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    • [PDF File]Form 3300 PLEASE SEE THE INSTRUCTIONS ON THE BACK OF …

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      Georgia Department of Public Health Form 3300 Certificate of Vision, Hearing, Dental, and Nutrition Screening FILE THIS FORM WITH THE SCHOOL WHEN YOUR CHILD IS FIRST ENROLLED IN A GEORGIA PUBLIC SCHOOL

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    • [PDF File]In Brief: Your Guide to Lowering Your Blood Pressure with DASH

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      Use this form to track your food and physical activity habits before you start on the DASH eating plan or to see how you’re doing after a few weeks. To record more than 1 day, just copy the form. Total each day’s food groups and compare what you ate with the DASH eating plan at your calorie level.

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    • [PDF File]Form I-693, Report of Medical Examination and Vaccination ...

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      Male. FemaleD. Country of Birth A-Alien Registration Number (A-Number) (if any) Applicant's Statement. B. The interpreter named in . Part 3. read to me every question and instruction on this form and my answer to every question . in , a language in which I am fluent, and I understood everything.

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    • [PDF File]INSTRUCTIONS FOR COMPLETING ENROLLMENT …

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      Please Read Before You Start . . . What is VA Form 10-10EZ used for? SERVICE-CONNECTED (SC): A VA determination that an illness or injury was incurred or aggravated in the line of duty, in the active military, naval or air service. COMPENSABLE: A VA determination that a service-connected disability is severe enough to warrant monetary compensation.

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    • [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,

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    • [PDF File]2019 Recommended Immunizations for Children from Birth ...

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      2019 Recommended Immunizations for Children from Birth Through 6 Years Old Birth 1 month 2 months 4 months 6 months 12 months 15 months 18 months 19–23 months 2–3 years 4–6 years HepB RV RV RV DTaP DTaP DTaP DTaP Hib Hib Hib PCV13 PCV13 PCV13 IPV IPV IPV MMR Varicella HepB HepB DTaP HepA§ Varicella PCV13 Hib IPV Influenza (Yearly)* For ...

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    • [PDF File]VA Form 10-10EZR

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      male female. 4. spouse's self-identified gender identity. va form 10-10ezr . apr 2017 section vii - submitting your update assignment of benefits section vi - consent to copays and to receive communications section v - previous calendar year deductible …

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    • [PDF File]Declaration for Federal Employment* OMB No. 3206-0182

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      If you are a male born after December 31, 1959, and are at least 18 years of age, civil service employment law (5 U.S.C. 3328) requires that you must register with the Selective Service System, unless you meet certain exemptions. 7a. Are you a male born after December 31, 1959?

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    • [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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