Finance university of pennsylvania
[PDF File]Advanced Health Care Directive Form
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PAGE 3 of 6 (1.4.) AGENT'S OBLIGATION: My agent shall make health care decisions for me in accordance with this power of attorney for health care, any instructions I give in Part 2 of this form, and my other wishes to the extent known to my agent.
[PDF File]AGENT/BROKER OF RECORD CHANGE - Home Page | First Choice ...
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AGENT/BROKER OF RECORD CHANGE Please be advised that we wish to name as our exclusive representative effective for the lines of business shown above, currently in force or submitted by application. This authorization replaces any other authorization that may have been ...
[PDF File]State of Illinois Illinois Department of Public Health ...
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THE POWER OF ATTORNEY FOR HEALTH CARE No one can predict when a serious illness or accident might occur. When it does, you may need someone else to speak or make health care decisions for you. If you plan now, you can increase the chances that the medical treatment you get will be the treatment you want.
[PDF File]STATE OF LEGAL RESIDENCE CERTIFICATE
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state of legal residence certificate data required by the privacy act of 1974 authority: purpose: routine uses: mandatory or voluntary disclosure: tax reform act of 1976, public law 94-455.
[PDF File]Health Care Proxy
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About the Health Care Proxy Form This is an important legal document. Before signing, you should understand the following facts: 1. This form gives the person you choose as your agent the authority to make all health care
[PDF File]Please print or type. The Application For Employment ...
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This job application form was downloaded from Betterteam. Application For Employment. Please print or type. The application must be fully completed to be
[PDF File]Class VEHICLE REGISTRATION/
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VEHICLE REGISTRATION/ TITLE APPLICATION This form is available at dmv.ny.gov . I WANT TO: Orig Dup Lease Buyout Sales Tax with Title Renewal Renew W/RR NEW YORK DEALERS ONLY DEALER USE ONLY - LIEN FILING - Alterations are not allowed in the lienholder section below Choose one . Lien Filing Code Lienholder Name
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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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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