Sample employee evaluation form
[PDF File]Request for Leave or Approved Absence
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Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN)) 3. ... General Accounting Office when the information is required for evaluation of leave administration; or the General Services Administration in connection with its ... If your agency uses the information furnished on this form for purposes ...
[PDF File]VA Form 21-526EZ
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compensation or disagree with an evaluation decided Compensation Benefits.more than one year ago .... please complete and submit VA Form 20-0995, Decision Review Request: Supplemental Claim ** please complete and submit VA Form 21-526EZ, Application for Disability Compensation and Related
[PDF File]Disability Parking Placard Application
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application I am subject to the penalties described on the reverse side of this form. (Please print) Name (First, Middle, Last) Date of Birth Michigan Drivers License or ID Card # ... Physician’s Certification A parking placard will be issued solely on the phy sician’s evaluation .
[PDF File]Form W-9 (Rev. October 2018)
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• 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. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See . What is backup withholding, later.
[PDF File]2018 Instructions for Form 5329 - Internal Revenue Service
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instructions for Form 1040, lines 4a and 4b, or Form 1040NR, lines 17a and 17b, for how to report the rollover. TIP When and Where To File File Form 5329 with your 2018 Form 1040 or Form 1040NR by the due date, including extensions, of your Form 1040 or Form 1040NR. If you don’t have to file a 2018 income tax return, complete and file
[PDF File]AUTHORIZATION, AGREEMENT B. Request Status …
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Standard Form 182 Revised December 2006 All previous editions not usable. Page 1. AUTHORIZATION, AGREEMENT AND CERTIFICATION OF TRAINING . B. Request Status (Mark (X) one) Resubmission. InitialCorrection. Cancellation1. Applicant's Name (Last, First, Middle Initial) 2.Social Security Number/Federal Employee Number 3. Date of Birth (yyyy-mm-dd) 4.
[PDF File]Application for Social Security Card
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downloaded form using only 8 ½” x 11” (or A4 8.25” x 11.7”) paper. GENERAL: Items on the form are self-explanatory or are discussed below. The numbers match the numbered items on the form. If you are completing this form for someone else, please complete the items as they apply to that person.
[PDF File]The Mood Disorder Questionnaire (MDQ) - Overview
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researchers and consumer advocates to address the need for timely and accurate evaluation of bipolar disorder. Clinical Utility n The MDQ is a brief self-report instrument that takes about 5 minutes to complete. n This instrument is designed for screening purposes …
[PDF File]Form N-648, Medical Certification for Disability Exceptions
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Form N-648, Medical Certification for Disability Exceptions. ALL parts of this form, except the "APPLICANT ATTESTATION" and "INTERPRETER'S CERTIFICATION" must be certified by a licensed medical professional as provided in the instructions for Form N-648. Before certifying this form, the medical professional must
[PDF File]Patient Health Questionnaire (PHQ-9)
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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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