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[DOT File]MDHHS-5730, Opioid Start Talking
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OPIOID START TALKING (MUST BE INCLUDED IN THE PATIENT’S MEDICAL RECORD) Michigan Department of Health and Human Services Patient Name Date of Birth
[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.
[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,
[XLS File]Forms
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Title: Forms Subject: OSHA Recodkeeping Forms Author: Courtney W. Bohannon Last modified by: Dupaix, Ariane N. OSHA CTR Created Date: 3/8/1999 2:12:24 PM
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