Social work resume examples 2018
[PDF File]Function Report - Adult
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the form, you can get it by calling Social Security at 1-800-772-1213. HOW TO COMPLETE THIS FORM The information that you give us on this form will be used by the office that makes the disability decision on your disability claim. You can help them by completing as much of the form as you can.
[PDF File]MEDICARE ENROLLMENT APPLICATION
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cms-855i see page 1 to determine if you are completing the correct application. see page 3 for information on where to mail this completed application. see section 12 for a list of supporting documentation to be submitted with this application. to view your current medicare enrollment record go to: https://pecos.cms.hhs.gov
[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]Form W-9 (Rev. October 2018)
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(Rev. October 2018) ... For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other ... Examples of information returns include, but are not limited to, the following.
[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]Request for Leave or Approved Absence
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Public Law 104-134 (April 26, 1996) requires that any person doing business with the Federal Government furnish a social security number or tax identification number. This is an amendment to Title 31, Section 7701. Furnishing the social security number, as well as …
[PDF File]Form 4506 Request for Copy of Tax Return
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Otherwise, enter the first social security number (SSN) or your individual taxpayer identification number (ITIN) shown on the return. For example, if you are requesting Form 1040 that includes Schedule C (Form 1040), enter your SSN. Line 3. Enter your current address. If you use a P.O.
[PDF File]APPLICATION FOR 10-POINT VETERAN PREFERENCE (TO BE …
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Page 1 of 2. APPLICATION FOR 10-POINT VETERAN PREFERENCE (TO BE USED BY VETERANS & RELATIVES OF VETERANS) U.S. Office of Personnel Management
[PDF File]Request for Social Security Earnings Information
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Form . SSA-7050-F4 (03-2019) Page 2 of 4. REQUEST FOR SOCIAL SECURITY EARNING INFORMATION . 1. Provide your name as it appears on your most recent Social Security card or the name of the individual whose
[PDF File]APPLICATION FOR MEDICAL CERTIFICATE (FORM CG-719K ...
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identity shall consist of one current form of valid government-issued photo identification. Examples of acceptable proof of identity include unexpired official identification issued by a Federal, State, or local government or by a territory or possession of the United States, such as a passport, U.S. driver's license,
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