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[PDF File]2017 Form 1040
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IRS Use Only—Do not write or staple in this space. For the year Jan. 1–Dec. 31, 2017, or other tax year beginning , 2017, ending , 20 See separate instructions. Your first name and initial . Last name . Your social security number . If a joint return, spouse’s first name and initial . …
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[PDF File]2018 Form 1040
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Form 1040 Department of the Treasury—Internal Revenue Service . U.S. Individual Income Tax Return . 2018. OMB No. 1545-0074. IRS Use Only—Do not write or staple in this space.
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[PDF File]EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE
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withholding status, your employer is required to use the same withholding status for state income tax withholding. The burden of proof rests with the employee to show the correct California Income Tax Withholding. Pursuant to section 4340-1(e) of Title 22, California Code of …
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[PDF File]Edinburgh Postnatal Depression Scale (EPDS)
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depression. The EPDS is easy to administer and has proven to be an effective screening tool. Mothers who score above 13 are likely to be suffering from a depressive illness of varying severity. The EPDS score should not override clinical judgment. A careful clinical assessment should be …
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[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
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fflce use only 4 Risks of a vaccine reaction Soreness, redness, and swelling where shot is given, fever, muscle aches, and headache can happen after influenza vaccine. There may be a very small increased risk of Guillain-Barré Syndrome (GBS) after inactivated influenza vaccine (the flu shot). Young children who get the flu shot along with
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[PDF File]Patient Health Questionnaire (PHQ-9)
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PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half the days Nearly every day (use " ü " to indicate your answer) 1. Little interest or pleasure in doing things 0 1 2 3
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[PDF File]BILL OF SALE
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BILL OF SALE VEHICLE INFORMATION Make: _____ Model: _____ Year: _____ Style: _____ Color: _____ VIN# _____
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[PDF File]Summary Chart of U.S. Medical Eligibility Criteria for ...
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Summary Chart of U.S. Medical Eligibility Criteria for Contraceptive Use. Author: Centers for Disease Control and Prevention (CDC) Subject: Summary Chart of U.S. Medical Eligibility Criteria for Contraceptive Use Keywords: U.S., medical, contraceptive, pregnancy, drug interactions, disease, cancer, sexually transmitted infections (STI), Created ...
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[PDF File]PHQ-9* Questionnaire for Depression Scoring and ...
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PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The possible range is 0-27. Use the table below to interpret the PHQ-9 score.
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[PDF File]RD-108 Application for Michigan Title & Registration
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Purchaser Warning: Do Not Sign a Blank Form. I am purchasing or leasing this vehicle and am applying for a Michigan certificate of title and registration or, if the lessee, applying for a registration.
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