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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 an inquiry to AEVS to verify a recipient’s eligibility for

[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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1. Completion of this form must be in ballpoint or typewriter. The form must be completed in triplicate with all copies legible. 2. Print or type the appropriate date in block 1 and 3 through 21. Leave block 2 blank. 3. When completing blocks 14 and 15, follow these rules: a.

[DOCX File]MEMORANDUM FOR RECORD
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Gratuity Memorandum for Record Template. Template Version October 2009. Tailor all aspects of this template to the individual acquisition and ensure that any template areas providing sample language or instructions (e.g. italicized and/or red language) are deleted prior to

[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.

[PDF File]CHAPTER 5. DETERMINING INCOME AND CALCULATING …
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Convert periodic wages to annual income by multiplying: 1. Hourly wages by the number of hours worked per year (2,080 hours for ... income reflected on Mary’s copy of her form 1040 as her annual income. 5-6 Calculating Income—Elements of Annual Income A. Income of Adults and Dependents 1. Figure 5-2 summarizes whose income is counted.

[PDF File]MILPERSMAN 1754-030 SUPPORT OF FAMILY MEMBERS
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Exemptions from support of a lawful spouse may be in the form of an order of a civil court of competent jurisdiction, relinquishment by the spouse, mutual agreement of the parties or a waiver of the naval support requirement granted by Director, Dependency Claims, Navy Military Pay Operations, a division of

[PDF File]Form 12153 Request for a Collection Due Process or ...
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Complete this form and send it to the address shown on your lien or levy notice. Include a copy of your lien or levy notice to ensure proper handling of your request. Call the phone number on the notice or 1-800-829-1040 if you are not sure about the correct address or if you want to fax your request.

[PDF File]Exhibit 5-1: Income Inclusions and Exclusions
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(14) Amounts received by the family in the form of refunds or rebates under state or local law for property taxes paid on the dwelling unit; (15) Amounts paid by a state agency to a family with a member who has a developmental disability and is living at home to offset the cost of services and equipment needed to keep the developmentally

Form to garnish wages