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[PDF File]DS-5525 Statement of Exigent / Special Family ...
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STATEMENT OF EXIGENT/SPECIAL FAMILY CIRCUMSTANCES FOR ISSUANCE OF A U.S. PASSPORT TO A MINOR UNDER AGE 16 DS-5525 08-2016 Page 2 of 2 1. Minor's Name (Last, First, Middle) 2. Minor's Date of Birth (mm/dd/yyyy) OMB CONTROL NO. 1405-0216 OMB EXPIRATION DATE: 10-31-2019 ESTIMATED BURDEN: 30 Minutes U.S. Department of State Country
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[DOC File]Sample Schedule A Letter - Veterans Benefits Administration
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Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.
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[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA
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LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED FMLA . Please note - this document should be placed on dept. letterhead. Date. Employee Name. Address, City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back ... LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA ...
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[DOCX File]www.nj.gov
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Reason for leaving lack of work/layoff fired medical/health quit retired strike still employed
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[DOT File]ocfs.ny.gov
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ocfs-6004 (08/2019) front. new york state. office of children and family services. staff, volunteer, and household member . medical statement. child care programs. i. nstructions
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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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[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 an inquiry to AEVS to verify a recipient’s eligibility for
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Spirit of boston boston ma