Wi state license board
[DOCX File]Nursery Application
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used to determine if you must obtain a license for the license period. For example, if your gross annual sales of nursery stock for last year did not exceed $250 (no license needed), and you are anticipating selling more than $250 this year, you will need to purchase a Nursery Dealer License for this year.
[DOCX File]Wisconsin Department of Agriculture, Trade and …
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Please note that you will not be issued a license until you have completed the ECFVG program. Have this AVMA letter sent directly to the Department of Agriculture, Trade and Consumer Protection (DATCP), Veterinary Examining Board, 2811 Agriculture Drive, PO Box 8911, Madison, WI 53708-8911.
[DOCX File]Background Information Disclosure (BID) Appendix, …
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For License Holders and Non-Client Residents in DQA-Regulated Facilities. DQA USE ONLY. Initial Application. Four-Year Renewal. Completion of this BID Appendix is required under the provisions of Wis. Stat. § 50.065. Failure to comply may result in a denial or revocation of your license, certification, or registration. Refer to DQA form F-82069A,
[DOC File]GN-3130: Examining Physician's or Psychologist's …
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A mental illness that is severe in degree and persistent in duration, that causes a substantially diminished level of functioning in the primary aspects of daily living and an inability to cope with the ordinary demands of life, that may lead to an inability to maintain stable adjustment and independent functioning without long-term treatment and support that may be of lifelong duration.
[DOC File]Wisconsin - Revised Highly Qualified Teachers …
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National Board certified teachers receive an additional grant of $2,500 each year for the nine years of the term of the license, provided that the teacher continues to teach in the state. The DPI administers and monitors this award through the provisions of Chapter PI 37 of the Wisconsin Administrative Code.
[DOCX File]Medical Examination Review
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MEDICAL EXAMINATION REPORT. MV3644 (1) 10/2018 Ch. 343 Wis. Stats. & Trans. 112 Admin. Code. T583. Once completed, this form can be faxed, emailed or …
[DOCX File]Background Information Disclosure (BID)
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Code § DCF 12.03. Pursuant to Wis. Stat. § 48.685 and Wis. Admin. Code § DCF 12.03, this form must be completed prior to licensure, employment or non-client residency and is only valid for 120 days. Failure to comply may result in a denial or revocation of your license; or denial or termination of your employment or contract.
[DOC File]STATE OF WISCONSIN - Higher Educational Aids …
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HIGHER EDUCATIONAL AIDS BOARD Higher Educational Aids Board. P.O. Box 7885. RESIDEN CY DETERMINATION FORM Madison, WI 53707-7885. Please attach the following documents to the Residency Determination Form: ( The most recent State and …
[DOCX File]State of Wisconsin \ Elections Board
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State law now provides that eligible voters who hold a valid State of Wisconsin Driver License or State ID Card (WI DL/ID) that has their current name and address on file with the Wisconsin Department of Motor Vehicles (WI DMV) can register to vote online.
[DOCX File]Resident Relocation Plan
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Madison, WI 53703. Phone: 608-267-7286. dhsresidentrelocations@dhs.wisconsin.gov. A nursing home is required to notify the state Ombudsman about the intent to close the facility in writing at: State of Wisconsin-Board on Aging and Long Term Care. Office of the State Ombudsman. 1402 Pankratz Street; Suite 111. Madison, WI 53704. 800-815-0015 ...
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