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    • [PDF File]DR 2395 (04/02/15) COLORADO DEPARTMENT OF REVENUE ...

      https://info.5y1.org/post-my-services-for-free_1_170cea.html

      correct to the best of my knowledge. Owners Signature Date Owner Three I _____ (print name) request the Colorado Certificate of Title for the Vehicle described above be issued in: Joint Tenancy With Rights of Survivorship Tenancy in Common Per C.R.S. 42-6-116; I certify under penalty of perjury in the second degree that the above information is ...

    • [PDF File]VAMC SLUMS Examination - Saint Louis University

      https://info.5y1.org/post-my-services-for-free_1_15e366.html

      SH Tariq, N Tumosa, JT Chibnall, HM Perry III, and JE Morley. The Saint Louis University Mental Status (SLUMS) Examination for Detecting Mild Cognitive Impairment and Dementia is more sensitive than the Mini-Mental Status Examination (MMSE) - A pilot study. J am Geriatri Psych ( in press). 2 3 Questions about this assessment tool? E-mail aging ...

    • [PDF File]Thrift Savings Plan

      https://info.5y1.org/post-my-services-for-free_1_5ffe3f.html

      If you have questions, call the toll-free ThriftLine at 1-877-968-3778 or the TDD at 1-877-847-4385. Outside the U.S. and Canada, please call 404-233-4400 (not toll free). You will receive a confirmation of your designation once your form is processed. For federal civilian employees, members of the uniformed services, and beneficiary participants

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

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      PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive

    • [PDF File]Health Benefits Election Form

      https://info.5y1.org/post-my-services-for-free_1_27b0a2.html

      Health Benefits Election Form Form Approved: OMB No. 3206-0160 Standard Form 2809 Previous edition is not usable ... Office toll-free at 1-888-767-6738. 3. Former spouses eligible to enroll in or currently enrolled in the FEHB Program under the Spouse Equity law or similar statutes. 4. Individuals eligible for Temporary Continuation of Coverage ...

    • [PDF File]2018 Form 1040

      https://info.5y1.org/post-my-services-for-free_1_feed75.html

      City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6. Full-year health care coverage or exempt (see inst.) ... I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer ...

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

      https://info.5y1.org/post-my-services-for-free_1_7ff93a.html

      1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue

    • [PDF File]Application for Social Security Card

      https://info.5y1.org/post-my-services-for-free_1_2f3b83.html

      Applying for a Social Security Card is . free! ... Social Security record, show the date of birth currently shown on your record in item 13 and provide evidence to support the date of birth shown in item 4. 16. Show an address where you can receive your card 7 to 14 days from now.

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