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    • [DOC File]Data Assessment Plan (DAP) Note - HIV Prevention HPCPSDI

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      Data Assessment Plan (DAP) Note. CLIENT/ID: Date: Counselor’s Initials: A DAP note is to be filled out each time you meet with a client for a CLEAR session. Please use the questions and statements listed below each section as a guide to what information needs to be included in order to ensure that this note is a complete explanation of the ...

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    • [DOC File]TEMPLATE FOR WRITTEN WARNING FOR UNSATISFACTORY …

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      1. This letter is a Written Warning for unsatisfactory job performance. Over the past three months I have been concerned about the adequacy of your job performance. Specifically: 2. [Set out the specific performance problems.

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    • [DOCX File]MEMORANDUM FOR RECORD

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      Gratuity Memorandum for Record Template. Template Version October 2009. Tailor all aspects of this template to the individual acquisition and ensure that any template areas providing sample language or instructions (e.g. italicized and/or red language) are deleted prior to

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    • [PDF File]2018 Instructions for Forms 1099-R and 5498

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      Page 2 of 25. Fileid: … 1099R&5498/2018/A/XML/Cycle04/source. 16:13 - 13-Jul-2018. The type and rule above prints on all proofs including departmental reproduction ...

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    • [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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    • [DOC File]SPEECH/LANGUAGE EVALUATION

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      A speech/language evaluation is necessary to determine eligibility. SOCIAL DEVELOPMENTAL HISTORY _____’s mother completed a social developmental history form. She indicated no complications with her pregnancy and that _____ was born at expected time with normal birth weight. She also stated walking, talking, and toilet training were completed ...

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    • [DOC File]www.dol.gov

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      Sometimes, filing a proceeding in bankruptcy under title 11 of the United States Code can be a qualifying event. If a proceeding in bankruptcy is filed with respect to [enter name of employer sponsoring the Plan], and that bankruptcy results in the loss of coverage of any retired employee covered under the Plan, the retired employee will become ...

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    • [DOCX File]FINAL RELEASE OF CLAIMS

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      (hereinafter called the Contractor) or its assignees, if any, the Contractor, upon payment of the said sum by the UNITED STATES OF AMERICA (hereafter called the government) does remise, release and discharge the Government, its officers, agents and employees of and from all liabilities, obligations, claims and demands whatsoever arising out of ...

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