Baltimore city employee directory

• [PDF File]Statement of Claimant or Other Person - The United States ...

  https://info.5y1.org/baltimore-city-employee-directory_1_aa5fe8.html

  STATEMENT OF CLAIMANT OR OTHER PERSON. Form Approved OMB No. 0960-0045 Name of Wage Earner, Self-employed Person, or SSI Claimant ... The office is listed under U. S. Government agencies in your telephone directory or ... above to: SSA, 6401 Security Boulevard, Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this ...

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

  https://info.5y1.org/baltimore-city-employee-directory_1_ad9e1d.html

  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]CMS-460 Medicare Participating Physician or supplier agreement

  https://info.5y1.org/baltimore-city-employee-directory_1_96cc61.html

  Clearance Officer, Baltimore, Maryland 21244-1850. DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES . INSTRUCTIONS FOR THE MEDICARE PARTICIPATING PHYSICIAN AND SUPPLIER AGREEMENT (CMS-460) To sign a participation agreement is to agree to accept assignment for all covered services that you provide to

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• [PDF File]VA Form 9, APPEAL TO BOARD OF VETERANS' APPEALS

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  (Number & Street or Post Office Box, City, State & ZIP Code) 7. IF I AM NOT THE VETERAN, MY NAME IS: (Last Name, First Name, Middle Initial) 8. THESE ARE THE ISSUES I WANT TO APPEAL TO THE BOARD: (Be sure to read the information about this block in paragraph 6 of the attached instructions.) A.

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

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  The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to AEVS to verify a recipient’s eligibility for

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• [PDF File]Form 911 Request for Taxpayer Advocate Service Assistance ...

  https://info.5y1.org/baltimore-city-employee-directory_1_e3dd39.html

  request to the TAS office in your state or city. You can find the fax number in the government listings in your local telephone directory, on our website at www.taxpayeradvocate.irs.gov, or in Publication 1546, Taxpayer Advocate Service - Your Voice at the IRS. • You also can mail this form.

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