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[PDF File]Form 14039 Identity Theft Affidavit
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If you checked Box 2 in Section B of Form 14039 (no current tax-related issue), mail this form to: Department of the Treasury Internal Revenue Service Fresno, CA 93888-0025 Submitting by FAX • If you checked Box 1 in Section B of Form 14039 and are submitting this form in response to a notice or letter received from the IRS.
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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]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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[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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[PDF File]Standard Form 86 - Questionnaire for National Security
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OMB No. 3206 0005 . The U.S. Criminal Code (title 18, section 1001) provides that knowingly falsifying or concealing a material fact is a felony which may result in fines and/or up to . five (5) years imprisonment. In addition, Federal agencies generally fire, do not grant a …
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