Baltimore city school numbers
[PDF File]Declaration for Federal Employment* OMB No. 3206-0182
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Declaration for Federal Employment* (*This form may also be used to assess fitness for federal contract employment) Form Approved: OMB No. 3206-0182 U.S. Office of Personnel Management. 5 U.S.C. 1302, 3301, 3304, 3328 & 8716
[PDF File]Form N-648, Medical Certification for Disability Exceptions
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Business Address (Street Number and Name) City . State or Province Zip Code or Postal Code. Telephone Number Last Name. First Name Middle Name. Explanation Yes (If "Yes,"continue to complete this form.) No (If "No," the applicant is not eligible for this exception and you need not complete the remainder of the questions. Please go directly to
[PDF File]RTF-1 AFFIDAVIT OF CONSIDERATION FOR USE BY SELLER
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rtf-1 (rev. 7/14/10) must submit in duplicate state of new jersey affidavit of consideration for use by seller (chapter 49, p.l.1968, as amended through chapter 33, p.l. 2006) (n.j.s.a. 46:15-5 et seq.) before completing this affidavit, please read the instructions on the reverse side of this form.
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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7T Full No ELE – National School Lunch Program (NSLP). Code Benefits SOC Program/Description 7U Full No ELE (Title XIX). CF adults from age 19 through 65 years old who are citizens or lawfully present, and neither blind nor disabled. Full-scope, no cost Medi-Cal coverage. ... Aid Codes Master Chart (aid codes) ...
[PDF File]Form W-9 (Rev. October 2018)
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City, state, and ZIP code. Requester’s name and address (optional) 7. List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN).
[PDF File]AUTHORIZATION, AGREEMENT B. Request Status Resubmission ...
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Home Address - Employee's home address, include the street number, city, state, and zip code. 5. Home Telephone Number - Employee's area code, home telephone number. 6. Position Level - Select whether the employee's position level is one of the following: 6a.
[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
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Influenza vaccine does not cause flu. Influenza vaccine may be given at the same time as other vaccines. 3 Talk with your health care provider Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of influenza vaccine, or has any severe, life-threatening allergies.
[PDF File]Request for Social Security Earnings Information
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City ZIP Code 4. I am the individual to whom the record pertains (or a person authorized to sign on behalf of that individual). I understand that any false representation to knowingly and willfully obtain information from Social Security records is punishable by a fine of not more than $5,000 or one year in prison.
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