Louisiana direct service worker requirements

• [PDF File]APPLICATION FOR MEDICAL CERTIFICATE (FORM CG-719K ...

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  U.S. military ID card, Merchant Mariner Credential, or Transportation Worker Identification Credential. b. Certification recommendation - The . Medical Practitione ... that attests that they are free of communicable diseases that pose a direct threat to the health or safety of other individuals in the workplace. For applicants who have ...

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• [PDF File]2014 Code of Ethics

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  • 3 • ACA Code of Ethics Purpose The ACA Code of Ethics serves six main purposes: 1. The Code sets forth the ethical obligations of ACA members and provides guidance intended to inform the ethical practice of professional counselors. 2. The Code identifies ethical considerations relevant to professional counselors and counselors-in-training. 3. The Code enables the association to clarify ...

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• [PDF File]Public Service Loan Forgiveness Employment Certification ...

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  PUBLIC SERVICE LOAN FORGIVENESS (PSLF): EMPLOYMENT CERTIFICATION FORM . William D. Ford Federal Direct Loan (Direct Loan) Program WARNING: Any person who knowingly makes a false statement or misrepresentation on this form or on any accompanying document is subject to penalties that may include fines, imprisonment, or both, under

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• [PDF File]Application for Social Security Card

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  U.S. Federal, State, or local government agency that explains why you need a Social Security number and that you meet all the requirements for the government benefit. NOTE: Most agencies do not require that you have a Social Security number. Contact us to see if your reason qualifies for a …

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• [PDF File]HUD Handbook 4350.3: Occupancy Requirements of …

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  Occupancy Requirements of Subsidized Multifamily Housing Programs HUD Handbook 4350.3 REV-1 Monthly Report of Excess Income OMB Approval No.2502-0086 (exp. 9/30/2003) Certification & Application for Housing Assistance Payments (HAP) OMB Approval No. 2502-0182 (exp.11/30/03) Owner/Tenant Certification for Multifamily Housing Programs

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• [PDF File]Power of Attorney for Health Care

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  chaplain or social worker. A witness cannot be an employee of an inpatient health care facility in which you are a patient, unless the employee is a chaplain or social worker. A witness cannot be your health care agent nor have a claim on any portion of your estate. Valid witnesses acting in good faith are immune from civil or criminal liability.

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• [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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  The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to AEVS to verify a recipient’s eligibility for

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• [PDF File]Designation of Beneficiary

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  INSTRUCTIONS: The Insured or assignee must sign this form. Two people must witness the signature and sign as witnesses. The Insured's agency (or U.S. Office of Personnel Management [OPM], if the Insured is an annuitant or insured as a compensationer) …

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• [PDF File]Form 8332 (Rev. October 2018)

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  Form 8332 (Rev. October 2018) Department of the Treasury Internal Revenue Service . Release/Revocation of Release of Claim to Exemption for Child by Custodial Parent

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

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  Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and. 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt ...

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