Us department of labor authorization form
[DOC File]CA-1-Fillable-Word-Form
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Lost time covered by LWOP, or COP: forward this form to OWCP. First Aid Injury CA-1 Rev. Apr. 1999 Instructions for Completing Form CA-1 Complete all items on your section of the form. If additional space is required to explain or clarify any point, attach a supplemental statement to the form.
[DOC File]EMPLOYER AUTHORIZATION FOR THE RELEASE
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EMPLOYER AUTHORIZATION FOR THE RELEASE OF CONFIDENTIAL DATA. I understand that Unemployment Compensation (UC) records that are maintained at the Connecticut Department of Labor are protected under state and federal statute, and may not be disclosed to anyone outside of the Connecticut Department of Labor, except in accordance with such laws or with written consent.
[DOC File]Standard Form 3881 ACH Vendor/Miscellaneous Payment ...
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All information collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by the Treasury Department to transmit payment data, by electronic means to vendor's financial institution.
[DOC File]Overpayment Notification Sample Letter
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This memorandum serves as notification of an overpayment of wages that you received and the subsequent repayment that is your responsibility. The overpayment totals $ for pay period (EXAMPLE: 3/1-15/99 THROUGH 5/16-31/99).
[DOC File]NATIONAL INTERAGENCY FIRE CENTER - US Forest Service
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All Department of Labor CA forms, except the CA-16, are available electronically at www.fedforms.gov. “Hard copies” may be ordered through the U.S. Government On-line Bookstore at www.gpo.gov. The CA-16, Authorization for Examination and Treatment, is an authorization form so the Department of Labor has not provided it electronically.
[DOC File]Home Page, Alaska Department of Labor and Workforce ...
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ALASKA DEPARTMENT OF LABOR & WORKFORCE DEVELOPMENT. Division of Workers' Compensation . P.O. Box 115512, Juneau AK 99811-5512. EMPLOYEE REPORT OF OCCUPATIONAL INJURY OR ILLNESS TO EMPLOYER. EMPLOYEE: All questions with an asterisk (*) must be completed 1. Employee Name Last* First* Middle Suffix 2. Mailing Address & Telephone Number* 3. …
SUPPORTING STATEMENT FOR
The DS-5525 form assists the U.S. Department of State to administer the regulations in 22 C.F.R. 51.28 requiring that both parents and/or any guardian consent to the issuance of a passport to a minor under age 16, except where one parent has sole custody, or certain exceptions apply.
[DOC File]Department of Labor, Licensing and Regulation
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Maryland Department of Labor. Division of Unemployment Insurance. Power of Attorney Authorization Form. Employer/Taxpayer. Maryland Unemployment Insurance Account Number: _____ Federal Employer Identification Number: _____
[DOC File]OWCP MEDICAL FEE SCHEDULE - 2001 - U.S. Department of …
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Effective August 18, 2003, bills for direct payments to pharmacies are processed by the Department's Central Bill Processing Unit. Claims for reimbursement of pharmacy bills by the injured worker must be submitted on Form CA-915 and accompanied by a Universal Billing Form with a 9-digit employer tax identification code completed by the pharmacy.
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