Information system definition and purpose

    • [PDF File]POS-010 Proof of Service of Summons - California Courts

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      Form Adopted for Mandatory Use PROOF OF SERVICE OF SUMMONS Judicial Council of California POS-010 [Rev. January 1, 2007] POS-010 PROOF OF SERVICE OF SUMMONS ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS:

    • [PDF File]For a Vehicle, Watercraft, or Mobile Home

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      Michigan Department of State APPOINTMENT OF AGENT For a Vehicle, Watercraft, or Mobile Home NOTE: This form CANNOT be used to apply for an instant title, unless the Agent is a licensed vehicle dealer. All Information must be completed in ink.

    • [PDF File]TINETTI BALANCE ASSESSMENT TOOL

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      TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. Risk Indicators: Tinetti Tool Score Risk of Falls ≤18 High 19-23 Moderate ≥24 Low Date Indication of gait (Immediately after told to ‘go’.) Any hesitancy or multiple attempts = 0 No hesitancy = 1

    • [PDF File]Health Benefits Election Form

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      Note: All of your survivors who meet the definition of “family member” can continue their health benefits coverage under your enrollment as long as any one of them is entitled to a survivor annuity. If the survivor annuitant is the only eligible family member, the retirement system will automatically change the enrollment to Self Only.

    • [PDF File]Form W-9 (Rev. October 2018)

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      Purpose of Form. An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number ... Definition of a U.S. person. For federal …

    • [PDF File]Patient Health Questionnaire (PHQ-9)

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      the questionnaire, as well as other relevant information from the patient. Diagnoses of Major Depressive Disorder or Other Depressive Disorder also require impairment of social, occupational, or other important areas of functioning (Question #10) and ruling out normal bereavement, a

    • [PDF File]Request for Social Security Earnings Information

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      information you provide to identify your records and send the earnings information you request. Completion of this form is voluntary; however, failure to do so may prevent your request from being processed. We rarely use the information in your earnings record for any purpose other than for determining your entitlement to Social Security benefits.

    • [PDF File]8821 Tax Information Authorization OMB No. 1545-1165

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      isn’t checked, the IRS will automatically revoke all prior Tax Information Authorizations on file unless you check the line 6 box and attach a copy of the Tax Information Authorization(s) that you want to retain. . . …

    • [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 ...

    • [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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