University of illinois directory
[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 …
[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,
[PDF File]Advanced Health Care Directive Form - State of California
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CHAPTER 2. Advance Health Care Directive Forms [4700 - 4701] ( Chapter 2 added by Stats. 1999, Ch. 658, Sec. 39. ) 4701. The statutory advance health care directive form is as follows: ADVANCE HEALTH CARE DIRECTIVE (California Probate Code Section 4701) Explanation You have the right to give instructions about your own health care.
[PDF File]REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR …
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DHS-3200 (Rev. 2-12) Previous edition may be used. MS Word 1 REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Human Services
[PDF File]2019-2020 School Year Calendar
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October 2019 November 2019 December 2019 514 Glover Street, Marietta, GA 30060 (770) 426-3300 www.cobbk12.org 2019-2020 School Year Calendar
[PDF File]3372, Michigan Sales and Use Tax Certificate of Exemption
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3372, Page 2. Instructions for completing Michigan Sales and Use Tax Certificate of Exemption (Form 3372) Purchasers may use this form to claim exemption …
[PDF File]Sample Hazard Communication Program
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3 Small quantities intended for immediate use may be placed in a container without a label, provided that the individual keeps it in their possession at all times and the product is used
[PDF File]Consent for Release of Information
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in your telephone directory or you may call 1-800-772-1213 (TYY 1-800-325-0778). You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.
[PDF File]Request for Withdrawal of Application
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REQUEST FOR WITHDRAWAL OF APPLICATION Page 1 of 2 TOE 420 OMB No. 0960-0015. IMPORTANT NOTICE - This is a request to withdraw your application. If we approve it, the decision we made on your application will have no legal effect. You will forfeit all rights attached to an application, including the rights of appeal.
[PDF File]NJ-W4 State of New Jersey - Division of Taxation Employee ...
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RATE TABLES FOR WAGE CHART The rate tables listed below correspond to the letters in the Wage Chart on the front page. Use these to estimate the amount of withholding
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