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    • [PDF File]Identity Theft and Your Social Security Number

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      several things you should do. Visit . IdentityTheft.gov to report identity theft and get a recovery plan. IdentityTheft.gov guides you through . 4 (over) each step of the recovery process. It’s a one-stop resource managed by the Federal Trade Commission, the nation’s consumer protection agency. You can also call

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    • [PDF File]Application for Lump-Sum Death Payment

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      Social Security Administration. APPLICATION FOR LUMP-SUM DEATH PAYMENT* Form Approved OMB No. 0960-0013. Page 1. TOE 120/145/155 I apply for all insurance benefits for which I am eligible under Title II (Federal Old-Age, Survivors, and Disability Insurance) of the Social Security Act, as presently amended, on the named deceased's Social ...

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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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    • [PDF File]Vehicle Equipment and Inspection Regulations

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      Vehicle Equipment and Inspection Regulations • PUB 45 2 Cord - The strands forming the plies in the tire. Critical Area of the Windshield - The part of the vehicle windshield cleaned by the sweep of the windshield wiper system. dOT - The United States Department of Transportation. department - The term as defined in 75 Pa.C.S. § 102.

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

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      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. If you plan now, you can increase the chances that the medical treatment you get will be the treatment you want.

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    • [PDF File]FL-115 Proof of Service of Summons

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      envelope addressed to me. (Attach completed. Notice and Acknowledgment of Receipt (form . FL-117).) (Code Civ. Proc., § 415.30.) to an address outside California (by registered or certified mail with return receipt requested). (Attach signed return receipt or other evidence of actual delivery to the respondent.)

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    • [PDF File]Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist ...

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      Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months. Please give

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    • [PDF File]Summary of VA Benefits for National Guard and Reserve ...

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      Generally, all National Guard and Reserve members discharged or released under conditions that are . not dishonorable are eligible for some VA benefits. The length of your service, service commitment and/or your duty status may determine your eligibility for specific benefits. Active Service. Eligibility requirements for …

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    • [PDF File]Disability Parking Placard Application

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      I certify the person listed above is eligible for a disability placard as provided in Public Act 300 of 1949. I also understand that making a false statement to obtain a disability parking placard is a misdemeanor and may result in fines, imprisonment, or both.

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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 …

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