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    • [PDF File]5304-SIMPLE Savings Incentive Match Plan Form for ...

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      An eligible employee may make an election to have his or her compensation for each pay period reduced. The ... terminates a salary reduction election not in accordance with 2b may not resume salary reduction contributions during the calendar year. ... transferred on a tax-free basis to another IRA designed solely to hold funds under a SIMPLE ...


    • [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


    • [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]DRDP (2015) Preschool - Child Development (CA Dept of ...

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      detailed description of the developmental domains that make up the instrument, are described in more detail to help teachers and service providers better understand and rate the measures of the DRDP (2015). Young Dual Language Learners and the DRDP (2015) Dual language learners are children learning two or more languages at the same time, as


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

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      receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Form W-9 (Rev. 10-2018) a. • Corporation; Corporation: you. and (A)) Form W-9 (Rev. October 2018)


    • [PDF File]MEDICARE ENROLLMENT APPLICATION

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      Physicians and non-physician practitioners can apply for enrollment in the Medicare program or make a change in their enrollment information using either: • The Internet-based Provider Enrollment, Chain and Ownership System (PECOS), or • The paper CMS-855I enrollment application. Be sure you are using the most current version.


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