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

      https://info.5y1.org/state-of-florida-cultural-grant_1_862ea1.html

      Persons may continue to be eligible under aid code 82 until age 22 if they have filed for a State hearing. ... except that they are exempt from grant reductions on behalf of the Assistance Payments Demonstration Project/California Work Pays Demonstration Project. 0C HF services only (no Medi-Cal) No MCAP. ... Aid Codes Master Chart (aid codes) ...

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    • [PDF File]State of Illinois Illinois Department of Public Health ...

      https://info.5y1.org/state-of-florida-cultural-grant_1_474913.html

      State of Illinois Illinois Department of Public Health Illinois Statutory Short Form DPower of Attorney for Health Cared NOTICE TO THE INDIVIDUAL SIGNING THE POWER OF ATTORNEY FOR HEALTH CARE No one can predict when a serious illness or accident might occur. When it does, you may need someone else to speak or make health care decisions for you.

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    • [PDF File]Application for Social Security Card

      https://info.5y1.org/state-of-florida-cultural-grant_1_305e48.html

      We may also grant exceptions to these limits if you provide evidence from an official source to establish that a Social Security card is required. ... U.S. Federal, State, or local government agency that explains why you need a Social Security number and that you meet all the requirements for the government benefit. NOTE: Most agencies do not ...

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    • [PDF File]Adverse Childhood Experience (ACE) Questionnaire Finding ...

      https://info.5y1.org/state-of-florida-cultural-grant_1_ebe4eb.html

      Adverse Childhood Experience (ACE) Questionnaire Finding your ACE Score ra hbr 10 24 06 While you were growing up, during your first 18 years of life: 1. Did a parent or other adult in the household often … Swear at you, insult you, put you down, or humiliate you?

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

      https://info.5y1.org/state-of-florida-cultural-grant_1_6955d1.html

      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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    • [PDF File]I-765, Application For Employment Authorization

      https://info.5y1.org/state-of-florida-cultural-grant_1_8444df.html

      State/Province of Birth . List the city/town/village, state/province, and country where you were born. Place of Birth ( ) ( ) ( ) NOTE: If you answered “Yes” to Item Number 31.b., refer to Employment-Based Nonimmigrant Categories, Items 8. - 9., in the Who May File Form I-765 section of the Form I-765 Instructions for information about

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    • [PDF File]Form W-9 Request for Taxpayer

      https://info.5y1.org/state-of-florida-cultural-grant_1_52c360.html

      City, state, and ZIP code Requester’s name and address (optional) List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on the “Name” line to avoid backup withholding. For individuals, this is your social security number (SSN).

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    • [PDF File]Iowa Farm Custom Rate Survey

      https://info.5y1.org/state-of-florida-cultural-grant_1_017b38.html

      Page 4 2019 Iowa Farm Custom Rate Survey Miscellaneous Services (labor, fuel, and equipment included) Average Charge Median Charge Range Number of Responses Removing snow (loader), / hour $77.65 $82.50 $50.00 - $100.00 30

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