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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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    • [PDF File]SS-4 Application for Employer Identification Number

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      Form SS-4 (Rev. December 2017) Department of the Treasury Internal Revenue Service . Application for Employer Identification Number (For use by employers, …

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    • [PDF File]Oswestry Low Back Disability Questionnaire

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      The pain is very mild at the moment ; The pain is moderate at the moment . The pain is fairly severe at the moment : The pain is very severe at the moment . The pain is the worst imaginable at the moment : Section 2 – Personal care (washing, dressing etc) I can look after myself normally without

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    • [PDF File]Generalized Anxiety Disorder 7-item (GAD-7) scale

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      Generalized Anxiety Disorder 7-item (GAD-7) scale Over the last 2 weeks, how often have you been bothered by the following problems? Not at all sure

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    • [PDF File]VR-210 -210 (9 6b5-18) -18) 5-18)

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      a brace, cane, crutch, another person, prosthetic device, or other. assistance device. 5. Requires a wheelchair for mobility. 6. Has lost an arm, hand, foot, or leg. (See Note D) 7. Has lost the use of an arm, hand, foot or leg. 8.Has a permanent disability, that adversely impacts the ambulatory

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    • [PDF File]For Your Benefit: California's Programs for the Unemployed ...

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      another state during the last 18 months. File your claim directly with the other state, the District of Columbia, Puerto Rico, or Canada. If you worked in the U.S. Virgin Islands, contact the EDD at 1-800-300-5616. How to File You may file a UI claim using one of the following methods: • Online

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    • [PDF File]Vaccine Storage and Handling - Centers for Disease Control ...

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      Vaccine Storage and Handling. Toolkit. Vaccine Storage and Handling. There are few immunization issues more important than . the appropriate storage and handling of vaccines. Vaccine-preventable disease rates have decreased in part because of proper storage and handling of vaccines. Exposure of vaccines to temperatures outside the recommended ...

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    • Firearms Transaction Record

      for another person, you are . not. required to answer 11.a. and may proceed to question 11.b. (See Instructions for Question 11.a.) b. Are you under indictment or information in any court for a ... If the transfer of the firearm(s) takes place on a different day from the date that the transferee/buyer signed Section A, the transferee/buyer must ...

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    • [PDF File]Form W-9 (Rev. October 2018)

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      Business name/disregarded entity name, if different from above. 3. Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only . one. of the following seven boxes. Individual/sole proprietor or single-member LLC. C Corporation. S Corporation Partnership. Trust/estateLimited liability company.

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    • [PDF File]Application for Social Security Card

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      Application for a Social Security Card. ... If you do provide this information, we will treat it very carefully. 9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST ... If the date of birth you show in item 4 is different from the date of birth currently shown on your

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