Baltimore county non emergency line
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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starts on a non-workday, the starting hour may be 0001 if not contrary to command policy. b. Block 15 - The hour for ending leave may not be later than the beginning of your normal workday if the day of return is a workday. If leave ends on a non-workday the ending hour may be 2400 if not contrary to command policy. 4.
[PDF File]VA Form 9, APPEAL TO BOARD OF VETERANS' APPEALS
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Most people who appeal to the Board of Veterans' Appeals (Board) do get a representative. Veterans Service Organizations (VSOs) will represent you at no charge and most people (more than 80 percent) are represented by VSOs. You can find a listing of VSOs on the Internet at:
[PDF File]CM-010 Civil Case Cover Sheet
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County) Confession of Judgment (non-Product Liability (not asbestos or Auto Subrogation toxic/environmental) (24) domestic relations) Other Coverage Other Contract (37) Medical Malpractice (45) Sister State Judgment Medical Malpractice– Administrative Agency Award Contractual Fraud Physicians & Surgeons (not unpaid taxes) Petition ...
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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50 Restricted to CMSP emergency services only Y/N County Medical Services Program (CMSP). OBRA/Out of County Care. 53 Restricted to LTC and related services Y/N MI – LTC services. Covers eligible persons age 21 through 65 years old who are residing in a Nursing Facility Level A or B with or without SOC.
[PDF File]Consent for Release of Information
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• For non-medical information, you, the parent or the legal guardian acting on behalf of a minor child or legally incompetent adult, must sign and date this form and provide a daytime phone number. • If you are not the individual to whom the requested information pertains, state your relationship to that person. We may require
[PDF File]Form W-9 (Rev. October 2018)
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Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is . not . disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC ...
[PDF File]FW-001 Request to Waive Court Fees
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Superior Court of California, County of. Fill in case number and name: Case Number: Case Name: FW-001. Request to Waive Court Fees . CONFIDENTIAL. If you are getting public benefits, are a low-income person, or do not have enough income to pay for your household’s basic needs and your court fees, you
[PDF File]Medicare coverage of diabetes supplies and services.
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5 1 SECTION Medicare Coverage for Diabetes At-a-Glance T he chart on pages 6–8 provides a quick overview of some of the diabetes services and supplies covered by Medicare Part B (Medical Insurance)
[PDF File]Designation of Beneficiary
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INSTRUCTIONS: The Insured or assignee must sign this form. Two people must witness the signature and sign as witnesses. The Insured's agency (or U.S. Office of Personnel Management [OPM], if the Insured is an annuitant or insured as a compensationer) must receive the designation before the Insured's death.
[PDF File]REQUIRED: Please select a service type q FedEx Freight ...
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KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS (subject to correction) WEIGHT IN LBS. CLASS CUBE RECEIVED, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications and rules that have been established by the carrier and are available to the shipper ...
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