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[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The aid codes in this chart are meant to assist providers in identifying the types of services for which Medi-Cal and public health program recipients are eligible. The chart includes only aid codes used to bill for services through the Medi-Cal claims processing system and for other non Medi-Cal programs that
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[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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periods of leave i certify that i have sufficient funds to cover the cost of round trip travel. i understand that should any portion of this leave, if approved, result in my taking more leave than i can earn on my current un-extended enlistment or current active duty obligation, my pay will be checked for such excess leave. 22.
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[PDF File]APPLICATION FOR CERTIFICATE OF TITLE AND REGISTRATION
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The information, including Social Security Number, is requested in accordance with Virginia Code §§46.2-623 and 46.2-629. Any person who refuses to supply the required information will be denied a certificate of title and/or registration.
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[DOT File]ocfs.ny.gov
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If you are not sure which role to choose, refer to child day care regulations and/or consult with your licensor,
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[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA
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request an extended leave under the University's Leave of Absence Without Pay policy (3-0713) due to your inability to return to work because of your medical condition. If you elect to request an unpaid leave, please know that one . may. be granted to you if the department's workload permits and it is for your prolonged illness.
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[PDF File]Vehicle Registration/Title Application
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VEHICLE REGISTRATION/TITLE APPLICATION. Page 1 of 2. T. his form is available at . dmv.ny.gov. Has the vehicle been wrecked, destroyed, or damaged to such an extent that the total estimate, or actual cost, of parts and labor to rebuild or reconstruct the vehicle to the condition it was in before an accident, and to make the vehicle legal
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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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[PDF File]Vehicle Equipment and Inspection Regulations
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Subchapter A - General Provisions 1 Vehicle Equipment and Inspection Regulations • PUB 45 Subchapter A GENERAL PROVISIONS 175.1. Purpose This chapter implements 75 Pa.C.S. §§4101-4982, (relating to vehicle characteristics).
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[PDF File]PART A - OWNER’S VEHICLE IDENTIFICATION AFFIDAVIT AND ...
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VEHICLE IDENTIFICATION NUMBER AND ODOMETER VERIFICATION PART A - OWNER’S VEHICLE IDENTIFICATION AFFIDAVIT AND ODOMETER DECLARATION (Completion of this part requires a physical inspection of the vehicle by the owner) AFFIDAVIT: DATE: _____ This is to certify that I, the undersigned, am the lawful owner of the motor vehicle described on this ...
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Toyota log in pay bill