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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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47 Full No 200 Percent FPL Infant (Income Disregard Program – Infant). Provides full Medi-Cal benefits to eligible infants age 0 through 12 months old or continues beyond 1 year when inpatient status, which began before first birthday, continues and family income is at or below 200 percent of the FPL.
[PDF File]SC-100 Plaintiff s Claim and ORDER to Go to Small Claims Court
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claims value amount, or you may file a claim for the full value of the claim in the appropriate court. If your claim is for more than allowed in small claims court . and. relates to the same contract, transaction, matter, or event that is the subject of the plaintiff's claim, you may file your claim in the appropriate court and file a
[PDF File]FL-115 Proof of Service of Summons
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At the time of service I was at least 18 years of age and not a party to this action. I served the respondent with copies of: PROOF OF SERVICE OF SUMMONS
[PDF File]H.E.A.D.S.S. A Pyschosocial Interview For Adolescents
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What do you do with your free time? Good questions are open-ended and allow youth to express him/herself. Examples of Questions • Are most of your friends from school or somewhere else? Are they the same age as you? • Do you hang out with mainly people of your same sex or a mixed crowd? • Do you have one best friend or a few friends?
[DOC File]Scoring Rubric for Oral Presentations: Example #1
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Scoring Rubric for Oral Presentations: Example #3. PRESENCE 5 4 3 2 1 0-body language & eye contact-contact with the public-poise-physical organization. LANGUAGE SKILLS 5 4 3 2 1 0-correct usage-appropriate vocabulary and grammar-understandable (rhythm, intonation, accent)-spoken loud enough to hear easily. ORGANIZATION 5 4 3 2 1 0-clear objectives
[PDF File]BRADEN SCALE For Predicting Pressure Sore Risk
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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.
[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
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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in consideration of the member’s completion of a full workday (as defined in milpersman, navpers 15560) on the days of departure and return, the inclusive days shown are correct and proper for charging as leave. 30. inclusive. leave period. to be. charged first: (yy) (mm) (dd) last: (yy) (mm) (dd) 31. no. of
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