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    • [DOC File]www.dol.gov

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      OMB Control Number 1210-0123 (expires 12/31/2019) Model General Notice of COBRA Continuation Coverage Rights (For use by single-employer group health plans) ** Continuation Coverage Rights Under COBRA** Introduction. You’re getting this notice because you recently gained coverage under a group health plan (the Plan).

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    • [DOCX File]AFTER ACTION REPORT SAMPLE

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      Some items were expensive and difficult to obtain than others, (i.e. lumber, computer parts & supplies, and copier parts & supplies). The majority of hard to find items could be located but were rather expensive. We had trouble finding vendors capable of repairing printers, computers, and copiers.

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    • [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,

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    • [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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    • [DOCX File]www.nj.gov

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      Contact Preference Postal E-mail. Primary Phone Alt. Phone . Ethnic Heritage Hispanic or Latino Not Hispanic or Latino I choose not to disclose . Race. Asian Alaskan/American Indian White . Black/African American Hawaiian/Pacific Islander . I choose not to disclose

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    • [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 …

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    • [DOCX File]Application for Kentucky Certificate of Title or Registration

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      Kentucky Transportation Cabinet. Division of Motor Vehicle Licensing. APPLICATION FOR KENTUCKY CERTIFICATE OF TITLE OR REGISTRATION. TC 96-182. 03/2019

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