Second hand items for sale
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …
[PDF File]Mini-Mental State Examination
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Mini-Mental State Examination (MMSE) Patient’s Name: Date: ... “Take the paper in your right hand, fold it in half, and put it on the floor.” (The examiner gives the patient a piece of blank paper.) 1 ... three items, up to six trials. Record the number of trials it takes for the patient to learn the words.
[PDF File]INTENT TO FILE A CLAIM FOR COMPENSATION AND/OR …
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complete the form online or by hand. If completed by hand, print the information requested in ink, neatly and legibly to expedite processing of the form. INTENT TO FILE A CLAIM FOR COMPENSATION AND/OR PENSION, OR SURVIVORS PENSION AND/OR DIC (This Form Is Used to Notify VA of Your Intent to File for the General Benefit(s) Checked Below)
REG 195, Application for Disabled Person Placard or Plates
REG 195 (REV. 4/2018) WWW 1 of 3 APPLICATION FOR DISABLED PERSON PLACARD OR PLATES IMPORTANT INFORMATION, DISCLOSURES AND CERTIFICATIONS Use this form to apply for a disabled person (DP) parking placard or license plates.
[PDF File]Form 4506-T (Rev. 6-2019)
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which includes most of the line items of a tax return as filed with the IRS. A tax return transcript does not reflect changes made to the account after the return is processed. Transcripts are only available for the following returns: Form 1040 series, Form 1065, Form 1120, Form 1120-A, Form 1120-H, Form 1120-L, and Form 1120S.
[PDF File]TINETTI BALANCE ASSESSMENT TOOL
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TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. Risk Indicators: Tinetti Tool Score Risk of Falls ≤18 High 19-23 Moderate ≥24 Low Date Indication of gait (Immediately after told to ‘go’.) Any hesitancy or multiple attempts = 0 No hesitancy = 1
[PDF File]Uniform and Insignia Wear and Appearance of Army Uniforms ...
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SUMMARY of CHANGE AR 670–1 Wear and Appearance of Army Uniforms and Insignia This major revision, dated 31 March 2014--o Notifies Soldiers of which portions of the regulation are punitive and
[PDF File]Berg Balance Scale - Brandeis University
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Berg Balance Scale About: This scale measures balance in older adults. Items: 14 Equipment: ... In most items, the subject is asked to maintain a given position for a specific time. ... Equipment required for testing is a stopwatch or watch with a second hand, and a ruler or other indicator of 2, 5, and 10 inches. Chairs used during testing ...
[PDF File]IRS 8300 Report of Cash Payments Over $10,000 FinCEN 8300 ...
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the cash within 15 days in a second transaction that is reportable on Form 8300 or on FinCEN Report 112, and discloses all the information necessary to complete Part II of Form 8300 or FinCEN Report 112 to the recipient of the cash in the second transaction; • In a transaction occurring entirely outside the United States. See
[PDF File]Form 108 - Application for Missouri Title and License
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SECOND LIEN — If adding a second lien, check “Yes” and record the ... SUBMIT THE REQUIRED ITEMS AND FEES TO YOUR LOCAL CONTRACT OFFICE OR MAIL TO: MOTOR VEHICLE BUREAU, P.O. BOX 100, ... or bill of sale or total loss statement for tax credit, if applicable.
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