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    • [PDF File]Application for Social Security Card

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      9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST show the parents' Social Security numbers unless the parent was never assigned a Social Security number. If the number is not known and you cannot obtain it, check the “unknown” box. 13.

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    • [PDF File]AUTHORIZATION, AGREEMENT B. Request Status …

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      to continue my employment. I understand that if there is a transfer of my service obligation to another Federal agency or other organization in any branch of the Government, the agreements will remain in effect until I have completed my obligated service with that other agency or organization. 6.

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    • [PDF File]Request for Social Security Earnings Information

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      Form . SSA-7050-F4 (03-2019) Page 2 of 4. REQUEST FOR SOCIAL SECURITY EARNING INFORMATION . 1. Provide your name as it appears on your most recent Social Security card or the name of the individual whose

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    • [PDF File]National Interagency Coordination Center 0530 MT National ...

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      gusty east winds develop. The winds will continue into the night. To the east, the previous day’s storm system will move east across the Great Plains into the Upper Midwest. Moderate snowfall is expected across portions of South Dakota, Nebraska and Colorado. Warm …

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    • [PDF File]REASSIGNMENT OF MEDICARE BENEFITS CMS-855R

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      Email Address (if applicable) Relationship or Affiliation to Individual or Organization/Group ... subject me and/or the organization/group to liability under civil and criminal laws. ... The information collected here will be entered into the Provider Enrollment, Chain and Ownership System (PECOS). ...

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    • [PDF File]Form W-9 (Rev. October 2018)

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      1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

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

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      Office of Personnel Management (OPM) Routine Uses. a. To designated officers and employees of agencies, offices, and other establishments in the executive, legislative, and judicial branches of the

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    • [PDF File]IRS 8300 Report of Cash Payments Over $10,000 FinCEN 8300 ...

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      Under penalties of perjury, I declare that to the best my knowledge information have furnished above is true, correct, and complete. Signature Authorized official . Title 43 . Date of signature . M D Y. 44 . Type or print name of contact person. 45 . Contact telephone number. IRS Form . 8300. Cat. No. 62133S (Rev. 8-2014) FinCEN Form . 8300 ...

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    • [PDF File]Thrift Savings Plan

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      Changing or canceling your designation of beneficiary. To cancel a Form TSP-3 already on file, follow the instructions for Section II. Keep your designation (and your beneficiaries’ addresses) current. It is a good idea to review how you have designated your beneficiaries from time to time—particularly when your life situation changes (e.g.,

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    • [PDF File]VA Form 10-10EZR

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      Where do I mail my update? Mail the completed VA Form 10-10EZR and any supporting materials to the Health Eligibility Center, 2957 Clairmont Road, Suite 200, Atlanta, GA 30329. The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the clearance

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