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[PDF File]EQUIPMENT INSPECTION AND MAINTENANCE WORKSHEET
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all inspections and equipment conditions recorded on this form have been determined in accordance with diagnostic procedures and standards in the tm cited hereon.
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[PDF File]8821 Tax Information Authorization OMB No. 1545-1165
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If the tax information authorization is for a specific use not recorded on CAF, check this box. See the instructions. If you check this box, skip lines 5 and 6 . . . . . .
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[PDF File]Form 4506-T (Rev. 6-2019)
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Use Form 4506-T to order a transcript or other return information free of charge. See the product list below. You can quickly request transcripts by using our automated self-help service tools. Please visit us at IRS.gov and click on “Get a Tax Transcript...” under “Tools” or call 1-800-908-9946. If you need a copy of your return, use
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[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
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[PDF File]VAMC SLUMS Examination - Saint Louis University
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SH Tariq, N Tumosa, JT Chibnall, HM Perry III, and JE Morley. The Saint Louis University Mental Status (SLUMS) Examination for Detecting Mild Cognitive Impairment and Dementia is more sensitive than the Mini-Mental Status Examination (MMSE) - A pilot study. J am Geriatri Psych ( in press). 2 3 Questions about this assessment tool? E-mail aging ...
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[PDF File]The Mood Disorder Questionnaire (MDQ) - Overview
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The Mood Disorder Questionnaire (MDQ) - Overview The Mood Disorder Questionnaire (MDQ) was developed by a team of psychiatrists, researchers and consumer advocates to address the need for timely and accurate evaluation
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[PDF File]USCIS Form I-9
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Employment Eligibility Verification Department of Homeland Security U.S. Citizenship and Immigration Services Form I-9 07/17/17 N Page 1 of 3 START HERE: Read instructions carefully before completing this form. The instructions must be available, either in paper or electronically, during completion of …
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[PDF File]Health Benefits Election Form
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Health Benefits Election Form Form Approved: OMB No. 3206-0160 Standard Form 2809 Previous edition is not usable ... Office toll-free at 1-888-767-6738. 3. Former spouses eligible to enroll in or currently enrolled in the FEHB Program under the Spouse Equity law or similar statutes. 4. Individuals eligible for Temporary Continuation of Coverage ...
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[PDF File]Thrift Savings Plan
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If you have questions, call the toll-free ThriftLine at 1-877-968-3778 or the TDD at 1-877-847-4385. Outside the U.S. and Canada, please call 404-233-4400 (not toll free). You will receive a confirmation of your designation once your form is processed. For federal civilian employees, members of the uniformed services, and beneficiary participants
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[PDF File]Request for Leave or Approved Absence
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Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))
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Free checklist template download