Local home care agencies hiring
[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,
[PDF File]STATE OF CALIFORNIA - CDSS Public Site > Home
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APPLICATION FOR CALFRESH , CASH AID , AND/OR MEDI-CAL/HEALTH CARE PROGRAMS ... B. Staying at the home of another person or family for no more than 90 days straight. C. Sleeping in a place not designed for, or normally used as, a place to sleep (a hallway, a bus station, a ... You may get free legal help at your local legal aid or welfare rights ...
[PDF File]Declaration for Federal Employment* OMB No. 3206-0182
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agencies or other sources requesting information for Federal agencies in connection with hiring or retaining, security clearance, security or suitability investigations, classifying jobs, contracting, or issuing licenses, grants, or other benefits; public and private ... individuals concerning the home address and other relevant information on ...
[PDF File]Form W-9 (Rev. October 2018)
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• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.
[PDF File]USCIS Form I-9
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Day-care or nursery school record 2. ID card issued by federal, state or local government agencies or entities, provided it contains a photograph or information such as name, date of birth, gender, height, eye color, and address 4. Voter's registration card 5. U.S. Military card or draft record Documents that Establish Identity LIST B OR AND ...
[PDF File]Physician's Order for Personal Care/Consumer Directed ...
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PHYSICIAN’S ORDER FOR PERSONAL CARE/CONSUMER DIRECTED PERSONAL ASSISTANCE SERVICES . INSTRUCTIONS . COMPLETE ALL ITEMS. (Attach additional sheets, if necessary). INCOMPLETE FORMS WILL BE RETURNED TO THE PHYSICIAN. INCOMPLETE OR MISSING INFORMATION MAY DELAY SERVICES TO THIS PATIENT. 1. Patient Identifying Information • Patient Name.
[PDF File]Standard Form 86 - Questionnaire for National Security
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used by agencies in determining whether a subject performing work for, or on behalf of, the Government under a contract should be deemed eligible for logical or physical access when the nature of the work to be performed is sensitive and could bring about an adverse effect on the national security.
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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0E Full No MCAP (Title XXI). Provides full-scope, no SOC health care services (medical, dental and vision), through the Medi-Cal managed care delivery system, to pregnant women who are California residents with a modified adjusted gross income (MAGI) above 213 percent and up to and including 322 percent of the FPL.
[PDF File]SS-4 Application for Employer Identification Number
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Form SS-4 (Rev. December 2017) Department of the Treasury Internal Revenue Service . Application for Employer Identification Number (For use by employers, corporations, partnerships, trusts, estates, churches,
[PDF File]APPLICATION FOR 10-POINT VETERAN PREFERENCE (TO BE USED BY ...
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Home address (Street Number, City, State and ZIP Code) ... State, or local government agency, if you are participating in a special employment assistance program; or (4) other Federal, State, or local government agencies, congressional offices, and international organizations for purposes of employment consideration, e.g., if you are on an ...
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