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[PDF File]VAMC SLUMS Examination - Saint Louis University
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6. Please name as many animals as you can in one minute. 0-4 animals 5-9 animals 10-14 animals 15+ animals 7. What were the five objects I asked you to remember? 1 point for each one correct. 8. I am going to give you a series of numbers and I would like you to give them to me backwards. For example, if I say 42, you would say 24. 87 649 8537 9.
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[PDF File]Instructions for Form 8594 (Rev. December 2012)
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checking accounts) other than certificates of deposit held in banks, savings and loan associations, and other depository institutions. Class II assets are actively traded personal property within the meaning of section 1092(d)(1) and Regulations section 1.1092(d)-1 (determined without regard to section 1092(d)(3)). In …
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[PDF File]Form SSA-89 (02-2018) Discontinue Previous Editions Page 1 ...
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Form SSA-89 (02-2018) Discontinue Previous Editions Social Security Administration. Page 1 of 2 OMB No.0960-0760. Authorization for the Social Security Administration (SSA)
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[PDF File]THE UNIVERSITY OF THE STATE OF NEW YORK Reference …
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Reference Tables for Physical Setting/Chemistry – 2011 Edition 1 THE UNIVERSITY OF THE STATE OF NEW YORK• THE STATE EDUCATION DEPARTMENT• ALBANY, NY 12234 Reference Tables for Physical Setting/CHEMISTRY
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[PDF File]Form W-9 (Rev. October 2018)
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resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see . How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see . …
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[PDF File]G-325A, Biographic Information - USCIS
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comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this ... Washington, DC 20529-2140, OMB No. 1615-0008. Do not mail your completed Form G-325A to this address. Complete this biographical information form and include it with the application or petition you are ...
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[PDF File]NAME : MONTREAL COGNITIVE ASSESSMENT (MOCA) …
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Read list of words, subject must repeat them. Do 2 trials. Do a recall after 5 minutes. Subject has to repeat them in the forward order [ ] 2 1 8 5 4 Subject has to repeat them in the backward order [ ] 7 4 2 Read list of letters. The subject must tap with his hand at each letter A. No points if ≥ 2 errors
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[PDF File]Uniform Residential Loan Application - Fannie Mae
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Freddie Mac Form 65 7/05 (rev.6/09) Page 1 of 5 Fannie Mae Form 1003 7/05 (rev.6/09) This application is designed to be completed by the applicant(s) with the Lender’s assistance. Applicants should complete this form as “Borrower” or “Co-Borrower,” as applicable.
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[PDF File]Request for Leave or Approved Absence
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number. This is an amendment to Title 31, Section 7701. Furnishing the social security number, as well as other data, is voluntary, but failure to do so may delay or prevent action on the application. If your agency uses the information furnished on this form for purposes other than those indicated above, it may
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[PDF File]Generalized Anxiety Disorder 7-item (GAD-7) scale
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Generalized Anxiety Disorder 7-item (GAD-7) scale Over the last 2 weeks, how often have you been bothered by the following problems? Not at all sure
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Other words meaning one