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    • [PDF File]VISA MERCHANT CATEGORY CLASSIFICATION (MCC) CODES …

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      4814 Fax services 4814 Telecommunication service including local and long distance calls, credit card calls, calls through use of magnetic -strip reading telephones and fax services 4815 VisaPhone 4821 Telegraph services 4829 Money Orders – Wire Transfer 4899 Cable and other pay television (previously Cable Services)

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    • [PDF File]Instructions for Form W-8BEN (Rev. July 2017)

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      If the withholding agent or financial institution receives a Form W-9 from any of the joint owners, however, the payment must be treated as made to a U.S. person and the account treated as a U.S. account. Expiration of Form W-8BEN. Generally, a Form W …

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    • [PDF File]Consent for Release of Information

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      or willfully seeking or obtaining access to records about another person under false pretenses is punishable by a fine of up to $5,000. I also understand that I must pay all applicable fees for requesting information for a non-program-related purpose.

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    • [PDF File]OCA Official Form No.: 960 AUTHORIZATION FOR RELEASE OF ...

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      OCA Official Form No.: 960 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA [This form has been approved by the New York State Department of Health]

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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      Provides pregnancy-related services, including services for conditions that may complicate the pregnancy, postpartum services and emergency services. Covers services only to eligible children age 19 or younger, who are unverified citizens. E6 Full No Medi-Cal Access …

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,

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