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

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      days i certify that the above is correct and proper to the best of my knowledge. 32. certifying officer’s typed name/rank/title. 33. certifying officer’s signature forward this copy to personnel office via command only on completion of leave. s/n 0104-lf-703-0656 part 1 1.

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    • [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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    • [PDF File]“A Rose for Emily” by William Faulkner (1930) I

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      “A Rose for Emily” by William Faulkner (1930) I WHEN Miss Emily Grierson died, our whole town went to her funeral: the men through a sort of respectful affection for a fallen monument, the women mostly out of curiosity to see the inside of her house, which no one save an old man-servant--a combined gardener and cook--had seen

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    • [PDF File]DEVELOPMENTAL COUNSELING FORM

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      Plan of Action (Outlines actions that the subordinate will do after the counseling session to reach the agreed upon goal(s). The actions must be

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    • [PDF File]CONSENT FOR STERILIZATION

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      CONSENT FOR STERILIZATION. NOTICE: ... To the best of my knowledge and belief the individual to be sterilized is at least 21 years old and appears mentally competent. He/She knowingly and voluntarily requested to be sterilized and appears to understand the

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

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      Adult inmates age 19 through 64 years old in county correctional facilities who receive those services off the grounds of the correctional facility, with income 0 percent to 138 percent FPL. Limited to all covered inpatient hospital and inpatient mental health services only. ... Aid Codes Master Chart (aid codes) ...

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    • [DOC File]www.dol.gov

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

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    • [PDF File]Declaration for Federal Employment* OMB No. 3206-0182

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      Your Social Security Number (SSN) is needed to keep our records accurate, because other people may have the same name and birth date. Public Law 104-134 (April 26, 1996) asks Federal agencies to use this number to help identify individuals in agency records. Giving us your SSN or any other information is voluntary.

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