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[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
[PDF File]Thrift Savings Plan
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is a good idea to review how you have designated your beneficiaries from time to time—particularly when your life situation changes (e.g., through marriage, divorce, the birth or adoption of a child, or the death of a beneficiary). By law, the TSP must pay your properly designated beneficiary under
[PDF File]Form I-693, Report of Medical Examination and Vaccination ...
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I have a currently valid and unrestricted license to practice medicine in the state where I am performing immigration-related medical examinations, unless otherwise exempted; I performed an examination of the person identified in Part 1. of this Form I-693, after having made every reasonable effort to verify
[PDF File]Request for Social Security Earnings Information
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information. If you have reason to believe your earnings are not correct (for example, you have previously received earnings information from us and it does not agree with your records), we will supply you with more detail for the year(s) in question. Be sure to show the year(s) involved on the request form and explain why you need the information.
[PDF File]Form 1957 - Bill of Sale or Even-Trade Bill of Sale
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The seller must complete all applicable information and sign this form. The Bill of Sale or Even-Trade Bill of Sale must be notarized when showing proof of ownership on major component parts of a rebuilt vehicle or when specifically requested to be notarized by the
[PDF File]2018 Form 8867
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5. A record of any additional questions you may have asked to determine eligibility to claim the credit(s), and/or HOH filing status and the amount(s) of any credit(s) claimed and the taxpayer’s answers. If you have not complied with all due diligence requirements, you may have to …
[PDF File]Application for Social Security Card
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have DHS work authorization, you must prove that you have a valid non-work reason for requesting a card. See page 2 for an explanation of acceptable documents. NOTE: If you are age 12 or older and have never received a Social Security number, you must apply in person. Replacement Social Security Card
[PDF File]Instructions for Form 2848 (Rev. January 2018)
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Form 2848. See Line 4. Specific Use Not Recorded on CAF, later, for more information. You are not required to sign Form 2848 when you attach it to an alternative power of attorney that you have signed, but your representative must sign the form in Part II, Declaration of …
[PDF File]VAMC SLUMS Examination - School of Medicine
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5. You have $100 and you go to the store and buy a dozen apples for $3 and a tricycle for $20. How much did you spend? How much do you have left? 6. Please name as many animals as you can in one minute. 0-4 animals 5-9 animals 10-14 animals 15+ animals 7. What were the five objects I asked you to remember? 1 point for each one correct. 8.
[PDF File]Form 149 - Sales and Use Tax Exemption Certificate
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Caution to seller: In order for the certificate to be accepted in good faith by the seller, the seller must exercise care that the ... 149 Sales and Use Tax Exemption Certificate. Form 149 (Revised 11-2018) Select the appropriate box for the type of exemption to be claimed and complete any additional information requested.
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