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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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Covers children on whose behalf financial assistance is provided for federal FC placement. 43 Full No State Extended FC/FFP Medi-Cal. AFDC-FC State: Covers non-minor dependents (NMDs), age 18 through 21 years old, under AB 12 on whose behalf financial assistance is provided for state-only FC placement. ... Aid Codes Master Chart (aid codes) ...
[PDF File]Consent for Release of Information
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free number, 1-800-772-1213 (TTY-1-800-325-0778), or • Request detailed information about your earnings or employment history. Instead, complete and mail form SSA-7050-F4. You can obtain form SSA-7050-F4 from your local Social Security office or online at .
[PDF File]U.S. Department of Labor PAYROLL Wage and Hour Division ...
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Rev. Dec. 2008 While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a).
[PDF File](Do not write in this space) APPLICATION FOR DISABILITY ...
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APPLICATION FOR DISABILITY INSURANCE BENEFITS. Page 1 of 7 OMB No. 0960-0618. I apply for a period of disability and/or all insurance benefits for which I am eligible under Title II and Part A of Title XVIII of the Social Security Act, as presently amended. (Do not write in this space) 1. PRINT your name. FIRST NAME, MIDDLE INITIAL, LAST NAME 2.
[PDF File]2018 Schedule SE (Form 1040)
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Schedule SE (Form 1040) 2018. Attachment Sequence No. 17. Page . 2 . Name of person with. self-employment. income (as shown on Form 1040 or Form 1040NR) Social security number of person
[PDF File]Form W-4V (Rev. February 2018)
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the Social Security Administration at 1-800-772-1213 (toll-free). For other government payments, consult your payer for the correct claim or identification number format. Line 5. If you want federal income tax withheld from your unemployment compensation, check the box on line 5. The payer will withhold 10% from each payment. Line 6.
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