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[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]Request for Leave or Approved Absence
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Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))

[PDF File]8821 Tax Information Authorization OMB No. 1545-1165
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Tax Information Authorization ... Note. Appointees will no longer receive forms, publications, and other related materials with the notices. b ; If you don’t want any copies of notices or communications sent to your appointee, check this box . . . . . . . . ...

[PDF File]VA Form 40-1330, CLAIM FOR STANDARD GOVERNMENT …
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Should you have questions when filling out this form, you may contact our Applicant Assistance Unit toll free at: 1-800-697-6947, or via e-mail at . mps.headstones@va.gov. If additional assistance is needed to complete this claim, contact the nearest VA Regional Office, national cemetery, or a local veterans' ... NOTE: Historic headstones ...

[PDF File]FL-320 Responsive Declaration to Request for Order
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I have completed and filed a current Income and Expense Declaration (form FL-150) to support my responsive declaration. I have completed and filed with this form a Supporting Declaration for Attorney's Fees and Costs Attachment

[PDF File]TINETTI BALANCE ASSESSMENT TOOL - Welcome to CHHD …
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TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. Risk Indicators: Tinetti Tool Score Risk of Falls ≤18 High 19-23 Moderate ≥24 Low Date Indication of gait (Immediately after told to ‘go’.) Any hesitancy or multiple attempts = 0 No hesitancy = 1

[PDF File]INSTRUCTIONS : UNUSUAL INCIDENT/INJURY
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unusual incident/injury report instructions : notify licensing agency, placement agency and responsible persons, if any, by next working day. submit written report within 7 days of occurrence. retain copy of report in client’s file. name of facility facility file number city, state, zip

[PDF File]FL-150 INCOME AND EXPENSE DECLARATION
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Income (For average monthly, add up all the income you received in each category in the last 12 months and divide the total by 12.) FL-150 [Rev. January 1, 2019]

[PDF File]NIOSH List of Antineoplastic and Other Hazardous Drugs in ...
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NIOSH list of antineoplastic and other hazardous drugs in healthcare settings, 2016. By Connor TH, MacKenzie BA, DeBord DG, Trout DB, O’Callaghan JP. ... variety of resources including, but not limited to, safety data sheets, product labeling approved by the ... Note that some of these drugs may

[PDF File]Form W-9 (Rev. October 2018)
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Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident ...

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