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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 …
Log In to Fidelity Investments
Using this product is consent to such transmission of this information; such consent is effective at all times when using this site. Fidelity supports 128-bit browser encryption. Usage of Fidelity's online trading services constitutes agreement of the Electronic …
[PDF File]2018 Form 5329
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Under penalties of perjury, I declare that I have examined this form, including accompanying attachments, and to the best of my knowledge and belief, it is true, correct, complete. Declaration of preparer (other than taxpayer) based on all information which preparer has any knowledge.
[DOC File]SAMPLE GOALS AND OBJECTIVES - DecisionHealth
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SAMPLE GOALS AND OBJECTIVES. SMART TREATMENT PLANNING. Diagnosis: Depressive Disorder (and Bipolar depressed) Goal: Resolution of depressive symptoms. Objectives: Patient will contract for safety with staff at least once per shift. Patient …
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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periods of leave i certify that i have sufficient funds to cover the cost of round trip travel. i understand that should any portion of this leave, if approved, result in my taking more leave than i can earn on my current un-extended enlistment or current active duty obligation, my …
[PDF File]Designation of Beneficiary
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Two people who witnessed my signature signed below. See Back of Part 2 for definitions I did not name either witness as a beneficiary. I understand that if there is a valid assignment on file, only the assignee has the right to designate a beneficiary. If a valid assignment is not on file, but there is a
[PDF File]Request For a Transfer Into the TSP
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THRIFT SAVINGS PLAN TSP-60 REUEST FOR A TRANSFER INTO THE TSP FORM TSP-60 (9/2019) Use this form to request a transfer or to complete a rollover of tax-deferred money from an eligible retirement plan into the traditional (non-Roth) balance of your Thrift Savings Plan (TSP) account. Funds received by the TSP will not be invested until a properly completed
[PDF File]SPECIAL TAX NOTICE YOUR ROLLOVER ... - Fidelity Investments
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SPECIAL TAX NOTICE. YOUR ROLLOVER OPTIONS. You are receivingthis notice because all or a portion of a payment you are receiving from the Plan is eligible to be rolled over to either an IRA or an employer plan; or if your payment is from a designated Roth account, to a Roth IRA or designated Roth account in an employer plan.
[PDF File]Thrift Savings Plan
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Check to make sure of the following: You provide your name and account number on each page that you submit to the TSP. You print legibly. You sign all pages you complete (including any extra pages you add) on the same date. You have the same witness sign and date all pages—including any extra pages—after you sign and date the form. The witness cannot be named as a
[PDF File]2018 Form 8949
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If you checked Box A above but the basis reported to the IRS was incorrect, enter in column (e) the basis as reported to the IRS, and enter an
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