Good values of a person

    • [PDF File]THIS FORM SHOULD NOT BE FILED WITH THE COURT FL-142 ...

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      Include assets even if they are in the possession of another person, including your spouse. If you contend an asset or debt is separate, put P (for Petitioner) or R (for Respondent) in the first column (separate property) to indicate to whom you contend it belongs. All values should be as of the date of signing the declaration unless you ...

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    • [PDF File]Berg Balance Scale - Brandeis University

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      Berg Balance Scale continued….. 8. REACHING FORWARD WITH OUTSTRETCHED ARM WHILE STANDING INSTRUCTIONS: Lift arm to 90 degrees. Stretch out your fingers and reach forward as far as you can. (Examiner places a ruler at the end of fingertips when arm is at 90 degrees. Fingers should not touch the ruler while reaching forward.

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    • [PDF File]EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

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      any federal income tax this year. The exemption is good for one year. If you continue to qualify for the exempt filing status, a new Form W-4 designating EXEMPT must be submitted by February 15 each year to continue your exemption. If you are not having federal income tax withheld this year but expect to have

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    • [PDF File]Interpretation of Hepatitis B Serologic Test Results

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      immunity from hepatitis B virus infection. Anti-HBs also develops in a person who has been successfully vaccinated against hepatitis B. Total hepatitis B core antibody (anti-HBc): Appears at the onset of symptoms in acute hepatitis B and persists for life. The presence of anti-HBc indicates previous or ongoing infection with hepatitis B virus in an

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    • [PDF File]Edinburgh Postnatal Depression Scale (EPDS)

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      I have been anxious or worried for no good reason No, not at all *9 I have been so unhappy that I have been crying Hardly ever Yes, most of the time Yes, sometimes Yes, quite often Yes, very often Only occasionally No, never *5 I have felt scared or panicky for no very good reason Yes, quite a lot *10 The thought of harming myself has occurred ...

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    • [PDF File]2018 Form 8880 - Internal Revenue Service

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      Use Form 8880 to figure the amount, if any, of your retirement savings contributions credit (also known as the saver’s credit). TIP: ... • The person(s) who made the qualified contribution or elective deferral (a) was born after January 1, 2001; (b) is claimed as a dependent on

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    • [PDF File]PHQ-9* Questionnaire for Depression Scoring and ...

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      PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The possible range is 0-27. Use the table below to interpret the PHQ-9 score.

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    • [PDF File]Standard Form 86 - Questionnaire for National Security

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      gather information to determine whether you are reliable, trustworthy, of good conduct and character, loyal to the U.S. The information that you provide on this form may be confirmed during the investigation. The investigation extend beyond the time covered by this form, when necessary to resolve issues.

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    • [PDF File]TINETTI BALANCE ASSESSMENT TOOL

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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

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    • [PDF File]8821 Tax Information Authorization OMB No. 1545-1165

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      If the tax information authorization is for a specific use not recorded on CAF, check this box. See the instructions. If you check this box, skip lines 5 and 6 . . . . . .

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