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[PDF File]The Mood Disorder Questionnaire (MDQ) - Overview
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researchers and consumer advocates to address the need for timely and accurate evaluation of bipolar disorder. Clinical Utility n The MDQ is a brief self-report instrument that takes about 5 minutes to complete. n This instrument is designed for screening purposes …
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[PDF File]AUTHORIZATION, AGREEMENT B. Request Status …
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be construed as limiting the authority of an agency to waive, in whole or in part, an obligation of an employee to pay expenses incurred by the Government in connection with the training. To be completed by applicant: ... institution must complete Section F Certification of Training Completion and Evaluation …
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[PDF File]TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT
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•after the initial examination of the injured employee, status • when there is a change in the injured employee’s work status • when there is a substantial change in the injured employee’s activity restrictions • on a schedule requested by the insurance carrier as long as it is based on the injured employee’s
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[PDF File]Request for Leave or Approved Absence
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Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN)) 3. Organization: 4. ... General Accounting Office when the information is required for evaluation of leave administration; or the General Services Administration in connection with its …
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[PDF File]Designation Notice (Family and Medical Leave Act)
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Leave covered under the Family and Medical Leave Act (FMLA) must be designated as FMLA-protected and the employer must inform the employee of the amount of leave that will be counted against the employee’s FMLA leave entitlement. In order to determine whether leave is covered under the FMLA, the
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[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
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[PDF File]Application for Social Security Card
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Certificate of Naturalization, employee identity card, certified copy of medical record (clinic, doctor or hospital), health insurance card, Medicaid card, or school identity card/record. For young children, we may accept medical records (clinic, doctor, or hospital) maintained by the medical provider. We may also accept a final adoption
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[PDF File]2018 Instructions for Form 5329
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Page 2 of 9. Fileid: … ions/I5329/2018/A/XML/Cycle07/source. 9:49 - 17-Jan-2019. The type and rule above prints on all proofs including departmental reproduction ...
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[PDF File]Supplemental and Optional Contact Information for HUD ...
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OMB Control # 2502-0581 Exp. (02/28/2019) Supplemental and Optional Contact Information for HUD-Assisted Housing Applicants SUPPLEMENT TO APPLICATION …
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[PDF File]Form W-9 (Rev. October 2018)
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Form W-9 (Rev. 10-2018) Page . 2 By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a
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Employee evaluation template word