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    • [DOC File]Remittance Advice Details (RAD) Codes and Messages: 001 ...

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      This section lists Remittance Advice Details (RAD) codes and messages that may be used in reconciling accounts. The following codes appear on the Medi-Cal Remittance Advice Details (RAD) for claims that are approved, denied, suspended or adjusted, as well as …

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    • [PDF File]Request For a Transfer Into the TSP

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      Form TSP-60 (9/2019) PREIOUS EDITIONS OBSOLETE FORM TSPfi60 INSTRUCTIONS 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.

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    • [DOC File]www.dol.gov

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      Through the Marketplace you’ll also learn if you qualify for free or low-cost coverage from Medicaid or the Children’s Health Insurance Program (CHIP). You can access the Marketplace for your state at www.HealthCare.gov. Coverage through the Health Insurance Marketplace may cost less than COBRA continuation coverage.

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    • [DOT File]ocfs.ny.gov

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      ocfs-6004 (08/2019) front. new york state. office of children and family services. staff, volunteer, and household member . medical statement. child care programs. i. nstructions

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    • [DOC File]FMLA Exhausted Leave Letter - Emory University

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      FMLA Exhausted Leave Letter. CERTIFIED MAIL. Date. Employee Name. Address. City, State. Zip. Dear : This letter serves as notification of the expiration of your leave entitlement under the Family and Medical Leave Act (FMLA). Your leave, which began on , will exhaust the twelve weeks entitlement under FMLA on Date.

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    • [DOCX File]Prohibited Items, Items That Often Require Pre-Purchase ...

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      Prohibited Items, Items That Often Require Pre-Purchase Approval, and Fiscal Law Issues. Prohibited Items. Cash advances-Money orders, travelers’ checks, and gift certificates are also considered to be cash advances and will not be purchased by Cardholders, even to obtain items from merchants who do not accept the GPC.

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    • [DOC File]TI-006 - SCDMV

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      The TI-006 must be accompanied by valid state identification and one of the following: If the vehicle owner is a homeowner or is leasing a residence in the state, a copy of the deed, mortgage or a current (not more than 90 days old) utility bill in the homeowner’s name.

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    • [DOC File]www.dol.gov

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      Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.

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