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    • [DOC File]www.dol.gov

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      Model COBRA Continuation Coverage Election Notice. Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage election notice that the Plan may use to provide the election notice.

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    • [DOC File]Remittance Advice Details (RAD) Codes and Messages: 001 ...

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      This section lists Remittance Advice Details (RAD) codes and messages that may be used in reconciling accounts. The following codes appear on the Medi-Cal Remittance Advice Details (RAD) for claims that are approved, denied, suspended or adjusted, as well as for Accounts Receivable (A/R) and payable transactions.

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    • [DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED …

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      LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED FMLA . Please note - this document should be placed on dept. letterhead. Date. Employee Name. Address, City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back ... LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA ...

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    • [DOC File]Scoring Rubric for Oral Presentations: Example #1

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      Scoring Rubric for Oral Presentations: Example #3. PRESENCE 5 4 3 2 1 0-body language & eye contact-contact with the public-poise-physical organization. LANGUAGE SKILLS 5 4 3 2 1 0-correct usage-appropriate vocabulary and grammar-understandable (rhythm, intonation, accent)-spoken loud enough to hear easily. ORGANIZATION 5 4 3 2 1 0-clear objectives

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    • [DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary

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      Foster Care/Juvenile Justice Action Summary Michigan Department of Health and Human Services Case name Case ID Child name Child person ID Worker name Organization Phone number Email Date completed Type of action (check as many as apply) Effective date Child fatality notification (complete section 1) Caseworker/organization change (complete section 2) Parent contact information change …

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    • [DOC File]TI-006 - SCDMV

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      The TI-006 must be accompanied by valid state identification and one of the following: If the vehicle owner is a homeowner or is leasing a residence in the state, a copy of the deed, mortgage or a current (not more than 90 days old) utility bill in the homeowner’s name.

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    • [DOCX File]AFTER ACTION REPORT SAMPLE

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    • [DOT File]ocfs.ny.gov

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    • [DOC File]SAMPLE GOALS AND OBJECTIVES - DecisionHealth

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      SAMPLE GOALS AND OBJECTIVES. SMART TREATMENT PLANNING. Diagnosis: Depressive Disorder (and Bipolar depressed) Goal: Resolution of depressive symptoms. Objectives: Patient will contract for safety with staff at least once per shift. Patient …

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    • [DOCX File]Application for Kentucky Certificate of Title or Registration

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      Kentucky Transportation Cabinet. Division of Motor Vehicle Licensing. APPLICATION FOR KENTUCKY CERTIFICATE OF TITLE OR REGISTRATION. TC 96-182. 03/2019

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    • [DOCX File]Prohibited Items, Items That Often Require Pre-Purchase ...

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      Prohibited Items, Items That Often Require Pre-Purchase Approval, and Fiscal Law Issues. Prohibited Items. Cash advances-Money orders, travelers’ checks, and gift certificates are also considered to be cash advances and will not be purchased by Cardholders, even to obtain items from merchants who do not accept the GPC.

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    • State Form 49065 General Sales Tax Exemption Certificate

      General Sales Tax Exemption Certificate. ... an exempt purpose pursuant to the State Gross Retail Sales Tax Act, Indiana Code 6-2.5, and the item purchased is not a utility, ... The Indiana Department of Revenue may request verification of registration in another state if you are an out-of-state purchaser.

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    • forms.in.gov

      receive more than one-half of his/her support from you for the tax year and must have less than $4,150 gross income during the tax year (unless the person is your child and is under age 19 or under age 24 and a full-time student at least during 5 months of the tax year at a qualified educational institution). Line 4 - Additional Exemptions.

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    • [PDF File]AMERICAN DENTAL ASSOCIATION CDT-2017 CODE ON …

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      AMERICAN DENTAL ASSOCIATION CDT-2017 CODE ON DENTAL PROCEDURES AND NOMENCLATURE Effective January 1, 2017 D0380 Cone beam CT image capture with limited field of view – less than one whole jaw D0381 Cone beam CT image capture with …

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