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[PDF File]Health Benefits Election Form
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you, or an FEHB Self and Family plan that covers you. • You are an employee under age 26 and have no eligible family members. You are enrolling in your own FEHB plan while you are covered under your parent’s FEHB Self Plus One plan or Self and Family plan. • You are an annuitant who is reemployed in the Federal government.
[PDF File]AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION
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Title: DD Form 2870, Authorization for Disclosure of Medical or Dental Information, December 2003 Author: WHS/ESD/IMD Created Date: 20031230143826Z
[PDF File]CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT v2a
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Conditional Waiver and Release This document waives and releases lien, stop payment notice, and payment bond rights the claimant has for labor and service provided, and equipment and material delivered, to the customer on this job through the Through Date of this document. Rights based upon labor or service provided, or equipment or
[PDF File]PERSONNEL ACTION
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PERSONNEL ACTION. To request or record personnel actions for or by Soldiers in accordance with DA PAM 600-8. Identification Card. Identification Tags
[PDF File]CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT-1 v2a
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Conditional Waiver and Release This document waives and releases lien, stop payment notice, and payment bond rights the claimant has for labor and service provided, and equipment and material delivered, to the customer on this job. Rights based upon labor or service provided, or equipment or material delivered, pursuant to a written change
[PDF File]Application for Social Security Card
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you may either sign yourself, or a parent or legal guardian may sign for you. If you are over age 18 and cannot sign on your own behalf, a legal guardian, parent, or close relative may generally sign for you. If you cannot sign your name, you should sign with an "X” mark and have two people sign as witnesses in the space beside the mark.
[PDF File]Form W-9 (Rev. October 2018)
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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 alien;
[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 Department of Revenue.
[PDF File]Windfall Elimination Provision
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This provision can affect you when you earn a retirement or disability pension from an employer who didn’t withhold Social Security taxes . and. you qualify for Social Security retirement or disability benefits from work in other jobs for which you did pay taxes. The Windfall Elimination Provision can apply if: • You reached 62 after 1985; or
[PDF File]Pneumococcal Vaccine Timing for Adults
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Pneumococcal vaccine timing for adults with certain medical conditions. Indicated to receive 1 dose of PPSV23 at 19 through 64 years. PPSV23 (at 19–64 years)
[PDF File]Form 941 for 2019: Employer’s QUARTERLY Federal Tax Return
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instructions. Don't use Form 941-V to make federal tax deposits. ! CAUTION. Use Form 941-V when making any payment with Form 941. However, if you pay an amount with Form 941 that should've been deposited, you may be subject to a penalty. See. Deposit Penalties . in section 11 of Pub. 15. Specific Instructions. Box 1—Employer identification ...
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