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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]Remittance Advice Details (RAD) Codes and Messages: 001 ...

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      This section lists Remittance Advice Details (RAD) codes and messages that may be used in reconciling accounts. The following codes appear on the Medi-Cal Remittance Advice Details (RAD) for claims that are approved, denied, suspended or adjusted, as well as …

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    • [DOC File]Sample Prompting Questions/Topics for Circles

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      Please note: It is always important to carefully select which questions or topics to pose to the group depending on the needs of the group. The health of each member of …

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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      Persons may continue to be eligible under aid code 82 until age 22 if they have filed for a State hearing. Provides pregnancy-related services, including services for conditions that may complicate the pregnancy, postpartum services and emergency services. ... Aid Codes Master Chart (aid codes) ...

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    • [DOC File]www.dol.gov

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      Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.

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    • [DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary

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      Former address City State ZIP code Former telephone Former email New address City State ZIP code New telephone New email 4. Transfer to Adoption Preparation appropriate to the child’s capacity to understand has been conducted in the following way: Information related to transfer from foster care to adoption was shared with MDHHS/referring ...

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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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    • [DOCX File]Application for Kentucky Certificate of Title or Registration

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      Kentucky Transportation Cabinet. Division of Motor Vehicle Licensing. APPLICATION FOR KENTUCKY CERTIFICATE OF TITLE OR REGISTRATION. TC 96-182. 03/2019

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