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    • [PDF File]Patient Health Questionnaire (PHQ-9)

      https://info.5y1.org/oregon-state-school-report-card_1_e7feef.html

      Note: Since the questionnaire relies on patient self-report, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds taking into account how well the patient understood the questionnaire, as well as other relevant information from the patient.

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    • [PDF File]Request for Leave or Approved Absence

      https://info.5y1.org/oregon-state-school-report-card_1_1bc0ad.html

      Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))

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    • [PDF File]National Interagency Coordination Center Friday, October ...

      https://info.5y1.org/oregon-state-school-report-card_1_b34877.html

      Last narrative report unless significant activity occurs. Incident Name Unit Size % Ctn/ Comp Est Personnel Resources Strc Lost $$ CTD Origin Acres Chge Total Chge Crw Eng Heli Own Large Fires Being Managed With a Strategy Other Than Full Suppression Without a Type 1 or 2 IMT Assigned Ikes AZ-GCP 15,248 -6,248 75 Comp 12/1 33 30 0 2 1 0 3M NPS ...

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

      https://info.5y1.org/oregon-state-school-report-card_1_7ff93a.html

      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).

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    • [PDF File]IRS 8300 Report of Cash Payments Over $10,000 FinCEN 8300 ...

      https://info.5y1.org/oregon-state-school-report-card_1_29a965.html

      Report of Cash Payments Over $10,000 Received in a Trade or Business ... State . 40 . ZIP code . 41 . Nature of your business . 42 . Under penalties of perjury, I declare that to the best my knowledge information have furnished above is true, correct, and complete.

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    • [PDF File]Application for Social Security Card

      https://info.5y1.org/oregon-state-school-report-card_1_2f3b83.html

      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.

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    • [PDF File]USCIS Form I-9

      https://info.5y1.org/oregon-state-school-report-card_1_1e2fad.html

      School record or report card 11. Clinic, doctor, or hospital record 12. Day-care or nursery school record 2. ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address 4. Voter's registration card 5.

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    • [PDF File]MY BIZ+ URL: https://compo.dcpds.cpms.osd.mil/ To Register ...

      https://info.5y1.org/oregon-state-school-report-card_1_9f6718.html

      https://compo.dcpds.cpms.osd.mil/ MY BIZ and MY WORKPLACE is accessed by using your CAC. Registering your CAC is basically a two -step process. To Register CAC, click on Register Here, located below “Smart Card Login” icon. Select your non -email certificate when prompted by the Windows Security/Select a Certificate dialog box and OK. Step 1.

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    • [PDF File]Windfall Elimination Provision

      https://info.5y1.org/oregon-state-school-report-card_1_e20856.html

      SocialSecurity.gov (over) Windfall Elimination Provision. Your Social Security retirement or disability benefits can be reduced. The Windfall Elimination Provision can affect how we

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    • [PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine

      https://info.5y1.org/oregon-state-school-report-card_1_2ab478.html

      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 …

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