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[DOCX File]Ohio Emergency Medical Services
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Disclosure of social security # is mandatory pursuant to Ohio Revised Code (R.C.) 3123.50 in furtherance of licensing provision and any other state or federal requirements. Date of Birth* License / CERTIFICATE number* ARMED FORCES INFORMATION* Mark at least one …
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[DOCX File]State of Ohio EMS
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OHIO DEPARTMENT OF PUBLIC SAFETY. DIVISION OF EMERGENCY MEDICAL SERVICES. 1970 West Broad St., P.O. Box 182073. Columbus, OH 43218-2073. DO NOT SUBMIT FORMS WITHOUT ALL REQUIRED DOCUMENTATION. ALL REQUESTED INFORMATION SHALL BE SUBMITTED AS A PACKET. Please contact the Division of EMS at (800) 233-0785. or . ems-firecertifications@dps.ohio…
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[DOC File]F310-01 Subcontractor & Material Supplier Declaration Form
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When one or more companies are rejected: mark company status for each, and then go to C3. When all companies are approved: mark company status for each, and then go to C4. Forward a copy of the annotated form to the Contractor as its notice of the Extended Review; then, proceed to perform and complete the Extended Review.
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[DOCX File]RCRA Subtitle C Site Identification- Version 2.pdf - Ohio EPA
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Ohio EPA, DERR. P.O. Box 1049 Columbus, OH 43216-1049. RCRA SUBTITLE C. SITE IDENTIFICATION. FORM. For Ohio EPA Use Only. 1.Reason for Submittal. Reason for Submittal: ☐Obtaining or updating an EPA ID number for regulated activity ☐ As a component of the Hazardous Waste Report for the year
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OHIO DEPARTMENT OF ALCOHOL AND DRUG ADDICTION …
Jul 21, 2020 · Providers who are certified to provide addiction treatment services, when providing services to clients who are minors, but who are not providing consent pursuant to section 3719.012 of the Revised Code; The provider must either obtain the client’s authorization to contact the client’s parent or legal guardian or find the minor lacks in capacity to make a rational choice …
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[DOC File]CDL Self Certification Authorization
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Please mark only one of the following self-certification categories that apply to you. (see page 2 for category detail) I certify my commercial driving is: Category 1: Non-Excepted Interstate: CDL holders who drive across state lines or transport freight that has or will cross state lines and must meet federal medical requirements subject to 49 ...
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Home | Ohio Department of Education
If the student does not attain the designated promotion score on the Ohio State Test for grade 3 English language arts, the student will be retained in third grade unless the student meets one of the following exemptions (if the student is exempt, mark …
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Home | Ohio Department of Education
Create a group for each classroom and one for whole school building information. Teachers and paraprofessionals worked together. Example: Bedtime story every night. Everyone (teachers and paraprofessionals) took turns reading. Book activity. Provide book pages; press letter blocks into play dough to create letters and matched words from the book.
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Mark one ohio