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[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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26. report on expiration of leave to (if other than block 25) departed on leave returned from leave granted extension of leave ending 27a. hour. 27b. date (*yymmdd) 28a. hour. 28b. date (*yymmdd) 29a. hour. 29b. date (*yymmdd) 27c. ood’s signature 28c. ood’s signature 29c. ood’s signature
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[PDF File]Designation of Beneficiary
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INSTRUCTIONS: The Insured or assignee must sign this form. Two people must witness the signature and sign as witnesses. The Insured's agency (or U.S. Office of Personnel Management [OPM], if the Insured is an annuitant or insured as a compensationer) …
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[PDF File]Form SSA-89 (02-2018) Discontinue Previous Editions Page 1 ...
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Form SSA-89 (02-2018) Discontinue Previous Editions Social Security Administration. Page 1 of 2 OMB No.0960-0760. Authorization for the Social Security Administration (SSA)
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[PDF File](Do not write in this space) APPLICATION FOR DISABILITY ...
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APPLICATION FOR DISABILITY INSURANCE BENEFITS. Page 1 of 7 OMB No. 0960-0618. I apply for a period of disability and/or all insurance benefits for which I am eligible under Title II and Part A of Title XVIII of the Social Security Act, as presently amended. (Do not write in this space) 1. PRINT your name. FIRST NAME, MIDDLE INITIAL, LAST NAME 2.
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[PDF File]2018 Form 2441
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You cannot claim a credit for child and dependent care expenses if your filing status is married filing separately unless you meet the requirements listed in the instructions under “Married Persons Filing Separately.” If you meet these requirements, check this box. Persons or Organizations Who Provided the Care— You. must . complete this ...
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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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