.gov/Form5471. What’s New


    • [PDF File]8821 Tax Information Authorization OMB No. 1545-1165

      https://info.5y1.org/department-of-public-and-social-services_1_03660b.html

      If the tax information authorization is for a specific use not recorded on CAF, check this box. See the instructions. If you check this box, skip lines 5 and 6 . . . . . .


    • [PDF File]Request for Leave or Approved Absence

      https://info.5y1.org/department-of-public-and-social-services_1_1bc0ad.html

      Public Law 104-134 (April 26, 1996) requires that any person doing business with the Federal Government furnish a social security number or tax identification number. This is an amendment to Title 31, Section 7701. Furnishing the social security number, as well as other data, is voluntary, but failure to do so may


    • [PDF File]USCIS Form I-9

      https://info.5y1.org/department-of-public-and-social-services_1_1e2fad.html

      Department of Homeland Security U.S. Citizenship and Immigration Services Form I-9 07/17/17 N Page 1 of 3 START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of this form. Employers are liable for errors in the completion of this form.


    • [PDF File]Form 149 - Sales and Use Tax Exemption Certificate

      https://info.5y1.org/department-of-public-and-social-services_1_c4b7d9.html

      149 Sales and Use Tax Exemption Certificate Form 149 (Revised 11-2018) Select the appropriate box for the type of exemption to be claimed and complete any additional information requested.


    • [PDF File]Patient Health Questionnaire (PHQ-9)

      https://info.5y1.org/department-of-public-and-social-services_1_e7feef.html

      Diagnoses of Major Depressive Disorder or Other Depressive Disorder also require impairment of social, occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a history of a Manic Episode (Bipolar Disorder), and a physical disorder, medication, or other drug as the


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