Scranton birth certificate center
[PDF File]Disabled Parking Application for Individuals
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Date of birth (mm/dd/yyyy) Mailing address (PO Box or street address and apartment number, if applicable) City State ZIP code (Area code) Daytime phone Email Current license plate, if applicable Registration expiration, if applicable. Parking privilege options. Applicant or …
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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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 an inquiry to AEVS to verify a recipient’s eligibility for
[PDF File]Application for Social Security Card
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corrected date of birth) you must provide documents to prove your identity, support the requested change, and establish the reason for the change. For example, you may provide a birth certificate to show your correct date of birth. A document supporting a name change must be recent and identify you by both your old and new names.
[PDF File]NON-COMMERCIAL LEARNER'S PERMIT APPLICATION YOU …
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NON-COMMERCIAL LEARNER'S PERMIT APPLICATION Trust Fund Contribution(s) ... •Birth Certificate with raised seal ... Photo ID to the Driver License Center. You will also need to provide a second proof of residency such as official mail (bank statement, tax notice, magazine etc.) that has your name and physical address on it. ...
[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]Federal Employees’ Group Life Insurance (FEGLI) Program ...
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Claim for Death Benefits Federal Employees’ Group Life Insurance Program About the Total Control Account A convenient place for you to hold the proceeds from your claim while you decide what to …
[DOC File]www.dol.gov
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Model COBRA Continuation Coverage General Notice . Instructions . The Department of Labor has developed a model Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) continuation coverage general notice that plans may use to provide the general notice.
[DOCX File]MODIFICATIONS GUIDE - Office of the Under Secretary of ...
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MODIFICATIONS GUIDE. REFERENCES: - FAR Part 43 & SUPS …to include the PGIs! - Miscellaneous parts of the FAR & SUPS for the quick reference table - AFSPC Modification Checklist (May 2006) - AFSPC 64-4 Checklists- Guidebook 1 - Contract Action Review. and . Guidebook 1 – Clearance, as applicable
[DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary
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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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