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[PDF File]2017 Form 1040
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IRS Use Only—Do not write or staple in this space. For the year Jan. 1–Dec. 31, 2017, or other tax year beginning , 2017, ending , 20 See separate instructions. Your first name and initial . Last name . Your social security number . If a joint return, spouse’s first name and initial . …
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[PDF File]USCIS Form I-9
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Do Not Write In This Space Signature of Employee Today's Date (mm/dd/yyyy) Preparer and/or Translator Certification (check one): I did not use a preparer or translator. A preparer(s) and/or translator(s) assisted the employee in completing Section 1.
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[PDF File]Form W-9 (Rev. October 2018)
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foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. participating foreign financial institution to report all United States 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a
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[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
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[PDF File]Practitioner and Provider Compliant and Appeal Request
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Practitioner and Provider Complaint and Appeal Request NOTE: Completion of this form is mandatory. To obtain a review submit this form as well as information that …
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What can i do today