Maryland state department of education
[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]Form W-9 (Rev. October 2018)
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City, state, and ZIP code. Requester’s name and address (optional) 7. List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN).
[PDF File]FW-003 Order on Court Fee Waiver (Superior Court)
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• Sending papers to another court department • Reporter’s fee for attendance at hearing or trial, if the court is not electronically recording the proceeding and you request that the court provide an official reporter • Assessment for court investigations under Probate Code section 1513, 1826, or 1851
[PDF File]Request for Leave or Approved Absence
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office to approve and record your use of leave. Additional disclosures of the information may be: to the Department of Labor when processing a claim for compensation regarding a job connected injury or illness; to a State unemployment compensation office regarding a claim; to …
[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.
[PDF File]2018 Form 1040
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Form 1040 Department of the Treasury—Internal Revenue Service . U.S. Individual Income Tax Return . 2018. OMB No. 1545-0074. IRS Use Only—Do not write or staple in this space.
[PDF File]Request for Social Security Earnings Information
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Government Accountability Office and Department of Veterans' Affairs); 3. To make determinations for eligibility in similar health and income maintenance programs at the Federal, State, and local level; and, 4. To facilitate statistical research, audit, or investigative activities necessary to assure the integrity and
[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
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Influenza vaccine does not cause flu. Influenza vaccine may be given at the same time as other vaccines. 3 Talk with your health care provider Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of influenza vaccine, or …
[PDF File]Nebraska Resale or Exempt Sale Certificate FORM for Sales ...
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The Department is committed to the fair administration of the Nebraska tax laws. It is unlawful to claim an exemption for purchases of property or services that are subject to tax. Sellers are encouraged to notify the Department of any unlawful use of this form. revenue.nebraska.gov, 800-742-7474 (NE and IA), 402-471-5729 Description of Items Sold
[PDF File]Enhanced Driver's License and ID Card Identification ...
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MINNESOTA DEPARTMENT OF PUBLIC SAFETY Enhanced Driver’s License and Identification Card Identification Requirements Minnesota Rules Parts 7410.0400 to 7410.0410 Only Minnesota residents who are also United States citizens and at least 16 years of age may apply for an Enhanced Driver’s License or Enhanced Identification card.
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