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[DOC File]Declaration of Service - Washington State Courts ...
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I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at _____, Washington on _____. (Place) (Date) _____ Signature _____ Type or Print Name. DECLARATION OF SERVICE (AFSR) - Page 1 of 1. WPF JU 07.0210 (9/2000) - RCW 13.40.100 . Title: Declaration of Service Author: Merrie ...
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FMLA/KCFML Leave Request - King County, Washington
Under federal and state leave laws, you may be restored to your original or equivalent position with equivalent pay, benefits, seniority and other employment terms upon return from protected leave; you do not lose any employment benefits that accrued before the start of your leave, and no adverse personnel actions may be taken against you for taking protected leave.
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[DOCX File]EMERGENCY PAID SICK LEAVE REQUEST FORM FOR COVID …
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EMERGENCY PAID SICK LEAVE REQUEST FORM FOR COVID-19-RELATED LEAVE. Effective for requests made on or after April 1, 2020 through December 31, 2020. Date: Employee. ID: Name
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[DOC File]State of Washington
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state of washington. purchase requisition submit to: department of general administration. office of state procurement. room 201, general administration building. po box 41017. olympia, washington 98504-1017 ordering agency name agency no. location mail stop date ordered. mo day yr date needed. mo day yr requisition no. (1)
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[DOCX File]Washington State Authorized School Bus Driver Diabetes ...
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This individual is applying for a Washington State school bus driver diabetes exemption to be able to take insulin while operating a school bus in Washington State. Part of the application process is an evaluation by a licensed physician to determine if the individual has any medical problems related to diabetes that might impair safe driving.
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[DOC File]Initial Applications - Washington State Department of ...
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Certification I/we certify, under the penalty of perjury under the laws of the State of Washington and by my signature, that the information provided in this application and all additional documents and forms required for license of an boarding home are true, complete, and accurate.
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[DOC File]Financial Declaration - Washington State Courts Washington ...
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If child support is at issue, complete the Washington State Child Support Worksheet(s), skip Paragraphs 3.1 and 3.2. If maintenance, fees, costs or debts are at issue and child support is . Not. an issue this entire section should be completed. (Estimate of other party’s income information is …
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[DOCX File]Model COBRA Continuation Coverage Election Notice - DOL
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The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage election notice that the Plan may use to provide the election notice. To use this model election notice properly, the Plan Administrator must fill in the blanks with the appropriate plan information.
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COBRA Continuation Coverage Election Form
COBRA Continuation Coverage Election Form. Form completion instructions: This notice must be sent to the plan participants and beneficiaries by first class mail or hand delivered not later than 14 days after the plan administrator receives notice that a qualifying event occurred.
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[DOCX File]STATE OF WASHINGTON
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In accordance with RCW 43.41.180, I hereby authorize and request the State, until this authorization is revoked as described below, to transfer the full amount of my state salary, after mandatory and authorized deductions, to the designated financial institution for deposit in my account.
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Washington state dol forms