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[PDF File]APPLICATION FOR CORRECTION OF MILITARY RECORD OMB …
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8. ITEM 10. Personal appearance before the Board by you and your witnesses or representation by counsel is not required to ensure full and impartial consideration of your application. If the Board determines that a personal appearance is warranted and grants approval, appearance and representation are
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[PDF File]Claim for Refund and Request for Abatement Form
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Form 843 (Rev. August 2011) Department of the Treasury Internal Revenue Service . Claim for Refund and Request for Abatement See separate instructions.
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[PDF File]SF 52, Request for Personnel Action
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REQUEST FOR PERSONNEL ACTION. PART A - Requesting Office€ (Also complete Part B, Items 1, 7-22, 32, 33, 36 and 39.) 1. ACTIONS REQUESTED 2. REQUEST NUMBER. 3. FOR ADDITIONAL INFORMATION CALL€ (Name and Telephone Number) 4. PROPOSED EFFECTIVE DATE. 5. ACTION REQUESTED BY€ (Typed Name, Title, Signature, and Request Date) 6. ACTION ...
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[PDF File]State of California Division of Workers' Compensation ...
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State of California Division of Workers' Compensation - Medical Unit ... return to you a completed declaration of personal service.) E: ... Report”) (Cal. Code Regs.,tit.8, § 9785.2) or narrative report filed in lieu of the PR-2, determines after a review of all appropriate records
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[PDF File]Advanced Health Care Directive Form
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In determining my best interest, my agent shall consider my personal values to the extent known to my agent. (1.5) AGENT'S POSTDEATH AUTHORITY: My agent is authorized to make donate my organs, tissues, and parts, authorize an autopsy, and direct disposition of my remains, except as I state here or in Part 3 of this form:
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[PDF File]Form W-9 (Rev. October 2018)
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than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or
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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]TEXAS WORKERS’ COMPENSATION WORK STATUS REPORT
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personal delivery or mail • after receiving a set of functional job descriptions from the employer or insurance carrier listing modified duty positions, including the physical and ... The designated doctor must file a narrative report along with DWC Form-073.
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[PDF File]EXAMINATION FOR HOUSEBOUND STATUS OR PERMANENT …
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related disability or death and require aid and attendance of another person to perform personal functions required in everyday living such as bathing, feeding, dressing, attending to the wants of nature, adjusting prosthetic devices, or protecting oneself from the hazards of the daily environment may be eligible for Special Monthly Compensation.
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[PDF File]Scoring Instructions for NICHQ Vanderbilt Assessment Scales
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Scoring Instructions for NICHQ Vanderbilt Assessment Scales ASSESSMENT AND DIAGNOSIS Page 2 of 2 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care.Variations, taking into account individual circumstances, may be appropriate.
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Personal narrative sample