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    • Treatment for Fungal Eye Infections | Types of Diseases | Fungal Dis…

      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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    • [DOT File]ocfs.ny.gov

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      Foster Care/Juvenile Justice Action Summary Michigan Department of Health and Human Services Case name Case ID Child name Child person ID Worker name Organization Phone number Email Date completed Type of action (check as many as apply) Effective date Child fatality notification (complete section 1) Caseworker/organization change (complete section 2) Parent contact information change …

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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      Pursuant to section 419 of the Social Services Law, any person, official, or institution participating in good faith in the making of a report of suspected child abuse or maltreatment, the taking of photographs, or the removal or keeping of a child pursuant to the relevant provisions of the Social Services Law shall have immunity from any liability, civil or criminal, that might otherwise ...

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    • [DOC File]www.dol.gov

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      This is to certify that the information provided on this form is true and correct to the best of my knowledge and recollection, and that the individual named above in Item 2 is or has been a victim of domestic violence, dating violence, sexual assault, or stalking.

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    • [DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit …

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