Why are you in college
[PDF File]Application for Social Security Card
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U.S. Federal, State, or local government agency that explains why you need a Social Security number and that you meet all the requirements for the government benefit. NOTE: Most agencies do not require that you have a Social Security number. Contact us to see if …
[PDF File]2018 Form 5329
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if You Are Filing This Form by Itself and Not With Your Tax Return Home address (number and street), or P.O. box if mail is not delivered to your home. Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, also complete the spaces below. See instructions. If this is an amended return, check here Foreign country ...
[PDF File]Pneumococcal Vaccine Timing for Adults
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Pneumococcal vaccine timing for adults 65 years or older. For those who have not received any pneumococcal vaccines, or those with unknown vaccination history. PCV13 (at ≥ 65 years) At least 1 year apart for most immunocompetent adults At least 8 weeks apart for adults with certain medical conditions. PPSV23 (at ≥ 65 years) Administer 1 ...
[PDF File]PHQ-9* Questionnaire for Depression Scoring and ...
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PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The possible range is 0-27. Use the table below to interpret the PHQ-9 score.
[PDF File]VAMC SLUMS Examination - School of Medicine
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5. You have $100 and you go to the store and buy a dozen apples for $3 and a tricycle for $20. How much did you spend? How much do you have left? 6. Please name as many animals as you can in one minute. 0-4 animals 5-9 animals 10-14 animals 15+ animals 7. What were the five objects I asked you to remember? 1 point for each one correct. 8.
[PDF File]Patient Health Questionnaire (PHQ-9)
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Thoughts that you would be better off dead, or of hurting yourself 9. add columns + + (Healthcare professional: For interpretation of TOTAL, TOTAL: please refer to accompanying scoring card). If you checked off any problems, how difficult Not difficult at all have these problems made it for you to do your work, take care of things at home, or get
[PDF File]IRS 8300 Report of Cash Payments Over $10,000 FinCEN 8300 ...
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If you receive more than one cash payment for a single transaction or for related transactions, you must report the multiple payments any time you receive a total amount that exceeds $10,000 within any 12-month period. Submit the report within 15 days of the date you receive the payment that causes the total amount to exceed $10,000.
[PDF File]Form 4506-T (Rev. 6-2019)
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If you need a copy of Form W-2 or Form 1099, you should first contact the payer. To get a copy of the Form W-2 or Form 1099 filed with your return, you must use Form 4506 and request a copy of your return, which includes all attachments. 9 . Year or period requested. Enter the ending date of the year or period, using the mm/dd/yyyy format.
[PDF File]2018 Form 4562
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Complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.
[PDF File]2018 Form 8965
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Complete this form if you have a Marketplace-granted coverage exemption or you are claiming a coverage exemption on your return. Part I Marketplace-Granted Coverage Exemptions for Individuals. If you and/or a member of your tax household have an exemption granted by the Marketplace, complete Part I. (a) Name of Individual
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