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    • [PDF File]INSTRUCTIONS : UNUSUAL INCIDENT/INJURY

      https://info.5y1.org/make-thing_1_247024.html

      state of california - health and human services agency california department of social services community care licensing division unusual incident/injury

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    • [PDF File]Statement of Death by Funeral Director

      https://info.5y1.org/make-thing_1_c271cc.html

      Regulations (20 CFR 404.715 and 404.720). While your response is voluntary, we need your assistance to make an accurate and timely determination concerning the death of the individual named above, and to determine if there are survivors who may be eligible for Social Security benefits.

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    • [PDF File]Instructions for Form 941 (Rev. January 2019)

      https://info.5y1.org/make-thing_1_a1f763.html

      Filing a Form 941-X before filing a Form 941 for the quarter may result in errors or delays in processing your Form 941-X. For more information, go to IRS.gov/COBRACredit. If you’re entitled to claim the COBRA premium assistance credit, but aren't otherwise required to file Form 941, file a Form 941 with -0- entered on line 14

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    • [PDF File]2011 CRT-61 Certificate of Resale

      https://info.5y1.org/make-thing_1_c51efe.html

      purchases that I make from this seller are for resale. I am the identiļ¬ ed purchaser, and I certify that the following percentage, _____ %, of all of the purchases that I make from this seller are for resale. Step 5: Purchaser’s signature I certify that I am purchasing the property described in Step 3

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

      https://info.5y1.org/make-thing_1_e7feef.html

      PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half the days Nearly every day (use " ü " to indicate your answer) 1. Little interest or pleasure in doing things 0 1 2 3

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    • Firearms Transaction Record - ATF Home Page

      documentation showing the exception to the prohibition and attach a copy to this ATF Form 4473. (See Instructions for Question 18.c.) Questions 19, 20, or 21 Must Be Completed Prior To The Transfer Of The Firearm(s) (See Instructions for Questions 19, 20 and 21.) 19.a. Date the transferee's/buyer's identifying information in Section A was

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    • [PDF File]Application for Social Security Card

      https://info.5y1.org/make-thing_1_2f3b83.html

      Application for a Social Security Card. ... Your choice whether to answer or not does not affect decisions we make on your application. If you do provide this information, we will treat it very carefully. 9.B., 10.B. If you are applying for an original Social Security card for a child under age 18, you MUST

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    • [PDF File]English 2019 California Driver Handbook

      https://info.5y1.org/make-thing_1_40929b.html

      • Make a driving test appointment. • Speak to a DMV representative or request a call back. Call 1-800-777-0133 for automated service 24 hours a day, 7 days a week to: • Renew your vehicle registration with the renewal identification number (RIN) provided on your billing notice. You can pay with a …

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    • [PDF File]Instructions for Form 926 (Rev. November 2018)

      https://info.5y1.org/make-thing_1_0f192c.html

      Page 2 of 8. Fileid: … ons/I926/201811/A/XML/Cycle06/source. 14:35 - 30-Oct-2018. The type and rule above prints on all proofs including departmental reproduction ...

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    • [PDF File]Standard Form 86 - Questionnaire for National Security

      https://info.5y1.org/make-thing_1_05e88d.html

      provide on this form and to make your comments part of the record. Penalties for Inaccurate or False Statements. The information you provide is for the purpose of investigating you for a national security position, and the information will be protected from unauthorized disclosure. ...

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