Examples of completed application forms

    • [PDF File]Thrift Savings Plan

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      TSP-3 is properly completed, signed, and witnessed. Do not submit an altered form; it may be deemed invalid. If you need to correct or change the information you have entered on the form, start over on a new form. Changing or canceling your designation of beneficiary. To cancel a Form TSP-3 already on file, follow the instructions for Section II.

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    • REG 256, Statement of Facts

      Title: REG 256, Statement of Facts Author: CA DMV Subject: Index ready This form is used in a variety of situations, such as, but not limited to:\nUse Tax Exemption Statement \nSmog Exemption Statement \nTransfer Only or Title Only Statement \nWindow Decal for Wheelchair Lift or Wheelchair Carrier \nVehicle Body Change Statement \(Ownership Certificate Required\) \nName Statement \(Ownership ...

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    • [PDF File]USCIS Form I-9

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      Employment Eligibility Verification ... (Fields below must be completed and signed when preparers and/or translators assist an employee in completing Section 1.) I attest, under penalty of perjury, that I have assisted in the completion of Section 1 of this form and that to the best of my ... Examples of many of these documents appear in Part ...

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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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      Application for a Social Security Card. ... IMPORTANT: You MUST provide a properly completed application and the required evidence before we can process your application. We can only accept original documents or documents certified by the ... The following lists are examples of the types of documents you must provide with your application and ...

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    • [PDF File]Request for Leave or Approved Absence

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      delay or prevent action on the application. If your agency uses the information furnished on this form for purposes other than those indicated above, it may provide you with an additional statement reflecting those purposes.

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    • [PDF File]PERSONNEL ACTION

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      PERSONNEL ACTION. To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8. Identification Card. Identification Tags

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

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      Tax Information Authorization ... Don’t sign this form unless all applicable lines have been completed. ... Appointee is authorized to inspect and/or receive confidential tax information for the type of tax, forms, periods, and specific matters you list below. See the line 3 instructions.

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    • [PDF File]Health Benefits Election Form

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      examples of how this could occur are: • You are enrolling in an FEHB Self Only plan while your spouse has either an FEHB Self Plus One or Self and Family plan, in which you are already covered. • You are enrolling in an FEHB Self Plus One plan while you are also covered under your spouse’s FEHB Self Plus One plan or FEHB Self and Family ...

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    • [PDF File]FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES ...

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      12 application attestment and signatures i/we physically inspected the odometer/vin and further agree to defend the title against all claims. (more than one form hsmv 82040 may be used for additional signatures.) under penalties of perjury, i declare that i have read the foregoing document and that the facts stated in it are true.

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    • [PDF File]Form W-9 (Rev. October 2018)

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      Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual ... appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding?

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