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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 …

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    • [DOC File]www.dol.gov - DOL

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      Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.

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    • [PDF File]www.courts.ca.gov

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      Title: NC-120 Order to Show Cause for Change of Name Change of Name\) Author: Judicial Council of California Subject: Judicial Council forms Keywords

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,

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    • [PDF File]MODS/MEDPROS ACCESS

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      MODS/MEDPROS ACCESS - Users will complete DD form 2875 and DD 2929 - Access forms at https://medpros.mods.army.mil/MWDEnet/Default.aspx - Supervisor must sign both forms

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    • [PDF File]BRADEN SCALE For Predicting Pressure Sore Risk - Indiana

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      BRADEN SCALE – For Predicting Pressure Sore Risk Use the form only for the approved purpose. Any use of the form in publications (other than internal policy manuals and training material) or for profit-making ventures requires additional permission and/or negotiation.

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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    • [PDF File]W-7(SP) Solicitud de Número de Identificación Personal del ...

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      Formulario W-7(SP) (Rev. septiembre de 2016) Department of the Treasury Internal Revenue Service . Solicitud de Número de Identificación Personal del Contribuyente del Servicio de Impuestos Internos

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